Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-24T04:55:45.723Z Has data issue: false hasContentIssue false
  • English
  • Français

Decompensated labyrinthine weakness presenting as de novo peripheral vertigo: a discrete clinical entity?

Published online by Cambridge University Press:  18 January 2018

A F Jahn
A F Jahn*
Affiliation:
Department of Otolaryngology, Mount Sinai West Hospital Center, New York, USA
*
Address for correspondence: Dr Anthony F Jahn, Suite 10, 425 West 59th St, New York, NY 10019, USA Fax: (+1) 212 523 6364 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

A distinct subgroup of patients, presenting with apparently spontaneous onset of vertigo, is described.

Results:

Although vestibular evaluation revealed caloric weakness, the proximate cause of vertigo was not labyrinthine dysfunction, but rather the loss of vestibular compensation for an older and previously compensated labyrinthine injury.

Conclusion:

Instead of addressing the vestibular weakness, effective management needs to focus on the condition that has caused the loss of compensation.

Keywords

VertigoDizziness
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 2 , February 2018 , pp. 117 - 121
Copyright
Copyright © JLO (1984) Limited 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the 6th Asia Pacific Otology, Neurotology and Skull Base Conference, 29–31 May 2014, Penang, Malaysia.

References

1 McCabe, BF, Ryu, JH. Experiments on vestibular compensation. Laryngoscope 1969;79:1728–36Google Scholar
2 McCabe, BF, Ryu, JH, Sekitani, T. Further experiments on vestibular compensation. Laryngoscope 1972;82:381–96Google Scholar
3 Katsarkis, A, Segal, BN. Unilateral loss of peripheral vestibular function in patients: degree of compensation and factors causing decompensation. Otolaryngol Head Neck Surg 1988;98:45–7Google Scholar
4 Baloh, RW. Disequilibrium and gait disorders in older people. Rev Clin Gerontol 1996;6:41–8Google Scholar
5 Foster, CA. Vestibular rehabilitation. Baillieres Clin Neurol 1994;3:577–92Google Scholar