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Idiopathic bilateral vestibulopathy.

R W Baloh1, K Jacobson, V Honrubia

  • 1Department of Neurology, UCLA School of Medicine 90024.

Neurology
|February 1, 1989
PubMed
Summary

Idiopathic bilateral vestibulopathy causes progressive imbalance in adults, even with normal hearing. This condition, characterized by vestibular dysfunction, affects balance and can cause oscillopsia.

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Area of Science:

  • Neurology
  • Otolaryngology
  • Vestibular Science

Background:

  • Acquired bilateral vestibulopathy is a rare condition affecting balance.
  • The clinical spectrum and causes remain incompletely understood.

Observation:

  • This study details 22 patients with acquired bilateral vestibulopathy of unknown cause.
  • All patients exhibited absent or reduced responses on caloric and rotational vestibular testing.
  • Common symptoms included dysequilibrium, imbalance (worse at night), and oscillopsia.

Findings:

  • No patients had associated hearing loss or other neurological deficits.
  • Nine patients had a history consistent with bilateral sequential vestibular neuritis.
  • The remaining 13 patients had no known ototoxin exposure or family history, suggesting an idiopathic cause.

Implications:

  • Idiopathic bilateral vestibulopathy is a significant cause of adult-onset progressive imbalance.
  • This diagnosis should be considered in patients presenting with balance disorders, even with normal hearing.
  • Further research into the etiology and management of this condition is warranted.

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