Isolated otolithic dysfunction and vestibular rehabilitation results: A case report

Year 2019, Volume: 29 Issue: 2, 107 - 110, 03.06.2019

Oğuz Yılmaz Şeyma Tuğba Öztürk Mustafa Bülent Şerbetçioğlu

Abstract

A 33-year-old male patient presented with dizziness which increased with head movements like a self-reported sensation of walking-on-pillows. Routine test results were within the normal range. The vestibular evoked myogenic potentials VEMP results were unable to be obtained and the sensory organization test SOT score was 7%. The patient was given a six-week customized vestibular rehabilitation program. After his complaints alleviated, his SOT scores were improved and VEMP waves were able to be obtained. In conclusion, clinicians should keep in mind that some patients may present with isolated otolith dysfunction and customized vestibular rehabilitation may offer benefits to these patients.

Keywords

Otolith dysfunction, otolith, regeneration, vestibular rehabilitation

References

• Al-Sebeih K, Zeitouni A. Vestibular-evoked myogenic potentials as a test of otolith function. Med Princ Pract 2002;11:136-40.
• Kingma H. Function tests of the otolith or statolith system. Curr Opin Neurol 2006;19:21-5.
• Kantner C, Gürkov R. Characteristics and clinical applications of ocular vestibular evoked myogenic potentials. Hear Res 2012;294:55-63.
• Basta D, Todt I, Scherer H, Clarke A, Ernst A. Postural control in otolith disorders. Hum Mov Sci 2005;24:268-79.
• Murofushi T, Iwasaki S, Ushio M. Recovery of vestibular evoked myogenic potentials after a vertigo attack due to vestibular neuritis. Acta Oto- Laryngologica 2006;126:364-7.
• Saka N, Seo T, Ohta S, Sakagami M. Is a pulling sensation in the anteroposterior direction associated with otolith dysfunction? Acta Otolaryngol 2014;134:233-7.
• Seo T, Miyamoto A, Node M, Sakagami M. Vestibular evoked myogenic potentials of undiagnosed dizziness. Auris Nasus Larynx 2008;35:27-30.
• Herdman SJ. Interventions for the Patient with Vestibular Hypofunction. In: Herdman SJ editor. Vestibular Rehabilitation. 3rd ed. Philadelphia: F.A. Davis Company; 2007: 309-337.
• Luis L, Costa J, Vaz Garcia F, Valls-Solé J, Brandt T, Schneider E. Spontaneous plugging of the horizontal semicircular canal with reversible canal dysfunction and recovery of vestibular evoked myogenic potentials. Otol Neurotol 2013;34:743-7.