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J Korean Bal Soc > Volume 3(1); 2004 > Article
Journal of the Korean Balance Society 2004;3(1): 184-186.
체위성 하향 안진을 동반한 추골 동맥의 장두 확장성 질환 1례
, , , , 한규철1, 이주형1, 하종수1, 황희영2, 박철완3
가천 의과대학 길병원 이비인후-두경부외과학교실1, 방사선과학교실2, 신경외과학교실3
One Case of Downbeat Nystagmus with Compression of Vestibulocochlear Nerve by Vertebral Arteries
Gyu Cheol Han, Ju Hyoung Lee, Jong Su Ha, Hee Young Hwang, Cheol Wan Park
1Department of Otolaryngology-Head & neck surgery, Gachon Medical School, Incheon, Korea. Han@ghil.com
2Department of Radiology, Gachon Medical School, Incheon, Korea.
3Department of Neurosurgery, Gachon Medical School, Incheon, Korea.
ABSTRACT
A case is reported of downbeat nystagmus associated with compression of the root of vestibulocochlear nerve by vertebral arteries, which was revealed by magnetic resonance imaging. Chief complain of the patient was positional vertigo, which aggrevated at left decubitus position. Downbeat nystagmus was increased in left Dix-hall pike test. Tetsuo et al, reported downbeat nystagmus with compression of dolichoectatic vertebral arteries to the medulla oblongata and surgical neurovascular decompression of the dolichoectasia reverses the progression of symptoms if permanent neurologic damage has not already occurred. Key Words : Vertical nystagmus, Vertebrobasilar dolichoectasia, Vestibulocochlear nerve
Keywords: Vertical nystagmus; Vertebrobasilar dolichoectasia; Vestibulocochlear nerve
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