CC BY-NC-ND 4.0 · Laryngorhinootologie 2018; 97(S 02): S245
DOI: 10.1055/s-0038-1640561
Abstracts
Otologie: Otology
Georg Thieme Verlag KG Stuttgart · New York

Neurootologic diagnostic impact for vestibular paroxysmia

E Rudeloff
1  Universitätsklinikum Aachen, Klinik für Hals-, Nas, Aachen
,
J Ilgner
2  Universitätsklinikum Aachen, Klinik für HNO, Aachen
,
M Westhofen
2  Universitätsklinikum Aachen, Klinik für HNO, Aachen
› Author Affiliations
Further Information
Eva Rudeloff
Universitätsklinikum Aachen, Klinik für Hals-, Nas,
Pauwelsstrasse 30, 52057,
Aachen

Publication History

Publication Date:
18 April 2018 (online)

 
 

    Introduction:

    Vestibular paroxysmia ist a rare vestibular dysfunction due to neurovascular compression of vestibulocochlear nerve and AICA, PICA, vertebral artery or veins. Complaints are classified with paroxysmal dizziness < 1 min duration and short intervals. Sensitivity of MRT is 95%. Treatment of choice is carbamazepin.

    Methods:

    The findings of 6 patients classified according to Barany Society recommendation were compared to analyse their load for diagnosis. Pure-tone audiometry, caloric test, vHIT (3D), oVEMP, cVEMP, and spontaneous nystagm were analysed.

    Results:

    Pure-tone audiometry had pathological findings in 1/6 ipsilateral, 2/6 had lower response of caloric test, 3/6 had sponatneous nystagmus towards ipsilateral side, 2/abnormal response of vKIT (horiz.), in 1/6 no cVEMP kontralateral, 1/6 without VEMP responses bilaterally.

    Conclusions:

    There was no correlation of vestibular function with positive response to carbazepin in patients with typical complaints and positive MRI findings.


    #

    No conflict of interest has been declared by the author(s).

    Eva Rudeloff
    Universitätsklinikum Aachen, Klinik für Hals-, Nas,
    Pauwelsstrasse 30, 52057,
    Aachen