Abstract
The loss of vestibular function, typically bilateral, due to chemical solvents and
pharmacological agents is not rare and has been investigated and reported for many
years. The successful treatment of bacterial infections and sepsis with IV antibiotics
and cancer-fighting drugs like cisplatin makes the decision to use these life-saving
drugs less of a debate, despite their potential deleterious effect on balance and
equilibrium. The purpose of this article is to provide the reader with an overview
of the more common substances found in industry and medicine which may decrease or
permanently destroy peripheral and/or central vestibular function. A review of bedside
and clinical evaluation protocols will be discussed as well as best practice intervention
with balance retraining therapy. Finally, the role of the audiologist and opportunities
for participation in an interdisciplinary approach to evaluation and management will
be presented.
Keywords
vestibular - vestibulotoxic - balance retraining - fall-risk management
