Sequential Vestibular Neuritis: Report of Four Cases and Literature Review.

Benign paroxysmal positional vertigo Facial paralysis Head impulse test Vestibular neuritis

Journal

Journal of audiology & otology
ISSN: 2384-1621
Titre abrégé: J Audiol Otol
Pays: Korea (South)
ID NLM: 101657815

Informations de publication

Date de publication:
Apr 2021
Historique:
received: 01 06 2020
accepted: 17 11 2020
pubmed: 23 2 2021
medline: 23 2 2021
entrez: 22 2 2021
Statut: ppublish

Résumé

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. 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. 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). Instrumental vestibular assessment represents a pivotal tool to confirm the diagnosis of VN and BSVN.

Sections du résumé

BACKGROUND AND OBJECTIVES OBJECTIVE
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 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 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 CONCLUSIONS
Instrumental vestibular assessment represents a pivotal tool to confirm the diagnosis of VN and BSVN.

Identifiants

pubmed: 33611882
pii: jao.2020.00360
doi: 10.7874/jao.2020.00360
pmc: PMC8062249
doi:

Types de publication

Journal Article

Langues

eng

Pagination

89-97

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Auteurs

Francesco Comacchio (F)

Division of Otolaryngology, Department of Neurosciences, Padova University, Padova, Italy.

Marta Mion (M)

Division of Otolaryngology, Department of Specialistic Surgeries, Santa Maria della Misericordia Hospital, Rovigo, Italy.

Enrico Armato (E)

Division of Otolaryngology, Department of Surgery, SS. Giovanni e Paolo Hospital, Venezia, Italy.

Andrea Castellucci (A)

Division of Otolaryngology, Department of Surgery, Santa Maria Nuova Hospital, Reggio Emilia, Italy.

Classifications MeSH