A 58-year-old Japanese man suddenly suffered from vertigo. On physical examination, left-beating horizontal torsional spontaneous nystagmus was observed; the direction did not change with gaze. Other neurotological examinations revealed findings within normal limits except the left side sensorineural hearing loss of approximately 32 dB on average. Diffusion-weighted MRI revealed no infarction i...

Cerebellar mutism (CM) is a rare neurological condition characterized by lack of speech due to cerebellar lesions. CM is often reported in children. We describe a rare case of CM after spontaneous cerebellar hemorrhage. The patient showed mutism, irritability, decreased spontaneous movements and oropharyngeal apraxia. Diffusion tensor imaging revealed significant volume reduction of medial fron...

The anatomical findings in 52 patients undergoing posterior fossa exploration for idiopathic trigeminal neuralgia are described. Anatomical abnormalities in the cerebello-pontine angle were found in 46. The commonest was an arterial loop indenting or distorting the nerve at the root entry zone. In view of this the operative procedure has been changed from root section to microvascular decompres...