RT Journal Article
SR Electronic
T1 Clinical Reasoning: A 37-Year-Old Man Presenting With Intermittent Dizziness and Brief Choreiform Movements
JF Neurology
JO Neurology
FD Lippincott Williams & Wilkins
SP 389
OP 396
DO 10.1212/WNL.0000000000201653
VO 100
IS 8
A1 Bin Wu
A1 Wenli Zhang
A1 Fangqiang Peng
A1 Miaoyi Zhang
A1 Bo Shen
A1 Xin Shi
A1 Yue Zhang
YR 2023
UL http://n.neurology.org/content/100/8/389.abstract
AB 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.