Bilateral vestibulopathy and disabling vertigo: A CARE case series |
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| Affiliation: | 1. Service d’audiologie et explorations otoneurologiques, hôpital Édouard Herriot, 69003 Lyon, France;2. Université Claude Bernard Lyon 1, 69000 Lyon, France;3. Inserm U1120, Centre de Recherche de l’Institut Pasteur, Paris Hearing Institute, 75006 Paris, France;4. Service d’otorhinolaryngologie et de chirurgie cervico-faciale, université Saint-Esprit Kaslik, Eye and Ear Hospital, Beirut, Lebanon;1. Department of Otolaryngology, Head & Neck Surgery, Stanford University School of Medicine, 801 Welch Road, 94305-5739 Stanford, CA, USA;2. Department of Otolaryngology, Head & Neck Surgery, University Hospital of Toulouse Larrey, 24 Chemin de Pouvourville, 31059 Toulouse cedex 9, France;1. Serviço de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Hospital de Clínicas de Porto Alegre (HCPA), Rua Ramiro Barcelos, 2350 - Santa Cecilia, 90035-007 Porto Alegre, Rio Grande do Sul, Brazil;2. Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Universidade Federal do Rio Grande do Sul (UFRGS), rua Ramiro Barcelos, 2400 sala 220, 90035-003 Porto Alegre, Rio Grande do Sul, Brazil;3. Unidade de Pneumologia Pediátrica, HCPA, Rua Ramiro Barcelos, 2350 - Santa Cecilia, 90035-007, Porto Alegre, Rio Grande do Sul, Brazil;1. Niño Jesús University Children''s Hospital, Department of Otolaryngology, 65 Menéndez Pelayo Avenue, 28009 Madrid, Spain;2. Niño Jesús University Children''s Hospital, Department of Pathological Anatomy, 65 Menéndez Pelayo Avenue, 28009 Madrid, Spain;1. Université Paris Cité, 75006 Paris, France;2. Service d’ORL Pédiatrique, AP-HP, Hôpital Necker-Enfants Malades, 149, rue de Sèvres, 75015 Paris, France;3. Secrétaire du Comité Ethique National d’ORL (CENO), Paris, France;4. Service de Chirurgie Maxillofaciale et Chirurgie Plastique, AP-HP, Hôpital Necker-Enfants Malades, 75015 Paris, France;5. Direction Médicale, Health Data Hub, Paris, France;1. Service d’oto-rhino-laryngologie et de chirurgie cervico-faciale, hôpital Fondation Rothschild, 29, rue Manin, Paris, France;2. Service de neuroradiologie, hôpital de la Fondation Rothschild, 29, rue Manin, Paris, France;1. Service d’ORL, d’Otoneurochirurgie et de Chirurgie Cervico-Faciale, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, 69310 Pierre-Bénite, France;2. Service d’Anatomopathologie, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Institut de Pathologie Multisite, 69310 Pierre Bénite cedex, France;3. Université de Lyon, Université Lyon 1, 69003 Lyon, France |
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| Abstract: | IntroductionThe term bilateral vestibulopathy (BV) was recently defined by the Bárány Society. Loss of otolith function was not included in their criteria. Although spontaneous progression to complete bilateral impairment of vestibular function is expected, it is unlikely that patients with advanced BV will continue to present episodes of intense vertigo. Here, following CARE case report guidelines, we report the case of patients meeting the criteria for BV and still disabled by vertigo.Case seriesThree patients evaluated in our department meeting the Bárány criteria for definite BV but still complaining of disabling rotatory vertigo were included. All underwent clinical and instrumental vestibular examination. The observations are reported.ConclusionIn case of BV, the conservation of a stable otolithic reference frame could allow patients to optimize postural strategy. It would be useful to revisit a classification of BV by stages, by introducing an evaluation of otolithic function and postural control for possible subsequent vestibular implantation. |
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| Keywords: | Bilateral vestibulopathy Vestibular areflexia Neurovascular impingement CARE |
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