Rotational vertigo in embolic stroke of the vestibular and auditory cortices.

@article{Brandt1995RotationalVI,
  title={Rotational vertigo in embolic stroke of the vestibular and auditory cortices.},
  author={Thomas Brandt and Kai Boetzel and Tarek Yousry and Marianne Dieterich and Stefan Schulze},
  journal={Neurology},
  year={1995},
  volume={45 1},
  pages={42-4}
}
We describe the unique case of a woman with embolic infarction within the right middle cerebral artery territory who had nonepileptic rotational vertigo, nausea, and unsteady gait that gradually resolved within a week. A well-demarcated lesion of the posterior insula (homologous to parieto-insular vestibular cortex in monkeys) was probably the cause. This is supported by a contraversive tilt of perceived vertical and by involvement of the adjacent auditory (Heschl's) cortex. Dipole source… CONTINUE READING