Spontaneous Recovery of Vestibulo-Ocular Reflex Gain after Bilateral Complete Vestibular Loss Following Head Injury
- Author:
Ga Young PARK
1
;
Eun Wook CHUNG
;
Jong Sei KIM
;
Won Ho CHUNG
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. whchung@skku.edu
- Publication Type:Case Report
- Keywords:
Dizziness;
Diffuse axonal injury;
Head injuries;
Vestibule-ocular reflex;
Caloric tests
- MeSH:
Adult;
Brain;
Caloric Tests;
Craniocerebral Trauma;
Diffuse Axonal Injury;
Dizziness;
Head;
Humans;
Magnetic Resonance Spectroscopy;
Male;
Reflex, Vestibulo-Ocular
- From:Journal of the Korean Balance Society
2012;11(4):146-153
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dizziness is a frequent complication of head injury and objective evidence of vestibular dysfunction in the dizzy patient following head injury has been reported in literatures. However, there is no report about bilateral spontaneous recovery of caloric response after complete loss of bilateral vestibular function following head injury. A 27-year-old male patient who presented with continuous dizziness and disequilibrium following head injury was diagnosed as diffuse axonal injury after brain magnetic resonance image and bilateral complete loss of vestibular function after caloric and rotary chair test. He showed gradual improvement of dizziness, vestibulo-ocular reflex gain and left caloric response at 2 months after vestibular exercise. After another 4 months, his caloric function was fully recovered, and dizziness disappeared at 16 months after the onset of dizziness. We present this case with reviews of previous literatures about dizziness following head injury and diffuse axonal injury.
