Journal of Audiology & Otology

The Korean Audiology Society (대한청각학회)
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A Case of Isolated Nodular Infarction Mimicking Vestibular Neuritis on the Contralateral Side

  • Lee, Jun (Department of Otorhinolaryngology-Head and Neck Surgery, Eulji University Hospital, Eulji University School of Medicine) ;
  • Song, Kudamo (Department of Otorhinolaryngology-Head and Neck Surgery, Eulji University Hospital, Eulji University School of Medicine) ;
  • Yu, In Kyu (Department of Radiology, Eulji University Medical Center, Eulji University School of Medicine) ;
  • Lee, Ho Yun (Department of Otorhinolaryngology-Head and Neck Surgery, Eulji University Hospital, Eulji University School of Medicine)
  • Received : 2018.12.11
  • Accepted : 2019.02.27
  • Published : 2019.07.20
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Abstract

Differentiating central vestibulopathy from more common vestibular disorders is crucial because it often necessitates different treatment strategies, and early detection can help to minimize potential complications. Isolated nodular infarct is one of the central brain lesions that can mimic peripheral vertigo. We present a case of isolated nodular infarct that had been misdiagnosed as vestibular neuritis on the contralateral side at the initial evaluation. The patient was successfully treated with anticoagulants and antihyperlipidemic agents. Clinicians should keep in mind that some causes of central vertigo mimic peripheral vestibulopathy at the early stage.

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Acknowledgement

This research was funded by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2017R1C1B5017839).