Patient with vertigo, dizziness and depression

Michael Mantatzis, Paraskevi Argyropoulou, Panos Prassopoulos


A 54-year-old woman presented with dizziness and vertigo as an outpatient at the Ear-Nose-Throat (ENT) Clinic. The patient claimed transient numbness in both hands and exhibited mild depression. Clinical examination was unremarkable. Imaging workup included a temporal bone and brain magnetic resonance imaging (MRI). Temporal bone imaging did not disclose any abnormality. Axial FLAIR (Fig. 1a-c), sagittal FLAIR (Fig. 1d), coronal T2-W (Fig. 1e) and axial susceptibility weighted imaging (SWI) (Fig. 1f) MRI sequences are shown.


Small Vessel Disease (SVD); CADASIL; Brain; MRI

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