Res Vestib Sci.  2015 Mar;14(1):32-35. 10.0000/rvs.2015.14.1.32.

Tumarkin Otolithic Crisis Controlled by Endolymphatic Sac Surgery

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea.
  • 2Department of Otorhinolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. miphy87@naver.com

Abstract

Turmarkin otolithic crisis is a rare feature of Meniere's disease. It shows sudden falling to the ground with no warning sign. It is an otologic emergency because of the risk of falling, and it has traditionally been treated with labyrinthectomy or vestibular neurectomy. We experienced a 49-year-old male suffering from recurrent drop attack, and found that he had hearing loss, tinnitus or recurrent vertigo on his left ear, and could make a diagnosis him as Tumarkin otolithic crisis. We have performed the endolymphatic sac decompression, considering the hearing preservation and therapeutic opinion of patients. Two years after surgery, he showed intermittent, mild dizzy symptoms, without further drop attack. Therefore, we report our clinical experience with a brief review of literature.

Keyword

Tumarkin otolithic crisis; Endolymphatic sac

MeSH Terms

Decompression
Diagnosis
Ear
Emergencies
Endolymphatic Sac*
Hearing
Hearing Loss
Humans
Male
Meniere Disease
Middle Aged
Otolithic Membrane*
Syncope
Tinnitus
Vertigo
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