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Vestibular Nucleus Involvement in Patients With Acute Vertigo Due to Herpes Zoster Oticus or Vestibular Neuritis.
Yacovino, Dario Andrés; Perez Akly, Manuel Sliman; Ibañez, Tomás; Cherchi, Marcello.
Affiliation
  • Yacovino DA; From the Department of Neurology (D.A.Y., T.I.), and Department of Neuroradiology (M.S.P.A.), Dr. Cesar Milstein Hospital, Buenos Aires, Argentina; Department of Neurology (M.C.), Feinberg School of Medicine, Northwestern University, Chicago; and Department of Neurology (M.C.), University of Chicago
  • Perez Akly MS; From the Department of Neurology (D.A.Y., T.I.), and Department of Neuroradiology (M.S.P.A.), Dr. Cesar Milstein Hospital, Buenos Aires, Argentina; Department of Neurology (M.C.), Feinberg School of Medicine, Northwestern University, Chicago; and Department of Neurology (M.C.), University of Chicago
  • Ibañez T; From the Department of Neurology (D.A.Y., T.I.), and Department of Neuroradiology (M.S.P.A.), Dr. Cesar Milstein Hospital, Buenos Aires, Argentina; Department of Neurology (M.C.), Feinberg School of Medicine, Northwestern University, Chicago; and Department of Neurology (M.C.), University of Chicago
  • Cherchi M; From the Department of Neurology (D.A.Y., T.I.), and Department of Neuroradiology (M.S.P.A.), Dr. Cesar Milstein Hospital, Buenos Aires, Argentina; Department of Neurology (M.C.), Feinberg School of Medicine, Northwestern University, Chicago; and Department of Neurology (M.C.), University of Chicago
Neurology ; 101(14): e1461-e1465, 2023 10 03.
Article in En | MEDLINE | ID: mdl-37460229
OBJECTIVES: Herpes zoster oticus (HZO) typically provokes vestibular symptoms and is traditionally viewed as a cranial nerve equivalent of shingles, but in contrast to vestibular neuritis (VN), it is unclear whether the pathology of HZO is limited to the vestibular nerve (neuritis) or can also involve the brainstem (nucleitis). METHODS: We retrospectively compared brain MRIs of patients with HZO with those of patients with VN to study radiologic changes in the brainstem. RESULTS: Five of 10 patients with HZO showed signal abnormalities in the vestibular nuclei, which lie in multiple vascular territories, whereas no patients with VN exhibited such findings. DISCUSSION: HZO may at least in part reflect vestibular nucleitis, as opposed to a pure neuritis.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Herpes Zoster Oticus / Vestibular Neuronitis / Neuritis Type of study: Etiology_studies / Observational_studies / Risk_factors_studies Limits: Humans Language: En Journal: Neurology Year: 2023 Document type: Article Country of publication: United States
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Herpes Zoster Oticus / Vestibular Neuronitis / Neuritis Type of study: Etiology_studies / Observational_studies / Risk_factors_studies Limits: Humans Language: En Journal: Neurology Year: 2023 Document type: Article Country of publication: United States