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Tytuł:
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Acute bilateral vestibulopathy with simultaneous involvement of both superior and inferior vestibular nerves.
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Autorzy:
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Ichijo K; Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, The University of Tokyo, Japan.
Kinoshita M; Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, The University of Tokyo, Japan.
Fujimoto C; Department of Otolaryngology, Tokyo Teishin Hospital, Japan.
Uranaka T; Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, The University of Tokyo, Japan.
Kikkawa YS; Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, The University of Tokyo, Japan.
Sugasawa K; Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, The University of Tokyo, Japan.
Yamasoba T; Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, The University of Tokyo, Japan.
Iwasaki S; Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, The University of Tokyo, Japan. Electronic address: .
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Źródło:
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Auris, nasus, larynx [Auris Nasus Larynx] 2020 Oct; Vol. 47 (5), pp. 905-908. Date of Electronic Publication: 2019 Jul 27.
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Typ publikacji:
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Case Reports; Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: Amsterdam : Elsevier Science
Original Publication: Tokyo, Society for Promotion of International Otorhinolaryngology.
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MeSH Terms:
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Vestibular Function Tests*
Bilateral Vestibulopathy/*diagnosis
Vestibular Nerve/*physiopathology
Acute Disease ; Adult ; Bilateral Vestibulopathy/complications ; Dizziness/etiology ; Female ; Humans ; Vestibular Evoked Myogenic Potentials/physiology
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Contributed Indexing:
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Keywords: Bilateral vestibulopathy; Head impulse test; Vestibular evoked myogenic potential; Vestibular neuritis
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Entry Date(s):
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Date Created: 20190731 Date Completed: 20210726 Latest Revision: 20210726
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Update Code:
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20240105
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DOI:
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10.1016/j.anl.2019.07.007
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PMID:
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31358367
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We report a case of acute vestibulopathy with the simultaneous involvement of both superior and inferior vestibular nerves on both sides. A 36-year-old female presented with dizziness, oscillopsia and a walking impairment subsequent to a high fever. Vestibular function tests including caloric testing, video head impulse testing (vHIT) and cervical and ocular vestibular evoked myogenic potentials (cVEMPs and oVEMPs) were performed. In the first examination, vHIT and caloric testing showed severe impairments in all three semicircular canals in each ear, and both cVEMPs and oVEMPs were absent on both sides. During a 1-year follow-up, the gain of vHIT gradually recovered by more than 0.5 to normal. cVEMPs also recovered to normal on both sides while oVEMPs remained absent on both sides. This is the first reported case of acute bilateral vestibulopathy with simultaneous involvement of both superior and inferior vestibular nerves on both sides. Repeated evaluation of vestibular function using vHIT, cVEMPs and oVEMPs is helpful to assess the time course of recovery in patients with vestibulopathy.
(Copyright © 2019 Elsevier B.V. All rights reserved.)
