Korean Journal of Audiology (대한청각학회지)

The Korean Audiology Society (대한청각학회)
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Sequential Vestibular Neuritis: Report of Four Cases and Literature Review

  • Comacchio, Francesco (Division of Otolaryngology, Department of Neurosciences, Padova University) ;
  • Mion, Marta (Division of Otolaryngology, Department of Specialistic Surgeries, Santa Maria della Misericordia Hospital) ;
  • Armato, Enrico (Division of Otolaryngology, Department of Surgery, SS. Giovanni e Paolo Hospital) ;
  • Castellucci, Andrea (Division of Otolaryngology, Department of Surgery, Santa Maria Nuova Hospital)
  • Received : 2020.06.01
  • Accepted : 2020.11.17
  • Published : 2021.04.20
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Abstract

Background and Objectives: Bilateral sequential vestibular neuritis (BSVN) is a rare condition in which an inflammation or an ischemic damage of the vestibular nerve occurs bilaterally in a sequential pattern. We described four cases of BSVN. Subjects and Methods: Every patient underwent video-head impulse test during the first and the second episode of vestibular neuritis (VN), furthermore they have been studied with radiological imaging. Results: Contralateral VN occurred after a variable period from prior event. Vestibular function recovered from the first episode in one case. The other three patients developed contralateral VN. One case was due to a bilateral VN in association with a Ramsay-Hunt syndrome, in another patient clinical records strongly suggested an ischemic etiology, whereas in two cases aetiology remained uncertain. Two patients subsequently developed a benign paroxysmal positional vertigo involving the posterior canal on the side of the latest VN (Lindsay-Hemenway syndrome). Conclusions: Instrumental vestibular assessment represents a pivotal tool to confirm the diagnosis of VN and BSVN.

Keywords

References

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