Research in Vestibular Science

Case Reports

Vestibular Paroxysmia in a 7-Year-Old Child: Seok Min Hong, Sung Ho Choi, Il Seok Park, Yong Bok Kim; Res Vestib Sci. 2014;13(1):19-23.

Abstract PDF: 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.

Recurrent Vertigo in Vestibular Schwannoma Responsive to Oxcarbazepine: Jae Hwan Choi, Min Ji Kim, Kwang Dong Choi, Dae Soo Jung; Res Vestib Sci. 2013;12(2):58-61.

Abstract PDF: Vestibular schwannoma (VS) are benign neoplasms that arise from Schwann cells of the eighth cranial nerve. Although progressive unilateral hearing loss with dizziness or disequilibrium provides a high suspicion index of VS, vertigo is the symptom causing the most pronounced negative effect on quality of life in patients with VS. We report a 55-year-old woman with recurrent paroxysmal vertigo and hyperventilation-induced nystagmus due to VS, which improved by oxcarbazepine treatment. We suggest that episodic vertigo in VS may be ascribed to the ectopic paroxysmal neuronal discharge from the partially demyelinated vestibular nerve due to tumor compression.

Search