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Related Experiment Video

Updated: Dec 7, 2025

Using Eye-tracking to Assess the Relative Importance of Visual and Vestibular Input to Subcortical Motion Processing in the Roll Plane
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Multiple sclerosis attack case presenting with pseudo-vestibular neuritis.

Reyhan Surmeli1, Mehmet Surmeli2, Ayse Destina Yalcin1

  • 1Department of Neurology, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, Turkey.

The International Journal of Neuroscience
|September 29, 2020
PubMed
Summary

Pseudo-vestibular neuritis, a central cause of acute vestibular syndrome, can be linked to multiple sclerosis. This case highlights MS as a potential etiological factor, with symptoms improving after steroid treatment.

Keywords:
Multiple sclerosiscervical evoked myogenic potentialpseudo-vestibular neuritisvertigovideo head impulse test

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Area of Science:

  • Neurology
  • Neuroscience

Background:

  • Pseudo-vestibular neuritis is a diagnosis for acute vestibular syndrome stemming from central pathology.
  • Multiple sclerosis (MS) is an autoimmune disease affecting the central nervous system.

Observation:

  • A 32-year-old male with a history of MS presented with severe vertigo and nausea.
  • Cranial MRI revealed a new demyelinating plaque in the left vestibular nucleus.
  • Clinical examination showed nystagmus, vestibular hypofunction, and other neurological signs consistent with central involvement.

Findings:

  • The patient's presentation mimicked peripheral vestibular neuritis but was attributed to a central cause (MS).
  • Treatment with intravenous steroid pulse therapy led to a decrease in symptoms and improvement in examination findings.

Implications:

  • Multiple sclerosis should be considered as a potential etiological factor in cases of pseudo-vestibular neuritis.
  • Early diagnosis and treatment of MS-related vestibular dysfunction are crucial for patient outcomes.