[Bilateral vestibular loss. Diagnosis and follow-up].

Abstract:

BACKGROUND:Atypical symptom in patients with bilateral vestibular loss is head movement-induced oscillopsia. The paucity of precise complaints in many patients is surprising. Therefore, bilateral loss of vestibular function is often undiagnosed. PATIENTS:We report on the long-term follow-up in 29 patients. They were monitored for 2-7 years (mean: 4.5 years). RESULTS:Of the 29 patients 16 described oscillopsia. All symptomatic patients had acute bilateral vestibular loss.Patients described that their symptoms improved over a period of 1-2 years. Improvement was not age dependent. CONCLUSIONS:Otoneurologists should be aware of the particular clinical symptoms in bilateral vestibular loss. Regarding clinical features, compensation of bilateral vestibular loss seems to be unlikely only based on central compensatory eye movement reflexes. More likely perceptual adaptations and restriction of head movement are responsible for subjective improvement.

journal_name

HNO

journal_title

HNO

authors

Frese KA,Reker U,Maune S

doi

10.1007/s00106-002-0704-y

keywords:

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

221-5

issue

3

eissn

0017-6192

issn

1433-0458

journal_volume

51

pub_type

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