1. Acute vestibular syndrome and hearing loss mimicking labyrinthitis as initial presentation of multiple sclerosis.
- Author
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Valente, Pedro, Pinto, Isabel, Aguiar, Cristina, Castro, Eugénia, Condé, Artur, and Larangeiro, João
- Subjects
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HEARING disorders , *MULTIPLE sclerosis , *VESTIBULO-ocular reflex , *SYNDROMES , *NEURITIS , *VESTIBULAR apparatus diseases , *WOMEN patients - Abstract
Acute vestibular syndrome is most often caused by vestibular neuritis or stroke, although demyelinating diseases may be responsible for 4% of all AVS episodes. The authors present the case of a previously healthy 17-year-old female patient complaining of spontaneous vertigo and right-sided hearing loss. Otoneurological examination suggested a peripheral vestibular cause and video head impulse test revealed a reduced vestibulo-ocular reflex gain. The presence of sensorineural hearing loss raised the suspicion of a central cause and prompted imaging evaluation. A brain MRI evidenced demyelinating lesions in the right middle cerebellar peduncle and the patient was ultimately diagnosed with Multiple Sclerosis. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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