Hi everyone,
I had a patient 3 days ago complaining of left ear fluctuating sensorineural hearing loss, otofonia before attacks, and vertigo(lasts one hour).
his test results :
unterberger has no deviation romberg normal oculomotor tests are normal
there is no spontaneous nystagmus.
But in post head shake test there was left beating (5 spv), and downbeat nystagmus(9spv).
And in the caloric test, there was no asymmetry (%15 right canal paresis), surprisingly left irritate more.
Why there is a downbeat nystagmus and why ı see left beating nystagmus?
I was waiting for right beating Nystagmus..
I guess the patient will have an attack soon, Is this guess correct?
Dear dr
I would like to ask is this the first attack of hearing loss?
The Posthead shaking nystagmus looks tortional as you describe, so you should think of !!post viral labyrinthitis as different diagnosis.
In very early stages of MD vertical nystagmus may be seen.
cVEMP and ECHOG if applicable they add valuable information.
If possible you can give me detailed and comprehensive history
Thanks
Hi Doctor, thank you for your feedback. He had had four attacks when he came to my clinic.
That is all ı know about his complaints.
Why do we see the vertical nystagmus in the early stages of Meniere disease? Is there an explanation for that?
I am going to do Cvemp test also. After doing this, ı will share my results with you.
Thanks
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