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ISSN 2007-6037 (Print)
Órgano Oficial de Difusión de la Asociación Mexicana de Comunicación, Audiología, Otoneurología y Foniatría, A.C.,

2014, Number 1

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Rev Mex AMCAOF 2014; 3 (1)

Vestibular neuritis: New possibilities for the location of vestibular deficit

Pérez-Fernández N, Martínez-López M, Manrique-Huarte R

Language: Spanish
References: 10
Page: 22-26
PDF size: 195.59 Kb.


ABSTRACT

We present four patients diagnosed by means of a careful oculomotor examination as well as of the vestibulo-ocular reflex with the help of a new tool that allows to explore each of the 3 semicircular canals receptors in the inner ear. Patient 1 was diagnosed of a vestibular nerve (VN) that affects both subdivisions (superior and inferior) of the vestibular nerve; patient 2 was diagnosed of an inferior vestibular nerve neuritis; patients 3 and 4 were diagnosed of a vestibular neuritis of the superior vestibular nerve complete and partial respectively. As shown here we are able to provide a precise diagnosis at bedside of vestibular neuritis and localize the vestibular deficit in the different branches of the vestibular nerve.


REFERENCES

  1. Seemungal BM, Bronstein AM. A practical approach to acute vertigo. Pract Neurol. 2008; 8: 211-221.

  2. Mandalá M, Nuti D, Broman AT, Zee DS. Effectiveness of careful bedside examination in assessment, diagnosis, and prognosis of vestibular neuritis. Arch Otolaryngol Head Neck Surg. 2008; 134: 164-169.

  3. Kattah JC, Talkad AV, Wang DZ, Hsieh YH, Newman-Toker DE. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke. 2009; 40: 3504-3510.

  4. Jacobson GP, McCaslin DL, Kaylie DM. Alexander’s law revisited. J Am Acad Audiol. 2008; 19: 630-638.

  5. Kim JS, Kim HJ. Inferior vestibular neuritis. J Neurol. 2012; 259: 1553- 1560.

  6. Halmagyi GM, Curthoys IS. A clinical sign of canal paresis. Arch Neurol. 1988; 45: 737-739.

  7. Cremer PD, Halmagyi GM, Aw ST, Curthoys IS, McGarvie LA, Todd MJ et al. Semicircular canal plane head impulses detect absent function of individual semicircular canals. Brain. 1998; 121: 699-716.

  8. González-García E, Piqueras-del Rey A, Martin-Alba V, Parra-Escorihuela S, Soler-Algarra S, Chumillas MJ et al. Reflejo vestibulocervical. Valoración y características de los potenciales vestibulares miogénicos evocados analizados por tramos de edad. Rev Neurol. 2007; 44: 339-342.

  9. Ogawa Y, Otsuka K, Shimizu S, Inagaki T, Kondo T, Suzuki M. Subjective visual vertical perception in patients with vestibular neuritis and sudden sensorineural hearing loss. J Vestib Res. 2012; 22: 205-211.

  10. Tribukait A. Subjective visual horizontal in the upright posture and asymmetry in roll-tilt perception: independent measures of vestibular function. J Vestib Res. 2006; 16: 35-43.




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