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Three Dimensional Vestibular Ocular Reflex Testing Using a Six Degrees of Freedom Motion Platform
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Case report: Spiller syndrome initially mimicking vestibular neuritis
Huiyuan Wang1,2, Tianming Shi2, Yafei Shang1,2
1Department of Clinical Medicine, Bengbu Medical College, Bengbu, China.
Frontiers in Neurology
|January 26, 2023
Summary
Spiller syndrome, a rare medial medullary infarction subtype, can mimic peripheral vestibular issues. Early MRI is crucial for diagnosing this stroke subtype, even with initial peripheral symptoms.
Area of Science:
- Neurology
- Neuroscience
- Vascular Neurology
Background:
- Spiller syndrome is a rare subtype of medial medullary infarction (MMI).
- MMI can present with diverse neurological deficits.
- Accurate and timely diagnosis is essential for appropriate management.
Observation:
- A 42-year-old man presented with acute vertigo, nausea, vomiting, and gait instability.
- Initial symptoms mimicked acute peripheral vestibulopathy.
- Progressive symptoms included left-sided weakness, dysarthria, and tongue deviation.
Findings:
- Cranial CT initially showed no brainstem or cerebellar abnormalities.
- Magnetic resonance imaging (MRI) confirmed an acute infarct in the right medial medulla.
- The patient met the diagnostic criteria for Spiller syndrome.
Implications:
- This case highlights the importance of considering Spiller syndrome in acute vestibular syndromes with vascular risk factors.
- Even with peripheral lesion signs, medial medullary infarction should be suspected.
- Early MRI is vital for diagnosing MMI and initiating prompt treatment.
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