Clinical Reflection of 12 Patients with Posterior Circulation Cerebral In-farction Misdiagnosed as Meniere's Disease
CHEN Chao
DANG Baoqi
Abstract：Objective To investigate the clinical characteristics of posterior circulation cerebral infarction(PCCI),the causes of misdiagnosis as Meniere's disease(MD)and preventive measures of misdiagnosis.Methods The clinical data of 12 patients with PCCI initially misdiagnosed as MD that were admitted from June 2022 to June 2024 were retrospectively an-alyzed.Results The chief complaint of the 12 patients was vertigo,accompanied by nausea and vomiting in 6 patients,gait instability in 6 patients,tinnitus in 9 patients,headache in 3 patients,limb weakness in 3 patients,balance disorder in 6 pa-tients,hemisensory disturbance in 3 patients,and hearing impairment in 6 patients.There was no family history of dizziness.CT scan of the head showed no obvious abnormality.All patients were initially diagnosed as MD,and there was no obvious im-provement after symptomatic treatment,so they present to our hospital.After admission,PCCI was confirmed by detailed in-quiry,comprehensive nervous system examination,bedside head impulse,nystagmus,test of skew(HINTS)and skull mag-netic resonance examination.The misdiagnosis lasted 3-10 d.After diagnosis,12 patients were treated with Aspirin,Ginkgo Ester dispersive tablets,Batroxase,and Vitamin B12,symptoms were improved and they were discharged from hospital.After 3 months of follow-up,symptoms disappeared without sequelae.Conclusion PCCI often has no typical manifestations,but complex and diverse symptoms,and the positive rate of early CT diagnosis is low,which generally lead to misdiagnosis of MD.Strengthening the ability of differential diagnosis of this disease,being familiar with the diagnosis process of causes of vertigo disease,reasonable selection of relevant imaging examinations,and repeated reexamination when necessary are needed to con-firm the diagnosis early and reduce the occurrence of misdiagnosis.
Keywords：Posterior circulation cerebral infarctionMisdiagnosisMeniere's diseaseHead impulsenystagmustest of skewMagnetic resonance examinationDifferential diagnosis
Publication Date：2025-04-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 29-33 )