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01-02-2020 | Subarachnoid Hemorrhage | Letter to the Editor

Room tilt illusion and persistent hiccups as presenting symptoms of a left PICA stroke: a case report

Authors: Umberto Pensato, Roberto D’Angelo, Rita Rinaldi, Maria Guarino, Pietro Cortelli

Published in: Neurological Sciences | Issue 2/2020

Excerpt

Room tilt illusion (RTI) is a rare disorder of the visuospatial perception of the environment consisting of a tilt of the visual scene, which can be considered a visual metamorphopsia of angulation. It is always paroxysmal and transient in nature and can last from few seconds to many hours, sometimes recurring for few days. RTI can be caused by both peripheral and central vestibular pathways damage. Posterior circulation stroke is the most common cause described [1]. …

Sierra-Hidalgo F, De Pablo-Fernández E, Martín AHS et al (2012) Clinical and imaging features of the room tilt illusion. J Neurol 259:2555–2564. https://doi.org/10.1007/s00415-012-6536-0 CrossRefPubMed

Chang FY, Lu CL (2012) Hiccup: mystery, nature and treatment. J Neurogastroenterol Motil 18:123–130. https://doi.org/10.5056/jnm.2012.18.2.123 CrossRefPubMedPubMedCentral

Wingerchuk DM, Banwell B, Bennett JL, Cabre P, Carroll W, Chitnis T, de Seze J, Fujihara K, Greenberg B, Jacob A, Jarius S, Lana-Peixoto M, Levy M, Simon JH, Tenembaum S, Traboulsee AL, Waters P, Wellik KE, Weinshenker BG (2015) International consensus diagnostic criteria for neuromyelitis optica spectrum disorders. Neurology. 85:177–189. https://doi.org/10.1212/WNL.0000000000001729 CrossRefPubMedPubMedCentral

Baron M, Gobernado J, Masjuan J, Lousa M (1997) Contraversive visual tilt illusion associated with a cerebellar infarction [3]. J Neurol Neurosurg Psychiatry 62:672. https://doi.org/10.1136/jnnp.62.6.672 CrossRefPubMedPubMedCentral

Holicek S (2014) Hiccup as a major sign of aortic dissection. Int J Cardiol 177:e105–e106. https://doi.org/10.1016/j.ijcard.2014.09.086 CrossRefPubMed

Title: Room tilt illusion and persistent hiccups as presenting symptoms of a left PICA stroke: a case report
Authors: Umberto Pensato
Roberto D’Angelo
Rita Rinaldi
Maria Guarino
Pietro Cortelli
Publication date: 01-02-2020
Publisher: Springer International Publishing
Keywords: Subarachnoid Hemorrhage
Stroke
Hematoma
Subarachnoid Hemorrhage
Pica Syndrome
Published in: Neurological Sciences / Issue 2/2020
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-019-04041-9

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Room tilt illusion and persistent hiccups as presenting symptoms of a left PICA stroke: a case report

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