Res Vestib Sci.  2019 Dec;18(4):128-132. 10.21790/rvs.2019.18.4.128.

A Case of Patient with Acute Peripheral Vestibulopathy Involving Isolated Posterior Semicircular Canal

Affiliations
  • 1Department of Otorhinolaryngology, Myongji Hospital, Hanyang University College of Medicine, Goyang, Korea. lovend77@gmail.com

Abstract

Down-beat nystagmus in peripheral vestibulopathy may rarely occur in selective involvement of inferior division. Diagnosis of isolated inferior vestibular neuritis is based on torsional down-beating spontaneous nystagmus, abnormal head-impulse test for the posterior semicircular canal, and abnormal cervical vestibular evoked myogenic potentials (cVEMPs) with normal bithermal caloric tests and ocular vestibular evoked myogenic potentials (oVEMPs). Herein we report a 50-year-old male patient with spontaneous down-beat nystagmus who demonstrated vestibular dysfunction involving only the posterior semicircular canal. The patient showed normal results in the bithermal caloric test, the oVEMPs and cVEMPs test. Video head impulse test showed decreased gain and corrective saccades only in the posterior semicircular canal. This case is significant in showing that peripheral dizziness with spontaneous down-beating nystagmus can occur as a result of an abnormality involving only a single semicircular canal.

Keyword

Peripheral dizziness; Downbeat nystagmus; Inferior vestibular neuritis

MeSH Terms

Caloric Tests
Diagnosis
Dizziness
Head Impulse Test
Humans
Male
Middle Aged
Saccades
Semicircular Canals*
Vestibular Evoked Myogenic Potentials
Vestibular Neuronitis*
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