{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T06:37:54Z","timestamp":1772087874624,"version":"3.50.1"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dizziness in anterior circulation stroke (ACS) has not been well characterized. We aimed to examine the frequency of dizziness and its associated factors in ACS, and to compare these findings with posterior circulation stroke (PCS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We prospectively enrolled consecutive patients with acute ischemic stroke from July 2021 to July 2022, categorized into ACS and PCS groups. The presence of new-onset dizziness was assessed within 7\u202fdays of stroke onset in clinically stable patients, excluding those with severe deficits that precluded survey completion. Clinical variables, depressive symptoms (Beck Depression Inventory), anxiety (State\u2013Trait Anxiety Inventory), and neuroimaging findings were collected. Multivariable logistic regression analyses were performed to identify factors independently associated with dizziness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 169 patients (98 ACS, 71 PCS), dizziness was reported in 45.9% of patients with ACS and 60.6% of those with PCS. In the ACS group, the presence of cerebral microbleeds [adjusted odds ratio (aOR)\u202f=\u202f3.19, 95% confidence interval (CI) 1.09\u20139.32,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.034] or a higher number of microbleeds (aOR\u202f=\u202f2.38, 95% CI 1.10\u20135.15,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.026) were independently associated with dizziness. In the PCS group, dizziness was independently associated with medullary or cerebellar lesions (aOR\u202f=\u202f3.13, 95% CI 1.01\u20139.74,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.048).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dizziness was common in patients with ACS, with a frequency comparable to that in PCS. The absence of an association with depressive or anxiety symptoms, together with the link to cerebral microbleeds, suggests that dizziness in ACS may reflect underlying structural or vascular mechanisms, warranting greater clinical attention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fneur.2026.1742461","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T05:29:28Z","timestamp":1772083768000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Post-stroke dizziness in anterior vs. posterior circulation ischemic stroke"],"prefix":"10.3389","volume":"17","author":[{"given":"Sang Hee","family":"Ha","sequence":"first","affiliation":[{"name":"Department of Neurology, Gil Medical Center, Gachon University","place":["Incheon, Republic of Korea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gayoung","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine","place":["Seoul, Republic of Korea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bum Joon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine","place":["Seoul, Republic of Korea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun Young","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine","place":["Seoul, Republic of Korea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dayoung","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine","place":["Seoul, Republic of Korea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong-Wha","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine","place":["Seoul, Republic of Korea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sun U.","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine","place":["Seoul, Republic of Korea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jong S.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurology, Gangneung Asan Hospital, University of Ulsan","place":["Gangneung, Gangwon-do, Republic of Korea"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eun-Jae","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine","place":["Seoul, Republic of Korea"]},{"name":"Translational Biomedical Research Group, Asan Medical Center, University of Ulsan","place":["Seoul, Republic of Korea"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1186\/1472-6963-14-317","article-title":"Health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship","volume":"14","author":"Weidt","year":"2014","journal-title":"BMC Health Serv Res"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"957283","DOI":"10.3389\/fneur.2022.957283","article-title":"Determinants of functioning and health-related quality of life after vestibular stroke","volume":"13","author":"Schuhbeck","year":"2022","journal-title":"Front Neurol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"75","DOI":"10.15441\/ceem.15.026","article-title":"Approach to dizziness in the emergency department","volume":"2","author":"Jung","year":"2015","journal-title":"Clin Exp Emerg Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e12","DOI":"10.22037\/aaem.v11i1.1764","article-title":"Dizziness evaluation and characterisation of patients with posterior circulation stroke in the emergency department; 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