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Vestibular function in benign intracranial hypertension.

E G Kaaber, K Zilstorff

    Clinical Otolaryngology and Allied Sciences
    |May 1, 1978
    PubMed
    Summary
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    Vestibular function was impaired in 56% of patients with benign intracranial hypertension. Most patients recovered normal vestibular function after symptoms resolved, showing no long-term inner ear issues.

    Area of Science:

    • Neurology
    • Otolaryngology
    • Vestibular System Function

    Background:

    • Benign intracranial hypertension (BIH) can cause various neurological symptoms.
    • The long-term effects of BIH on vestibular function are not fully understood.

    Purpose of the Study:

    • To investigate vestibular function in patients with BIH.
    • To assess the recovery of vestibular function after resolution of BIH symptoms.

    Main Methods:

    • Vestibular function tests were performed on 34 patients with BIH.
    • Follow-up examinations were conducted 3-20 years after the initial assessment.

    Main Results:

    • Initially, 56% of patients (19 out of 34) showed impaired vestibular function (hyporeactivity, preponderance, or hyperreactivity).

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  • At follow-up, 32 out of 34 patients had normal vestibular reactions.
  • No evidence of 'congestive inner ear' was found in the patients.

    • Conclusions:

    • Vestibular function impairment is common in patients with benign intracranial hypertension.
    • Vestibular function typically normalizes after the resolution of intracranial hypertension.
    • Vestibular testing plays a role in assessing brain death criteria and monitoring intracranial pressure.