Acute mixed vestibulopathy. History case from the vestibulologist practice. Case report

Abstract

Patients with acute vestibulopathy are among the most uneasy (in terms of severity of symptoms) and challenging (in terms of determining the level of damage). At the same time, the methods of traditional otoneurological examination often do not allow to reveal the cause of unexpected balance disorders. In order to determine the degree of vestibular function decompensation and develop the tactic for the urgent treatment, Saint Petersburg Research Institute of Ear, Throat, Nose and Speech uses both screening methods included in the Vestibular Passport and computerized vestibulometry techniques. Methods of oculomotor and postural reactions assessment are described in details using the example of case history. The high diagnostic significance of the results of instrumental vestibulometry using the Frenzel glasses, foam pad, computer electrooculography, video oculography and computer dynamic posturography is demonstrated. The therapeutic tactics of managing a patient with acute mixed vestibulopathy is shown.

Keywords

• acute vestibulopathy
• vestibular neuronitis
• ototoxicity
• vestibulotoxicity
• aminoglycosides
• vestibular passport
• frenzel glasses
• electrooculography
• videooculography
• dynamic posturography