Article Instance

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{
    "pk": 17110,
    "title": "The Clinical Differentiation of Cerebellar Infarction from Common Vertigo Syndromes",
    "subtitle": null,
    "abstract": "This article summarizes the emergency department approach to diagnosing cerebellar infarction in the patient presenting with vertigo. Vertigo is defined and identification of a vertigo syndrome is discussed. The differentiation of common vertigo syndromes such as benign paroxysmal positional vertigo, Meniere’s disease, migrainous vertigo, and vestibular neuritis is summarized. Confirmation of a peripheral vertigo syndrome substantially lowers the likelihood of cerebellar infarction, as do indicators of a peripheral disorder such as an abnormal head impulse test. Approximately 10% of patients with cerebellar infarction present with vertigo and no localizing neurologic deficits. The majority of these may have other signs of central vertigo, specifically direction-changing nystagmus and severe ataxia.\n\n\n[West J Emerg Med. 2009;10(4):273-277.]",
    "language": "en",
    "license": {
        "name": "none",
        "short_name": "none",
        "text": "",
        "url": "http://google.com"
    },
    "keywords": [
        {
            "word": "vertigo"
        },
        {
            "word": "Cerebellar infarction"
        },
        {
            "word": "Physical Examination"
        },
        {
            "word": "direction-changing nystagmus"
        },
        {
            "word": "gait"
        },
        {
            "word": "Emergency Medicine"
        }
    ],
    "section": "Article",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6gt0d3x7",
    "frozenauthors": [
        {
            "first_name": "James",
            "middle_name": "A",
            "last_name": "Nelson",
            "name_suffix": "",
            "institution": "University of California at San Diego, Department of Emergency Medicine",
            "department": "None"
        },
        {
            "first_name": "Erik",
            "middle_name": "",
            "last_name": "Viirre",
            "name_suffix": "",
            "institution": "University of California, San Diego",
            "department": "None"
        }
    ],
    "date_submitted": "2008-03-22T07:00:00Z",
    "date_accepted": "2008-03-22T07:00:00Z",
    "date_published": "2009-11-01T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/17110/galley/8646/download/"
        }
    ]
}