Acute isolated vertigo with vertical up-beating nystagmus: A rare case of nucleus intercalatus of Staderini ischemia

查看全文 作　　者：Francesco [1]Comacchio;Giacomo [2]Talenti;Renzo [2]Manara;Chiara [3]Briani 机构地区：[1]Otolaryngology Unit,University Hospital Sant’Antonio Padova,Via Facciolati 71,35127,Padova,Italy;[2]Neuroradiology Unit,University Hospital Padova,Via Giustiniani 2,35128,Padova,Italy;[3]Neurology Unit,University Hospital Padova,Via Giustiniani 2,35128,Padova,Italy 出　　处：《Journal of Otology》索引2023年第18卷第4期,共4页 摘　　要：The role of intercalatus nucleus of Staderini(INS),the most caudal of the perihypoglossal nuclei,is much debated.Last research seems to suggest that this nucleus plays a role as a vertical eyes movements integrator.The few clinical reports present in the literature that describe isolated lesions of the INS have described patients presenting in acute with up-beating vertical spontaneous nystagmus.Isolated acute lesion of INS is,in fact,much rare,and,without other neurological signs,is exceptional.We present a case of acute isolated vertigo with no other neurological signs or symptoms,due to INS ischemia provoked by vertebral artery stenosis.The patient presented with spontaneous vertical up-beating nystagmus that showed at videonystagmographic recording,a clear exponential decay of angular slow-phase velocity,that is considered a typical sign of neural integrator impairment.This case seems to represent a further confirm that INS is part,as a vertical-to-position neural integrator,of the neural circuit controlling the vertical eyes movements. 关 键 词：VERTIGO Up-beating nystagmus Intercalatus nucleus Staderini Vertebral artery occlusion Brainstem ischemia