Ocular lateral deviation as a vestibular sign to improve detection of posterior circulation stroke

Amr Abdulwarth  Alraies; Mahmood Mohammed Ghanaim

doi:10.53730/ijhs.v7nS1.14436

Authors

Amr Abdulwarth Alraies
amralraies@hotmail.com
Mahmood Mohammed Ghanaim

Keywords:

ocular lateral, vestibular sign, circulation stroke, detection of posterior

Abstract

Posterior circulation is affected by approximately twenty-five percent of all strokes, & many studied cases visit emergency rooms diagnosis is frequently difficult because studied cases frequently appear with variety of symptoms and frequently minimal clinical indicators. Chronic nystagmus, nausea, vomiting, head motion intolerance, & poor balance are all symptoms of acute vestibular syndrome, which is prevalent condition with significant number of cerebrovascular causes. Studied cases with A ICA strokes have positive head impulse test, although nystagmus frequently reverses direction, & big amplitude skew have been useful on central localization. If HINTS has been peripheral, possibility of posterior circulation stroke has been unlikely. Therefore, it is necessary to look at any single triad component that points to central HINT. Peripheral HINTS avoid needless medical resource waste by not requiring emergency MRI or angiography tests.

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References

Platti, N., Fakih, R., Maley, J., Deniz, K., Agac, B., Fattal, D. (2022). Ocular lateral deviation as a vestibular clinical sign of medial posterior inferior cerebellar artery strokes: A case report. Journal of Stroke and Cerebrovascular Diseases, 31(8), 106618.

Kattah, J. C., Badihian, S., Pula, J. H., Tarnutzer, A. A., Newman-Toker, D. E., Zee, D. S. (2020). Ocular lateral deviation with brief removal of visual fixation differentiates central from peripheral vestibular syndrome. Journal of neurology, 267, 3763-3772.

Mantokoudis, G., Gold, D. R., Newman-Toker, D. E. (2019). Video-oculography in the emergency department: an “ecg” for the eyes in the acute vestibular syndrome. Advances in translational neuroscience of eye movement disorders, 283-307.

Pawar, V., Anand, A., Kulkarni, P., Kim, J. S. (2021). A new ocular motor sign in acute vestibular syndrome: Is HINTS plus enough?. Neurology Asia, 26(4).

Calic, Z., Nham, B., Bradshaw, A. P., Young, A. S., Bhaskar, S., D'Souza, M., et al. (2020). Separating posterior-circulation stroke from vestibular neuritis with quantitative vestibular testing. Clinical Neurophysiology, 131(8), 2047-2055.

Krishnan, K., Bassilious, K., Eriksen, E., Bath, P. M., Sprigg, N., Brækken, S. K., et al. (2019). Posterior circulation stroke diagnosis using HINTS in patients presenting with acute vestibular syndrome: a systematic review. European Stroke Journal, 4(3), 233-239.

Machner, B., Choi, J. H., Neumann, A., Trillenberg, P., Helmchen, C. (2021). What guides decision-making on intravenous thrombolysis in acute vestibular syndrome and suspected ischemic stroke in the posterior circulation?. Journal of Neurology, 268(1), 249-264.

Calic, Z., Nham, B., Bradshaw, A. P., Young, A. S., Bhaskar, S., D'Souza, M., et al. (2020). Separating posterior-circulation stroke from vestibular neuritis with quantitative vestibular testing. Clinical Neurophysiology, 131(8), 2047-2055.

Zürcher, E., Richoz, B., Faouzi, M., Michel, P. (2019). Differences in ischemic anterior and posterior circulation strokes: a clinico-radiological and outcome analysis. Journal of Stroke and Cerebrovascular Diseases, 28(3), 710-718.

Machner, B., Erber, K., Choi, J. H., Trillenberg, P., Sprenger, A., Helmchen, C. (2021). Usability of the head impulse test in routine clinical practice in the emergency department to differentiate vestibular neuritis from stroke. European Journal of Neurology, 28(5), 1737-1744.

Dorňák, T., Král, M., Šaňák, D., Kaňovský, P. (2019). Intravenous thrombolysis in posterior circulation stroke. Frontiers in Neurology, 10, 417.

Xun, K., Mo, J., Ruan, S., Dai, J., Zhang, W., Lv, Y., et al. (2021). A meta-analysis of prognostic factors in patients with posterior circulation stroke after mechanical thrombectomy. Cerebrovascular Diseases, 50(2), 185-199.

Pirson, F. A. V., Boodt, N., Brouwer, J., Bruggeman, A. A., den Hartog, S. J., Goldhoorn, R. J. B., et al. (2022). Endovascular treatment for posterior circulation stroke in routine clinical practice: results of the multicenter randomized clinical trial of endovascular treatment for acute ischemic stroke in the Netherlands registry. Stroke, 53(3), 758-768.

Choi, J. H., Oh, E. H., Park, M. G., Baik, S. K., Cho, H. J., Choi, S. Y., et al. (2018). Early MRI-negative posterior circulation stroke presenting as acute dizziness. Journal of Neurology, 265, 2993-3000.

Alawieh, A. M., Eid, M., Anadani, M., Sattur, M., Maier, I. L., Feng, W., ... et al. (2020). Thrombectomy technique predicts outcome in posterior circulation stroke—insights from the STAR collaboration. Neurosurgery, 87(5), 982-991.

Zürcher, E., Richoz, B., Faouzi, M., Michel, P. (2019). Differences in ischemic anterior and posterior circulation strokes: a clinico-radiological and outcome analysis. Journal of Stroke and Cerebrovascular Diseases, 28(3), 710-718.

Lee, S. H., Han, J. H., Jung, I., Jung, J. M. (2020). Do thrombolysis outcomes differ between anterior circulation stroke and posterior circulation stroke? A systematic review and meta-analysis. International Journal of Stroke, 15(8), 849-857.

Weber, R., Minnerup, J., Nordmeyer, H., Eyding, J., Krogias, C., Hadisurya, J., et al. (2019). Thrombectomy in posterior circulation stroke: differences in procedures and outcome compared to anterior circulation stroke in the prospective multicentre REVASK registry. European journal of neurology, 26(2), 299-305.

Luo, G., Mo, D., Tong, X., Liebeskind, D. S., Song, L., Ma, N., et al. (2018). Factors associated with 90-day outcomes of patients with acute posterior circulation stroke treated by mechanical thrombectomy. World neurosurgery, 109, e318-e328.