Abstract
Stroke is the most important and frequent cause of central vertigo and dizziness. The diagnosis of stroke-derived vertigo/dizziness has improved due to the remarkable advance of imaging technology including MRI. The affected lesion is usually located in the vertebrobasilar artery territory. Additional symptoms such as diplopia, dysarthria and limb ataxia may contribute the precise diagnosis. However, the fact that about 10% of patients with isolated vertigo/dizziness show stroke lesions on MRI and/or CT must be taken into consideration.