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Updated: May 31, 2026

Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
05:12

Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome

Published on: September 19, 2019

Vertebral artery dissection presenting as isolated vertigo.

Neil Rane1, Duncan McAuley

  • 1Cambridge University Hospitals, Cambridge, UK.

BMJ Case Reports
|June 21, 2011
PubMed
Summary
This summary is machine-generated.

A brainstem infarct, caused by vertebral artery dissection, was identified as the central cause of isolated vertigo in a young woman. This case highlights a rare but serious neurological cause of dizziness.

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Last Updated: May 31, 2026

Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
05:12

Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome

Published on: September 19, 2019

Area of Science:

  • Neurology
  • Vascular Neurology
  • Neuro-otology

Background:

  • Vertigo is a common symptom with diverse etiologies.
  • Isolated vertigo, without other neurological deficits, can pose diagnostic challenges.
  • Vertebral artery dissection is a known cause of stroke, but its presentation solely with vertigo is less common.

Purpose of the Study:

  • To present a case of isolated vertigo secondary to brainstem infarct.
  • To highlight vertebral artery dissection as a critical underlying cause.
  • To emphasize the importance of considering vascular events in young adults presenting with vertigo.

Main Methods:

  • Case report of a 24-year-old woman presenting with isolated vertigo.
  • Diagnostic workup including neuroimaging to identify the cause of vertigo.
  • Review of relevant literature on vertebral artery dissection and vertigo.

Main Results:

  • Neuroimaging revealed a brainstem infarct.
  • The infarct was attributed to dissection of the vertebral artery.
  • The patient's vertigo resolved with appropriate management.

Conclusions:

  • Vertebral artery dissection can manifest as isolated vertigo.
  • Prompt diagnosis and management of vertebral artery dissection are crucial to prevent further neurological sequelae.
  • This case underscores the need for a high index of suspicion for vascular causes in young individuals with unexplained vertigo.