This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
We describe an unusual case with episodes of vertigo, skew diplopia, and tinnitus cured by stenting a proximal basilar artery stenosis. Although successful stenting of basilar artery stenosis has been well described, this case is unusual because of the stereotyped nature and large number (>200) of ischemic attacks.
Case report.
A 63-year-old man with mild Parkinson disease (PD) and hypertension was referred for evaluation of disabling recurrent episodes of vertigo, tinnitus, and diplopia for 2 years. A typical episode began with left-sided tinnitus, which became bilateral within a few seconds followed by vertigo and skew diplopia about 30 to 40 seconds later. The spells lasted from 1 to 30 minutes and recurred several times a day. Initially he had spells of just skew diplopia but vertigo was present with all spells for the past year. He never experienced any other neurologic symptoms with attacks. During attacks he would typically …
AAN Members
We have changed the login procedure to improve access between AAN.com and the Neurology journals. If you are experiencing issues, please log out of AAN.com and clear history and cookies. (For instructions by browser, please click the instruction pages below). After clearing, choose preferred Journal and select login for AAN Members. You will be redirected to a login page where you can log in with your AAN ID number and password. When you are returned to the Journal, your name should appear at the top right of the page.
AAN Non-Member Subscribers
Purchase access
Letters: Rapid online correspondence
REQUIREMENTS
You must ensure that your Disclosures have been updated within the previous six months. Please go to our Submission Site to add or update your Disclosure information.
Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment.
If you are responding to a comment that was written about an article you originally authored:
You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid
and apply to letter.
Submission specifications:
- Submissions must be < 200 words with < 5 references. Reference 1 must be the article on which you are commenting.
- Submissions should not have more than 5 authors. (Exception: original author replies can include all original authors of the article)
- Submit only on articles published within 6 months of issue date.
- Do not be redundant. Read any comments already posted on the article prior to submission.
- Submitted comments are subject to editing and editor review prior to posting.
