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A case with symptoms of vestibular neuronitis caused by an intramedullary lesion

Published online by Cambridge University Press:  29 June 2007

Atsunobu Tsunoda ,
Atsushi Komatsuzaki ,
Hideki Muraoka  and
Kazuo Gou-Tsu
Atsunobu Tsunoda*
Affiliation:
Department of Otolaryngology, Tokyo Medical and Dental University, 1-5-45 Bunkyo-ku Yushima, Tokyo, Japan.
Atsushi Komatsuzaki
Affiliation:
Department of Otolaryngology, Tokyo Medical and Dental University, 1-5-45 Bunkyo-ku Yushima, Tokyo, Japan.
Hideki Muraoka
Affiliation:
Department of Otolaryngology, Tokyo Medical and Dental University, 1-5-45 Bunkyo-ku Yushima, Tokyo, Japan.
Kazuo Gou-Tsu
Affiliation:
Department of Otolaryngology, Tokyo Medical and Dental University, 1-5-45 Bunkyo-ku Yushima, Tokyo, Japan.
*
Address for correspondence: Dr A. Tsunoda, Department of Otolaryngology, Tokyo Medical and Dental University, 1-5-45 Bunkyo-ku Yushima, Tokyo 113, Japan. Fax: 81 (Japan) 3-3-818-7189
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Abstract

We report on a patient with an intramedullary lesion who showed only symptoms of so-called vestibular neuronitis. From the neurological aspects and MRI findings, the lesion was thought to be localized to the vestibular nerve in the pons. Cerebrospinal fluid testing and MRI findings suggested a diagnosis of multiple sclerosis (MS), although the clinical features were not compatible with MS. This case may shed some light on the aetiology of vestibular neuronitis.

Keywords

Vestibular diseases, neuronitisMultiple sclerosisMagnetic resonance imagingPonsDemyelinating diseases
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 6 , June 1995 , pp. 545 - 548
Copyright
Copyright © JLO (1984) Limited 1995

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References

Drulovic, B., Ribaric-Jankes, K., Kostic, V. S., Sternic, N. (1993) Sudden hearing loss as the initial mono-symptom of multiple sclerosis. Neurology 43: 2703–2705.CrossRefGoogle Scholar
Friedmann, I., House, W. (1980) Vestibular neuronitis — electron microscopy of Scarpa's ganglion. Journal of Laryngology and Otologyy 94: 877–883.CrossRefGoogle ScholarPubMed
Gebarski, S. S., Gabrielsen, T. O., Gilman, D., Knake, J. E., Latack, J. T., Aisen, A. M. (1985) The initial diagnosis of multiple sclerosis: clinical impact of magnetic resonance imaging. Annals Neurology 17: 469–474.CrossRefGoogle ScholarPubMed
Gonzalez-Scarano, F., Grossman, R. I., Galetta, S., Atlas, S. W., Silberberg, D. H. (1987) Multiple sclerosis disease activity correlates with gadolinium-enhanced magnetic resonance imaging. Annals of Neurology 21: 300–306.CrossRefGoogle ScholarPubMed
Grossman, R. I., Bauffman, B. H., Brorson, J. R., Goldberg, H. I., Silberberg, D. H., Gonzares-Scarano, F. (1988) Multiple sclerosis: serial study of gadolinium-enhanced MR imaging. Radiology 169: 117–122.CrossRefGoogle ScholarPubMed
Harisson, M. S., Dix, M. R. (1984) Vestibular neuronitis In Vertigo. (Dix, M. R., Hood, J. D., eds.), John Wiley and Sons Ltd, Avon, pp 167–178.Google Scholar
Lukes, S. A., Crooks, L. E., Aminoff, M. J., Kaufman, L., Panitch, H. S., Mills, C., Norman, D. (1983) Nuclear magnetic resonance imaging in multiple sclerosis. Annals of Neurology 13: 592–601.CrossRefGoogle ScholarPubMed
Poser, C. M., Paty, D. W., Scheinberg, L., McDonald, W. I., Davis, F. A., Ebers, G. C., Johnson, K. P., Sibley, W. A., Silberberg, D. K., Tourtelhtte, W. W. (1983) New diagnostic criteria for multiple sclerosis: guidelines for research protocols. Annals of Neurology 13: 227–231.CrossRefGoogle ScholarPubMed
Rudge, P. (1984) Central cause of vertigo. In Vertigo. (Dix, M. R., Hood, J. D., eds.), John Wiley and Sons Ltd, Avon, pp 321–343.Google Scholar
Schukenecht, H. F., Kitamura, K. (1981) Vestibular neuritis. Annals of Otology, Rhinology and Laryngology 90 (suppl. 78): 1–19.CrossRefGoogle Scholar
Uemura, T., Cohen, B. (1973) Effects of vestibular nuclei lesions on vestibulo-ocular reflexes and posture in monkeys. Acta Otolaryngologica (Stockholm) 315 (suppl.): 1–71.Google ScholarPubMed