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vestibular disorder (vestibulopathy)
Etiology:
- age-associated changes in the vestibular system
- pharmaceuticals
a) aminoglycosides
b) quinine
Clinical manifestations:
- vestibular disorders manifest as vertigo or balance disorder
Special laboratory:
- high prevalence of abnormalities on clinical vestibular testing in healthy older adults, despite low self-perceived dizziness [4]
- Clinical Test for Sensory Interaction on Balance can identify vestibular disorder
- Dix-Hallpike maneuver further documents vestibilar disorder
Complications:
- falls common in patients with bilateral vesibulopathy [5]
Related
age-associated changes in the vestibular system
vestibular system
Specific
chronic vestibular syndrome
Herpes zoster oticus; Ramsay Hunt syndrome type 2
labyrinthitis
Meniere's disease; labyrinthine hydrops; endolymphatic hydrops
vertigo
vestibular neuronitis (acoustic neuritis)
General
labyrinth disease
References
- Harrison's Principles of Internal Medicine, 13th ed.
Companion Handbook, Isselbacher et al (eds), McGraw-Hill
Inc. NY, 1995, pg 829-39.
- Hotson JR, Baloh RW.
Acute vestibular syndrome.
N Engl J Med. 1998 Sep 3;339(10):680-5.
PMID: 9725927
- Geriatric Review Syllabus, 8th edition (GRS8)
Durso SC and Sullivan GN (eds)
American Geriatrics Society, 2013
- Geriatric Review Syllabus, 9th edition (GRS9)
Medinal-Walpole A, Pacala JT, Porter JF (eds)
American Geriatrics Society, 2016
- Davalos-Bichara M, Agrawal Y.
Normative results of healthy older adults on standard clinical
vestibular tests.
Otol Neurotol. 2014 Feb;35(2):297-300.
PMID: 24136315 Free PMC Article
- Herssens N, How D, van de Berg R et al
Falls Among People With Bilateral Vestibulopathy.
A Review of Causes, Incidence, Injuries, and Methods.
JAMA Otolaryngol Head Neck Surg. 2022;148(2):187-192
PMID: 34989780
https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2787785