Objective:

We present a case of a 65-year-old female patient with acute cardioembolic ischemic stroke affecting the right parietal lobe presenting with dizziness and vertigo. Transesophageal echocardiogram revealed a patent foramen ovale (PFO) and MRI of the brain revealed an acute to subacute infarction involving the cortical region of the right parietal lobe. The patient was initiated on Aspirin, Plavix, and Atorvastatin while in the hospital, and her symptoms resolved prior to discharge. Patient was referred to structural cardiology for consideration of PFO closure.

Background:

Vestibular symptoms in acute stroke most likely originate from the brainstem. Recent prospective study focusing on acute vestibular syndrome showed parietal strokes to present with acute vertigo. It was demonstrated that these lesions most commonly occurred in the right hemisphere within the territory of the vestibular cortical network. In all of these patients, the vestibular symptoms resolved within two days.

Design/Methods:

N/A

Results:

N/A

Conclusions:

This case stresses the importance of considering supratentorial cortical stroke, particularly in the right parietal region, when evaluating vestibular symptoms.