Bilateral Vestibulopathy.
10.3342/kjorl-hns.2013.56.3.131
- Author:
Minbum KIM
1
;
Kyu Sung KIM
Author Information
1. Department of Otorhinolaryngology-Head & Neck Surgery, Inha University College of Medicine, Incheon, Korea. stedman@inha.ac.kr
- Publication Type:Review
- Keywords:
Bilateral vestibulopathy;
Clinical characteristics
- MeSH:
Aminoglycosides;
Caloric Tests;
Compensation and Redress;
Gait;
Meniere Disease;
Meningitis;
Reflex, Vestibulo-Ocular;
Vertigo
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2013;56(3):131-137
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bilateral vestibulopathy (BV) is a clinical entity with impaired function of bilateral peripheral vestibular system, which is characterized by movement-induced postural vertigo, oscillopsia and unsteadiness of gait. The possible causes are reported including aminoglycosides, Meniere's disease and meningitis, however, cause of BV remains unclear in up to half. The diagnosis is confirmed by a combination of the vestibulo-ocular reflex tests such as a bilateral head-impulse test, the rotatory chair test and the caloric test. The treatment consists of prophylaxis of progressive vestibular loss, recovery of impaired vestibular function and promotion of central compensation or substitution with rehabilitation therapy.
