<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-2448</journal-id>
<journal-title><![CDATA[Acta Medica Colombiana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Med Colomb]]></abbrev-journal-title>
<issn>0120-2448</issn>
<publisher>
<publisher-name><![CDATA[Asociacion Colombiana de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-24482018000400226</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Vértigo como presentación clínica de asa vascular de la arteria cerebelosa antero inferior]]></article-title>
<article-title xml:lang="en"><![CDATA[Vertigo as a clinical presentation of a vascular loop of the anterior inferior cerebellar artery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez-Fandiño]]></surname>
<given-names><![CDATA[Yardany Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Sáenz]]></surname>
<given-names><![CDATA[Lina María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno-Mancipe]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanabria]]></surname>
<given-names><![CDATA[Cristhian I. Ochoa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peñalosa-Villamizar]]></surname>
<given-names><![CDATA[Diana K.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Hernández]]></surname>
<given-names><![CDATA[Angélica Johana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Pedagógica y Tecnológica de Colombia  ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Pedagógica y Tecnológica de Colombia  ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Pedagógica y Tecnológica de Colombia  ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>43</volume>
<numero>4</numero>
<fpage>226</fpage>
<lpage>229</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-24482018000400226&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-24482018000400226&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-24482018000400226&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El vértigo es un frecuente motivo de consulta cuyo origen puede ser periférico o central; causas poco frecuentes de este último son las asas vasculares que afectan el VIII par craneal llevando a acúfenos, pérdida de la audición y mareo. Se presenta una mujer de 47 años de edad, quien consulta por un cuadro de mareo, náuseas, pérdida del tono postural, cefalea y parestesia facial, cuyo examen físico revela signos de vértigo periférico, iniciándose tratamiento con antieméticos, anticinetósicos y vasodilatadores que llevan a empeoramiento del cuadro, por lo que se sospecha de patología a nivel de sistema nervioso central (SNC) que ejerce compresión con la vasodilatación. Se realiza una resonancia magnética que muestra un asa vascular en la arteria cerebelosa inferior anterior (AICA) que ingresa al conducto auditivo interno (CAI) explicando la sintomatología y cuyo efecto compresivo de los nervios centrales genera un efecto paradójico con la toma de vasodilatadores. (Acta Med Colomb 2018; 43: 226-229).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Vertigo is a frequent reason for consultation whose origin can be peripheral or central; infrequent causes of the latter are the vascular loops that affect the VIII cranial nerve leading to tinnitus, hearing loss and dizziness. The case of a 47-year-old woman who consulted for a picture of dizziness, nausea, loss of postural tone, headache and facial paraesthesia, and whose physical examination revealed signs of peripheral vertigo, is presented. Treatment was started with antiemetics, anticinetics and vasodilators that lead to worsening of the condition, for which pathology exerting compression due to vasodilation at the central nervous system (CNS) level, is suspected. An MRI is performed showing a vascular loop in the Anterior Lower Cerebellar Artery (AICA) that enters the Internal Auditory Canal (IAC) explaining the symptomatology and whose compressive effect of the central nerves generates a paradoxical effect with the taking of vasodilators. (Acta Med Colomb 2018; 43: 226-229).]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[vértigo]]></kwd>
<kwd lng="es"><![CDATA[nervio vestibulococlear]]></kwd>
<kwd lng="es"><![CDATA[vasodilatadores]]></kwd>
<kwd lng="es"><![CDATA[compresión nerviosa]]></kwd>
<kwd lng="es"><![CDATA[imagen por resonancia magnética]]></kwd>
<kwd lng="en"><![CDATA[vertigo]]></kwd>
<kwd lng="en"><![CDATA[vestibulocochlear nerve]]></kwd>
<kwd lng="en"><![CDATA[vasodilators]]></kwd>
<kwd lng="en"><![CDATA[nerve compression]]></kwd>
<kwd lng="en"><![CDATA[magnetic resonance imaging]]></kwd>
</kwd-group>
</article-meta>
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