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Acoustic neuroma presenting as exercise-induced vertigo

Published online by Cambridge University Press:  08 March 2006

Nelson Wang Cheng Chee
Affiliation:
Department of Otorhinolaryngology, Tan Tock Seng Hospital, Singapore.
Helen Mui Huey Tong
Affiliation:
Department of Otorhinolaryngology, Tan Tock Seng Hospital, Singapore.

Abstract

We present two subjects with previously undiagnosed acoustic neuromas who complained of vertigo whenever they ran. One had normal hearing while the other already had a unilateral sensorineural deafness. Hyperventilation for 30 seconds provoked an ipsilateral beating nystagmus and reproduced the vertiginous sensation in both subjects. Hyperventilation is a simple bedside test that should be performed when assessing a subject with vertigo or when there is a clinical suspicion of an acoustic neuroma.

Type
Research Article
Copyright
© Royal Society of Medicine Press Limited 2002

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