Clinical Reasoning: A 37-Year-Old Man Presenting With Intermittent Dizziness and Brief Choreiform Movements

In this report, we describe the case of a 37-year-old man presenting with intermittent episodes of dizziness and choreiform movements. MRI of the head showed an acute infarction in the left cerebellar hemisphere and multiple chronic infarctions in the cerebellum and pons. Vessel imaging also showed...

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Bibliographic Details
Published inNeurology Vol. 100; no. 8; p. 389
Main Authors Wu, Bin, Zhang, Wenli, Peng, Fangqiang, Zhang, Miaoyi, Shen, Bo, Shi, Xin, Zhang, Yue
Format Journal Article
LanguageEnglish
Published United States 21.02.2023
Subjects
Adult
Chorea - diagnostic imaging
Chorea - etiology
Clinical Reasoning
Dizziness - etiology
Humans
Magnetic Resonance Imaging
Male
Stroke
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Summary:In this report, we describe the case of a 37-year-old man presenting with intermittent episodes of dizziness and choreiform movements. MRI of the head showed an acute infarction in the left cerebellar hemisphere and multiple chronic infarctions in the cerebellum and pons. Vessel imaging also showed dynamic stenoses in the posterior circulation. This case provides a framework for evaluating young patients with intermittent dizziness and recurrent strokes and highlights the need to combine anatomical angiographies or hemodynamic studies with head rotational behavior.
ISSN:1526-632X
DOI:10.1212/WNL.0000000000201653