ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2020
Constant severe imbalance following traumatic otoconial loss: a new explanation of residual dizziness.
Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 7 citations in OpenAlex.
- Focused Update on Clinical Testing of Otolith Organs.Audiology research · 2024Review
- Recovery of Regular Daily Physical Activities Prevents Residual Dizziness after Canalith Repositioning Procedures.International journal of environmental research and public health · 2022Observational
- The prevalence of isolated otolith dysfunction in a local tertiary hospital.Journal of otology · 2022Article
- Elevated red cell distribution width predicts residual dizziness in patients with benign paroxysmal positional vertigo.Frontiers in neurology · 2022Article
- Patterns of vestibular dysfunction in chronic traumatic brain injury.Frontiers in neurology · 2022Article
- Post-concussive Dizziness: A Review and Clinical Approach to the Patient.Frontiers in neurology · 2021Review
Corrections and comments
- Erratum issued
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Benign paroxysmal positional vertigo (BPPV) is the most common type of vertigo, caused by otoconia falling from the utricle into a semicircular canal (SCC). After successful repositioning maneuvers residual dizziness (RD) has been described and several reasons are used to explain RD. It can last for only a few days or weeks, but also much longer. We present a patient with a severe traumatic loss of otoconia from both maculae utriculi and a persistent imbalance more than 9 years. We think that the loss of otoconia from the utricular and probably also saccular macula induced a sudden reduction of her ability to sense gravity thus logically explaining her symptoms. We show the vestibular test results also supporting our hypothesis and we extrapolate this support to other forms of so far unexplained dizziness especially increasing imbalance with aging. We also discuss the normal c- and oVEMP indicating intact haircell function and supporting our hypothesis of isolated otoconial loss as the major cause for imbalance.
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