Relapsing Ipsilateral Vestibular Neuritis
In 2013, a 70-year-old male was admitted with an acute episode of vertigo, nausea, and vomiting with duration of one day. The patient’s background included prehypertension, vitiligo, left ventricular hypertrophy, and Sjögren's syndrome. He denied any previous episode of vertigo or migraine mani...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2017/3628402 |
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| author | Duilio Emiliano De Schutter Nicolás Pérez Fernández |
| author_facet | Duilio Emiliano De Schutter Nicolás Pérez Fernández |
| author_sort | Duilio Emiliano De Schutter |
| collection | DOAJ |
| description | In 2013, a 70-year-old male was admitted with an acute episode of vertigo, nausea, and vomiting with duration of one day. The patient’s background included prehypertension, vitiligo, left ventricular hypertrophy, and Sjögren's syndrome. He denied any previous episode of vertigo or migraine manifestations. Neither hearing loss nor tinnitus or otorrhea was detected at the time of evaluation. No neurological symptoms were found. There was a left-beating spontaneous nystagmus Grade 3. The patient could stand still and walk on his own with some help without falling. Day 1 vHIT showed a significant reduction in VOR gain and refixation saccades after head impulses were delivered in the planes of the right anterior and horizontal semicircular canals. MRI showed no significant findings. He was treated with steroids. A vHIT performed 14 days later showed recovery of gains and no refixation saccades. In 2015, the patient had a new episode of acute vertigo. The clinical examination was similar, and the vHIT revealed a new drop of right superior and lateral canal gains. Cervical and ocular VEMPs were performed, and no significant asymmetry was detected. Serum PCR for herpes viruses resulted negative. Contrast MRI was performed without relevant brain findings. |
| format | Article |
| id | doaj-art-ab5c194f156544df8d387a0968002bac |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-ab5c194f156544df8d387a0968002bac2025-02-03T06:47:54ZengWileyCase Reports in Otolaryngology2090-67652090-67732017-01-01201710.1155/2017/36284023628402Relapsing Ipsilateral Vestibular NeuritisDuilio Emiliano De Schutter0Nicolás Pérez Fernández1Department of Neurology, Universidad Nacional de Cuyo, Mendoza, ArgentinaDepartment of Otorhinolaryngology, Clínica Universidad de Navarra, Pamplona, SpainIn 2013, a 70-year-old male was admitted with an acute episode of vertigo, nausea, and vomiting with duration of one day. The patient’s background included prehypertension, vitiligo, left ventricular hypertrophy, and Sjögren's syndrome. He denied any previous episode of vertigo or migraine manifestations. Neither hearing loss nor tinnitus or otorrhea was detected at the time of evaluation. No neurological symptoms were found. There was a left-beating spontaneous nystagmus Grade 3. The patient could stand still and walk on his own with some help without falling. Day 1 vHIT showed a significant reduction in VOR gain and refixation saccades after head impulses were delivered in the planes of the right anterior and horizontal semicircular canals. MRI showed no significant findings. He was treated with steroids. A vHIT performed 14 days later showed recovery of gains and no refixation saccades. In 2015, the patient had a new episode of acute vertigo. The clinical examination was similar, and the vHIT revealed a new drop of right superior and lateral canal gains. Cervical and ocular VEMPs were performed, and no significant asymmetry was detected. Serum PCR for herpes viruses resulted negative. Contrast MRI was performed without relevant brain findings.http://dx.doi.org/10.1155/2017/3628402 |
| spellingShingle | Duilio Emiliano De Schutter Nicolás Pérez Fernández Relapsing Ipsilateral Vestibular Neuritis Case Reports in Otolaryngology |
| title | Relapsing Ipsilateral Vestibular Neuritis |
| title_full | Relapsing Ipsilateral Vestibular Neuritis |
| title_fullStr | Relapsing Ipsilateral Vestibular Neuritis |
| title_full_unstemmed | Relapsing Ipsilateral Vestibular Neuritis |
| title_short | Relapsing Ipsilateral Vestibular Neuritis |
| title_sort | relapsing ipsilateral vestibular neuritis |
| url | http://dx.doi.org/10.1155/2017/3628402 |
| work_keys_str_mv | AT duilioemilianodeschutter relapsingipsilateralvestibularneuritis AT nicolasperezfernandez relapsingipsilateralvestibularneuritis |