However, ascribing transient vertigo to ischemic events remains a diagnostic challenge due to the lack of highly sensitive diagnostic instruments ( 1, 2). Vertigo attacks presenting with normal neurological examination results are common among patients with vertebrobasilar stroke. These findings highlight the different clinical features of patients with vertigo attack only and those with weakness attacks accompanying vertigo prior to vertebrobasilar ischemic stroke.Ĭurrently, recurrent vertigo attacks, especially for cerebrovascular disorders, are gaining increased attention. We also found that the patients in the VW group were more likely to seek medical intervention after vertigo.Ĭonclusions: Clinical parameters, such as infarction location, relative risk factors, and ABCD 2 score, differed between patients with vertigo symptoms with or without weakness attacks. Vertigo attack events occurred more frequently in the VW group (median 2.4 vs. The percentage of patients with medullary infarctions also increased in the VW group. In contrast, patients in the VW group had higher carotid stenosis (14.2 vs. Additionally, the cerebellum was more likely to be affected in the VO group. The total cerebral infarction volume in the VO group was larger than the Vertigo and weakness attacks (VW) group (4.44 vs. Results: The prevalence of hypertension was higher in the Vertigo attacks only (VO) group (42.2 vs. Clinical parameters, such as infarction site and volume, relative risk factors, ABCD 2 score, and medical intervention, were compared between the two groups. Patients were divided into two groups according to their symptoms: patients who only experienced vertigo attacks prior to the vertebrobasilar stroke (VO group) and patients who had both vertigo and weakness attacks (VW group) prior to the stroke. Methods: In this 4-year retrospective study, we manually screened the medical records of 209 patients, hospitalized with vertigo attack as the main complaint who were finally diagnosed with acute vertebrobasilar ischemic stroke. Objective: To determine the different clinical features of patients with vertigo attacks alone and of those with weakness accompanying vertigo attacks before the vertebrobasilar ischemic stroke. 5Department of Cardiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.4Department of Neurology, Third Hospital of Changsha, Changsha, China.

3Department of Ultrasonography, Second Xiangya Hospital, Central South University, Changsha, China.2Department of Neurology, Xiangya Hospital, Central South University, Changsha, China.

1Department of Oncology, NHC Key Laboratory of Cancer Proteomics, Laboratory of Structural Biology, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China.

Yalan Deng 1, Lei Zhang 2, Rongsen Zhang 3, Jingfeng Duan 4, Jiabing Huang 5 * and Dongxu Qiu 2 *