Journal
SEMINARS IN NEUROLOGY
Volume 33, Issue 3, Pages 195-203Publisher
THIEME MEDICAL PUBL INC
DOI: 10.1055/s-0033-1354597
Keywords
vestibulopathy; ototoxicity; ataxia; oscillopsia
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Bilateral vestibular loss is a rare cause of visual disturbance (oscillopsia) and imbalance. When severe, the most common cause is iatrogenic-gentamicin ototoxicity. Bilateral loss is easily diagnosed at the bedside with the dynamic illegible E test. If this test is omitted, it can easily be misdiagnosed as a cerebellar syndrome. Treatment is largely supportive. Care should be taken to avoid medications that suppress vestibular function, and to encourage activity.
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