Document Detail

Bilateral vestibular loss in vertebrobasilar dolichoectasia.
MedLine Citation:
PMID:  8925119     Owner:  NLM     Status:  MEDLINE    
Bilateral vestibular loss (BVL) is a relatively uncommon syndrome that may produce problems of balance; unsteady gait, especially in the dark; and visual disorders and/or oscillopsia associated with walking and head movements. Sometimes patients with BVL remain asymptomatic. Ototoxic drugs are the most frequently identified cause of BVL, but there are many other possible causes. The aetiology remains unknown in a large percentage of patients. In some, vascular aetiology may be suspected. Here we report 4 cases of vertebrobasilar dolichoectasia (VBD) and symptomatic BVL. In 3 subjects, hearing was preserved, but in the 4th, there was retrolabyrinthine hearing loss. In our opinion, VBD may be the cause of BVL associated or not associated with hearing loss, the reason being that since the anterior vestibular artery is small and has no anastomoses, the horizontal semicircular canal is selectively susceptible to ischemia.
D Nuti; S Passero; S Di Girolamo
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of vestibular research : equilibrium & orientation     Volume:  6     ISSN:  0957-4271     ISO Abbreviation:  J Vestib Res     Publication Date:    1996 Mar-Apr
Date Detail:
Created Date:  1996-11-12     Completed Date:  1996-11-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9104163     Medline TA:  J Vestib Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  85-91     Citation Subset:  IM; S    
Istituto di Discipline Otorinolaringologiche, Università di Siena, Italy.
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MeSH Terms
Basilar Artery / pathology*,  radiography
Cerebral Angiography
Dilatation, Pathologic
Hearing Loss, Sensorineural / etiology
Magnetic Resonance Imaging
Middle Aged
Tomography, X-Ray Computed
Vertebral Artery / pathology*,  radiography
Vestibule, Labyrinth / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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