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- W147338404 abstract "Publisher Summary This chapter discusses that transient ischemia within the vertebrobasilar circulation is a common cause of episodic vertigo in older patients. The vertigo is usually accompanied by other neurological symptoms or signs. It is typically abrupt in onset, usually lasting several minutes. It reviews that isolated episodic vertigo with or without the auditory symptoms can be the only manifestation of transient ischemia within the vertebrobasilar circulation. Isolated vertigo, especially can occur when there is focal basilar stenosis or widespread vertebrobasilar slow flow on brain magnetic resonance angiography (MRA). The chapter discusses that the inner ear may be sensitive to transient ischemia because it requires high-energy metabolism and has a lack of collateral circulation. By contrast, the retrocochlear eighth nerve has an abundant collateral blood supply arising from the lateral medullary artery, arteries supplying adjacent dura matter and petrous bone, and the inferior lateral pontine artery suggesting that ischemia or infarction should more likely affect the labyrinth than the eighth nerve itself. Although isolated episodic vertigo can occur as a manifestation of vertebrobasilar insufficiency, long-lasting recurrent episodes of vertigo without other symptoms are almost never caused by vertebrobasilar disease." @default.
- W147338404 created "2016-06-24" @default.
- W147338404 creator A5046551747 @default.
- W147338404 creator A5081489549 @default.
- W147338404 date "2010-01-01" @default.
- W147338404 modified "2023-09-27" @default.
- W147338404 title "Vestibular disorders in cerebrovascular disease" @default.
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