Salsabila, Tamara Amanda
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CENTRAL VERTIGO DUE TO ISCHEMIC STROKE IN A YOUNG WOMAN: A CASE REPORT Salsabila, Tamara Amanda; Wirathmawati, Andina
Journal of Pain, Headache and Vertigo Vol. 5 No. 1 (2024): March
Publisher : PERDOSNI (Perhimpunan Dokter Spesialis Neurologi Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jphv.2024.005.01.2

Abstract

Background: Vertigo is a symptom that patients often complain about. Vertigo is divided into peripheral and central. One of the causes of central vertigo is ischemic stroke. Ischemic stroke generally occurs in elderly people, but in recent years there has been an increase cases in young people. In addition, the prevalence of stroke is more common in men than women, but recently there has been an increase cases in women. Case summary: A 25-year-old woman presented with sudden vertigo. Physical examination revealed obesity, bidirectional horizontal and vertical nystagmus, left hemiparesis, and hemihypesthesia. Head CT scan showed lacunar infarction in the right basal ganglia and periventricular. The patient was given antiplatelet and vertigo management. Conclusion: Vertigo should be differentiated between peripheral or central vertigo at the emergency department, as it will determine further management. Stroke can occur in young women. Therefore, it is important for clinicians to think about the diagnosis of stroke in patients with vertigo that occur in young women.