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Updated: Jan 7, 2026

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Three Dimensional Vestibular Ocular Reflex Testing Using a Six Degrees of Freedom Motion Platform
Published on: May 23, 2013
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A 76-Year-Old Man With Episodic Vestibular Syndrome and Skew Deviation
Yassine Balhi1, Syed Ameen Ahmad1, Daniel Ludwig2
1Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
The Laryngoscope
|January 2, 2026
Summary
This case study details a 76-year-old man diagnosed with vestibular migraine and Meniere's Disease. It emphasizes careful diagnosis of episodic vestibular syndrome (EVS) in patients with cardiovascular risks.
Area of Science:
- Neurology
- Otolaryngology
- Vestibular System Disorders
Background:
- Episodic vestibular syndrome (EVS) presents diagnostic challenges, particularly in older adults with cardiovascular risk factors.
- Differentiating between stroke and peripheral vestibular disorders is critical for timely and appropriate management.
- Skew deviation on examination can be a key indicator in diagnosing central or peripheral vestibular pathologies.
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