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Dental procedure induced cerebellar haemorrhage with visual tilt and unsuspected CADASIL
  1. Siavash Mortazavi1,
  2. Ravi Ambati2,
  3. Ferry Dharsono3 and
  4. David Prentice4
  1. 1 Neurosurgery, Royal Perth Hospital, Perth, Western Australia, Australia
  2. 2 Neurology, Royal Perth Hospital, Perth, Western Australia, Australia
  3. 3 The Neurological Intervention & Imaging Service of Western Australia, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia
  4. 4 Perron Institute for Neurological and Translational Science, Nedlands, Western Australia, Australia
  1. Correspondence to Dr Siavash Mortazavi; He113308{at}


A man in his late 60s had vertigo and vision tilt following a dental procedure. A cerebellar haemorrhage and cerebral microbleeds (CMBs) were diagnosed on imaging. Subsequent testing revealed CADASIL (cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy). The role of the dental procedure as a trigger for intracerebral haemorrhage (ICH) is discussed. The incidence of CMBs and ICH in CADASIL is discussed. A summary of the causes and pathology associated with visual tilt is documented.

  • Neurology
  • Neuroimaging
  • Stroke

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  • Contributors SM: conceptualisation; investigation; writing—original draft; writing—review and editing. RA: conceptualisation; writing—original draft. FD: supervision DP: supervision; writing review and editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.