Drop attacks in elderly patients secondary to otologic causes with Meniere’s syndrome or non-Meniere peripheral vestibulopathy

Authors
Hyung LeeHyon-Ah YiSeong-Ryong LeeByung-Hoon AhnByung-Rim Park
Department
Dept. of Neurology (신경과학); Dept. of Otorhinolaryngology (이비인후과학); Dept. of Pharmacology (약리학); Brain Research Institute (뇌연구소)
Issue Date
2005
Citation
Journal of neurological sciences, Vol.232(1–2) : 71-76, 2005
ISSN
0022-510X
Abstract
Many neurologists are unaware of the drop attack that may occur from an inner ear dysfunction especially in elderly. We studied the clinical features and results of quantitative audiovestibular tests in six elderly patients (z65 years of age) who presented with drop attacks attributable to an inner ear pathology. Group was divided into Meniere’s syndrome (4) or non-Meniere peripheral vestibulopathy (2). Standard dizziness questionnaire and quantitative audiovestibular function testing were performed. Episodes were described as a sudden push to the ground in four or a violent illusionary movement of environment leading to a fall in two. All cases gave a history of prior vertiginous episodes and vestibular testing revealed unilateral caloric paresis. Ipsilateral hearing loss was documented in four cases. Our results suggest that otologic causes should be considered in the differential diagnosis of the drop attack in elderly, even if the symptoms and signs were not consistent with Meniere’s syndrome.
Keywords
Drop attackMeniere’s syndromeNon-Meniere peripheral vestibulopathy
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/33853
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Pharmacology (약리학)
1. Journal Papers (연구논문) > 3. Research Institutues (연구소) > Brain Research Institute (뇌연구소)
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학)
Keimyung Author(s)
이형; 이현아; 안병훈; 이성용
Full Text
https://www.sciencedirect.com/science/article/pii/S0022510X0500033X?via%3Dihub
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