{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:59:05Z","timestamp":1777417145259,"version":"3.51.4"},"reference-count":25,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2012,12,28]],"date-time":"2012-12-28T00:00:00Z","timestamp":1356652800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2012,12,28]],"date-time":"2012-12-28T00:00:00Z","timestamp":1356652800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Audiol Neurotol"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Objective:&lt;\/i&gt;&lt;\/b&gt; To determine the patterns and diagnostic value of head-shaking nystagmus (HSN) in patients with acute audiovestibular loss. &lt;b&gt;&lt;i&gt;Method:&lt;\/i&gt;&lt;\/b&gt; Eighteen patients underwent evaluation of spontaneous nystagmus, gaze-evoked nystagmus, HSN, head impulse test, ocular tilt reaction, subjective visual vertical, bithermal caloric tests, and pure-tone audiogram. The findings were compared with those of 21 patients with labyrinthitis.&lt;b&gt;&lt;i&gt; Results:&lt;\/i&gt;&lt;\/b&gt; Fifteen patients (83%) exhibited HSN, and the horizontal HSN usually beat contralesionally (10\/14, 71%). However, 9 (50%) patients also showed patterns of central HSN that included perverted HSN (n = 7), HSN in the opposite direction of spontaneous nystagmus (n = 4), and HSN beating towards unilateral canal paresis or abnormal head impulse testing (n = 3). Overall, central HSN, gaze-evoked nystagmus, and normal head impulse testing were specific for anterior inferior cerebellar artery (AICA) infarction. Moreover, central HSN was the only sign that indicated stroke in 1 of our patients with isolated audiovestibular syndrome. Lesion subtraction analyses revealed that damage to the flocculus was relatively frequent in patients with perverted HSN. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; In AICA infarction, HSN was common with both peripheral and central patterns. Careful evaluation of HSN may provide clues for AICA infarction in patients with acute audiovestibular loss.<\/jats:p>","DOI":"10.1159\/000345643","type":"journal-article","created":{"date-parts":[[2012,12,31]],"date-time":"2012-12-31T08:55:46Z","timestamp":1356944146000},"page":"114-124","source":"Crossref","is-referenced-by-count":51,"title":["Head-Shaking Aids in the Diagnosis of Acute Audiovestibular Loss due to Anterior Inferior Cerebellar Artery Infarction"],"prefix":"10.1159","volume":"18","author":[{"given":"Young Eun","family":"Huh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ja-Won","family":"Koo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyung","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji-Soo","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2012,12,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1093%2Fbrain%2F113.1.139"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1001%2Farchneur.1993.00540020032014"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097%2FMLG.0b013e31805c08ac"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1212%2F01.wnl.0000260224.60943.c2"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016%2FS0196-0709%2887%2980017-0"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1001%2Farchneur.1988.00520310043015"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1093%2Fbrain%2Fawr269"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1161%2FSTROKEAHA.109.551234"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.jns.2010.11.009"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1212%2F01.WNL.0000150729.87682.79"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.jns.2008.12.002"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1002%2Fcne.902350103"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.jns.2008.11.019"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1161%2FSTROKEAHA.109.564682"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1161%2F01.STR.0000038692.17290.24"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1212%2FWNL.57.5.887"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1161%2FSTROKEAHA.108.527762"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016%2FS0168-0102%2897%2901160-7"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016%2F0306-4522%2876%2990057-9"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1038%2Fnrn1521"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1749-6632.1981.tb30895.x"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016%2F0006-8993%2887%2991501-0"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1503%2Fcmaj.100174"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1212%2FWNL.47.5.1125"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1749-6632.1999.tb09186.x"}],"container-title":["Audiology and Neurotology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/345643","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/345643","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:37:58Z","timestamp":1745433478000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000345643"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,12,28]]},"references-count":25,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2013,1,1]]},"published-print":{"date-parts":[[2013,2,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000345643","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.5124340","asserted-by":"subject"}]},"ISSN":["1420-3030","1421-9700"],"issn-type":[{"value":"1420-3030","type":"print"},{"value":"1421-9700","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,12,28]]}}}