Acute Unilateral Vestibulopathy.
Strupp, Michael and Magnusson, Måns LU
(2015)
In Neurologic Clinics
33(3).
p.669-669
- Abstract
- Normal vestibular end organs generate an equal resting-firing frequency of the axons, which is the same on both sides under static conditions. An acute unilateral vestibulopathy leads to a vestibular tone imbalance. Acute unilateral vestibulopathy is defined by the patient history and the clinical examination and, in unclear cases, laboratory examinations. Key signs and symptoms are an acute onset of spinning vertigo, postural imbalance and nausea as well as a horizontal rotatory nystagmus beating towards the non-affected side, a pathological head-impulse test and no evidence for central vestibular or ocular motor dysfunction. The so-called big five allow a differentiation between a peripheral and central lesion by the bedside examination.... (More)
- Normal vestibular end organs generate an equal resting-firing frequency of the axons, which is the same on both sides under static conditions. An acute unilateral vestibulopathy leads to a vestibular tone imbalance. Acute unilateral vestibulopathy is defined by the patient history and the clinical examination and, in unclear cases, laboratory examinations. Key signs and symptoms are an acute onset of spinning vertigo, postural imbalance and nausea as well as a horizontal rotatory nystagmus beating towards the non-affected side, a pathological head-impulse test and no evidence for central vestibular or ocular motor dysfunction. The so-called big five allow a differentiation between a peripheral and central lesion by the bedside examination. The differential diagnosis of peripheral labyrinthine and vestibular nerve disorders mimicking acute unilateral vestibulopathy includes central vestibular disorders, in particular "vestibular pseudoneuritis" and other peripheral vestibular disorders, such as beginning Menière's disease. The management of acute unilateral vestibulopathy involves (1) symptomatic treatment with antivertiginous drugs, (2) causal treatment with corticosteroids, and (3) physical therapy. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/7845140
- author
- Strupp, Michael
and Magnusson, Måns
LU
- organization
- publishing date
- 2015
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Neurologic Clinics
- volume
- 33
- issue
- 3
- pages
- 669 - 669
- publisher
- Elsevier
- external identifiers
-
- wos:000360324800011
- pmid:26231279
- scopus:84938261083
- pmid:26231279
- ISSN
- 0733-8619
- DOI
- 10.1016/j.ncl.2015.04.012
- language
- English
- LU publication?
- yes
- id
- fe24dcf5-8bcd-4801-aa6b-38acdebe6821 (old id 7845140)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/26231279?dopt=Abstract
- date added to LUP
- 2016-04-01 10:34:28
- date last changed
- 2022-04-27 23:15:21
@article{fe24dcf5-8bcd-4801-aa6b-38acdebe6821,
abstract = {{Normal vestibular end organs generate an equal resting-firing frequency of the axons, which is the same on both sides under static conditions. An acute unilateral vestibulopathy leads to a vestibular tone imbalance. Acute unilateral vestibulopathy is defined by the patient history and the clinical examination and, in unclear cases, laboratory examinations. Key signs and symptoms are an acute onset of spinning vertigo, postural imbalance and nausea as well as a horizontal rotatory nystagmus beating towards the non-affected side, a pathological head-impulse test and no evidence for central vestibular or ocular motor dysfunction. The so-called big five allow a differentiation between a peripheral and central lesion by the bedside examination. The differential diagnosis of peripheral labyrinthine and vestibular nerve disorders mimicking acute unilateral vestibulopathy includes central vestibular disorders, in particular "vestibular pseudoneuritis" and other peripheral vestibular disorders, such as beginning Menière's disease. The management of acute unilateral vestibulopathy involves (1) symptomatic treatment with antivertiginous drugs, (2) causal treatment with corticosteroids, and (3) physical therapy.}},
author = {{Strupp, Michael and Magnusson, Måns}},
issn = {{0733-8619}},
language = {{eng}},
number = {{3}},
pages = {{669--669}},
publisher = {{Elsevier}},
series = {{Neurologic Clinics}},
title = {{Acute Unilateral Vestibulopathy.}},
url = {{http://dx.doi.org/10.1016/j.ncl.2015.04.012}},
doi = {{10.1016/j.ncl.2015.04.012}},
volume = {{33}},
year = {{2015}},
}