A Rare Adult Cause of Dizziness

A 55-year-old man was seen with progressively worsening dizziness over 10 months. The initial assessment with unremarkable laboratory and imaging studies suggested a peripheral vestibular disorder. He was then lost to follow-up but later was seen with worsening ataxia. Additional imaging studies sho...

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Veröffentlicht in:JAMA neurology 2014-03, Vol.71 (3), p.360-363
Hauptverfasser: Shu, Francy, Oberle, Robert, Herndon, Emily, Hatanpaa, Kimmo, Battiste, James, Vernino, Steven
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container_title JAMA neurology
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creator Shu, Francy
Oberle, Robert
Herndon, Emily
Hatanpaa, Kimmo
Battiste, James
Vernino, Steven
description A 55-year-old man was seen with progressively worsening dizziness over 10 months. The initial assessment with unremarkable laboratory and imaging studies suggested a peripheral vestibular disorder. He was then lost to follow-up but later was seen with worsening ataxia. Additional imaging studies showed subtle parenchymal lesions in the posterior fossa. The differential diagnoses included nutritional deficiencies, autoimmune disorders, systemic malignancies, and intracranial tumors. The final diagnosis was confirmed by a biopsy.
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subjects Ataxia - etiology
Cerebellar Neoplasms - complications
Cerebellar Neoplasms - diagnosis
Cerebellar Neoplasms - pathology
Cerebellar Neoplasms - therapy
Diagnosis, Differential
Dizziness - etiology
Humans
Male
Medulloblastoma - complications
Medulloblastoma - diagnosis
Medulloblastoma - pathology
Medulloblastoma - therapy
Middle Aged
Treatment Outcome
title A Rare Adult Cause of Dizziness
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