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Tumarkin Otolithic Crisis Controlled by Endolymphatic Sac Surgery
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Seok Min Hong, Il Seok Park, Jae Ho Ban
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Res Vestib Sci. 2015;14(1):32-35.
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 Abstract
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- Turmarkin otolithic crisis is a rare feature of Meniere’s disease. It shows sudden
falling to the ground with no warning sign. It is an otologic emergency because
of the risk of falling, and it has traditionally been treated with labyrinthectomy
or vestibular neurectomy. We experienced a 49-year-old male suffering from
recurrent drop attack, and found that he had hearing loss, tinnitus or recurrent
vertigo on his left ear, and could make a diagnosis him as Tumarkin otolithic
crisis. We have performed the endolymphatic sac decompression, considering the
hearing preservation and therapeutic opinion of patients. Two years after surgery,
he showed intermittent, mild dizzy symptoms, without further drop attack.
Therefore, we report our clinical experience with a brief review of literature.
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Vestibular Paroxysmia in a 7-Year-Old Child
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Seok Min Hong, Sung Ho Choi, Il Seok Park, Yong Bok Kim
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Res Vestib Sci. 2014;13(1):19-23.
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Abstract
- Neurovascular cross-compression of the eighth cranial nerve is characterized by brief attacks of vertigo, unilateral audiologic symptoms such as tinnitus, ear fullness and hearing disturbance and relatively rare disease, in particular, in children. We report a 7-year-old female patient who presented with recurrent spontaneous vertigo, lasting 15 seconds and occuring up to 40 times per day and often associated with physical activity. Her symptoms were developed by hyperventilation. Associated aural symptoms are not founded. Magnetic resonance image showed the eighth cranial nerve compression caused by the vascular loop. She was treated with oxcarbazepine and showed improving symptoms. Therefore we report our clinical experience with a brief review of literature.
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Effect of Elderly Organized Vestibular Rehabilitation for Presbystasis
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Tae Hoo Kim, Beom Gyu Kim, Chul Young Heo, Jae Seok Lee, Il Seok Park, Yong Bok Kim, Tae Won Jang, Seong Ki Ahn
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Res Vestib Sci. 2010;9(2):58-63.
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Abstract
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- Background and Objectives Recently, The number of patients who have been complaining of the vertigo or dizziness has been increasing due to rapid growth of the elderly population and senile change. Aging is associated with decreased balance abilities, resulting in an increased risk of fall. The purpose of this study is to analyze the result of elderly organized vestibular rehabilitation therapy for presbystasis.
Materials and Methods A prospective study was performed on elderly population over sixty-five years. 148 dizzy patients who were admitted to Hallym University Medical Center. We recruited 64 consecutive patients with a diagnosis of presbystasis and treatment of rehabilitation. They were asked to complete the Korean vestibular disorders activities of daily living scale (K-VADL) for the functional aspect before and two to twelve weeks after elderly organized vestibular rehabilitation therapy. The result was analyzed by statistical methods.
Results The K-VADL scores were decreased in patient of presbystasis compared with first questionnaire. There were statistically significant differences in the K-VADL scores between before and after rehabilitation therapy.
Conclusion Most patients can effectively and safely utilize the modified vestibular rehabilitation therapy. Our results suggest that the vestibular rehabilitation therapy could provide a recovery for dizzy symptoms in presbystasis.
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Clinical Analysis of the Canal Paresis in Patients with Benign Paroxysmal Positional Vertigo
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Beom Gyu Kim, Jong Sun Lee, Jin Hyoung Chun, Jai Hyuk Chang, Il Woo Kim, Dong Joon Choi, Il Seok Park, Yong Bok Kim
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J Korean Bal Soc. 2007;6(1):36-40.
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Abstract
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- Background and Objectives: Canal paresis in patients with BPPV has been variously reported to present in 13% to 57%. Should disorders affecting the peripheral vestibular system, such as vestibular neuronitis, head trauma precede or coexist the onset of BPPV, then particle repositioning maneuver (PRM) may be less effective or ineffective and need further vestibular rehabilitation after the particle repositioning maneuver. The purpose of this study is to investigate the clinical feature and importance of vestibular rehabilitation in patients with BPPV associated with canal paresis.
Materials and Methods: A retrospective review was made of 212 patients who visited and diagnosed as BPPV at Hallym university medical center from March 2004 to September 2006. We evaluated the coexistence of canal paresis, methods of treatment and outcome of 128 patients who performed bithermal caloric test.
Results: The vestibular assessment by bithermal caloric test showed the canal paresis in 28 patients. In 21 patients, the canal paresis was ipsilateral, in 2 patients, it was contralateral to the BPPV, and in 5 patients, canal paresis was bilateral. Among 28 patients with canal paresis, 12 patients demonstrated as primary BPPV, 16 patients as secondary BPPV. 28 patients with canal paresis were performed PRM. Vestibular rehabilitation was performed in 18 patients who had ongoing symptoms such as nonspecific continuous dizziness after PRM. Among 18 patients, 14 patients were improved, 4 patients were treatment resistant.
Conclusion: This study shows the importance of detailed vestibular testing such as bithermal caloric test in BPPV patients. Patients with evidence of concomitant vestibular pathology would be expected to require further vestibular rehabilitation.
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A Case of Atypical Benign Paroxismal Positional Vertigo
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Beom Gyu Kim, Jai Hyuk Chang, Il Seok Park, Yong Bok Kim
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J Korean Bal Soc. 2004;3(2):428-430.
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Abstract
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- Paroxysmal positional nystagmus is a common finding in patients with vertigo and can occur in typical and atypical forms.1) Atypical forms of paroxismal positional nystagmus are thought to represent conditions which are in fact not “benign”. This patient was diagnosed as right posterior semicircular canal BPPV at first. After modified Epley maneuver, the type of nystagmus was changed to atypical forms. After left cupulolith reposition maneuver (CRmM),
the nystagmus and dizziness were disappeared finally.
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KBS
