Table 2.
Characteristics of the thirteen intracerebral hemorrhage patients who presented with dizziness as the primary presenting symptom and a National Institutes of Health Stroke Scale < 2.
| Isolated Dizziness | Presenting symptoms | Presenting Blood Pressure | General Neurologic Exam findings | Hemorrhage Location & Size | Other relevant clinical information | |
|---|---|---|---|---|---|---|
| Patient 1 79 y/o F |
Yes | Dizziness, vertigo, nausea, vomiting, imbalance, generalized weakness | 199/81 | Dysmetria on FNF, rotary nystagmus | Cerebellum, 1.1 cm | |
| Patient 2 60 y/o M |
No | Imbalance, confusion, disorientation, left sided weakness, slurred speech | 177/105 | Normal | Right thalamus, 2.0 cm | |
| Patient 3 66 y/o M |
No | Dizziness, loss of consciousness episode, generalized weakness, nausea | 156/71 | Normal | Left internal capsule, 0.9 cm | Acute on chronic renal failure; recent diagnosis of heat exhaustion |
| Patient 4 60 y/o F |
No | Dizziness, imbalance, headache, nausea, heavy feeling in left arm | 213/89 | Dysmetria | Cerebellum, 2.5cm | On warfarin |
| Patient 5 58 y/o M |
No | Dizziness, Nausea, vomiting, weakness left side, headache | 165/95 | Left hemiparesis | Right basal ganglia, 1.1 cm | |
| Patient 6 80 y/o F |
No | Imbalance, dysarthria, right sided weakness | 174/78 | Dysmetria | Right corona radiata, 1.5 cm a | |
| Patient 7 76 y/o M |
No | Imbalance, headache, nausea, vomiting, generalized weakness | 169/82 | Reduced level of alertness, dysmetria, right hemiparesis | Cerebellum, 3 cm | |
| Patient 8 81 y/o M |
No | Dizziness, imbalance, lightheaded, speech change, found down | 120/86 | Dysarthria, “bilateral nystagmus” | Cerebellum, large | Died |
| Patient 9 69 y/o M |
No | Imbalance, nausea, vomiting, headache, dysarthria, lightheaded | 169/97 | Dysarthria, dysmetria | Cerebellum, 1.6 cm | |
| Patient 10 74 y/o, M |
No | Vertigo, imbalance, right sided weakness | 180/95 | Right hemiparesis, imbalance, dysmetria | Cerebellum, 1.0 cm | |
| Patient 11 87 y/o M |
No | Imbalance, dysarthria, nausea, vomiting | 190/98 | Dysarthria, imbalance, dysmetria | Cerebellum, 2 cm | |
| Patient 12 70 y/o M |
No | Dizziness, vertigo, confusion, headache, imbalance | 151/77 | Dysarthria, reduced level of consciousness | Left posterior parietal-occipital, 5 cm | |
| Patient 13 92 y/o F |
No | Dizziness, vertigo, lightheaded, confusion, generalized weakness | 180/80 | Right hemiparesis, right numbness, dysarthria, confusion | Left basal ganglia, 2 cm, intraventricular extension |
a
Radiology report stated R corona radiata intracerebral hemorrhage, but several notes indicated CT revealed L corona radiate intracerebral hemorrhage.
ICH = intracerebral hemorrhage; FNF = finger-nose-finger test