Korean J Otorhinolaryngol-Head Neck Surg.
2013 Mar;56(3):131-137. 10.3342/kjorl-hns.2013.56.3.131.
Bilateral Vestibulopathy
- Affiliations
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- 1Department of Otorhinolaryngology-Head & Neck Surgery, Inha University College of Medicine, Incheon, Korea. stedman@inha.ac.kr
- KMID: 2277871
- DOI: http://doi.org/10.3342/kjorl-hns.2013.56.3.131
Abstract
- Bilateral vestibulopathy (BV) is a clinical entity with impaired function of bilateral peripheral vestibular system, which is characterized by movement-induced postural vertigo, oscillopsia and unsteadiness of gait. The possible causes are reported including aminoglycosides, Meniere's disease and meningitis, however, cause of BV remains unclear in up to half. The diagnosis is confirmed by a combination of the vestibulo-ocular reflex tests such as a bilateral head-impulse test, the rotatory chair test and the caloric test. The treatment consists of prophylaxis of progressive vestibular loss, recovery of impaired vestibular function and promotion of central compensation or substitution with rehabilitation therapy.
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