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Audiology Research
Volume 8
Issue 1
10.4081/audiores.2018.206
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Audiology Research is published by MDPI from Volume 10 Issue 2 (2020). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Vestibular Paroxysmia in Vestibular Neuritis: A Case Report

by
Michele Ori
*,
Valeria Gambacorta
,
Giampietro Ricci
and
Mario Faralli
Department of Surgery and Biomedical Sciences, Section of Otorhinolaryngology, University of Perugia, Italy
*
Author to whom correspondence should be addressed.
Audiol. Res. 2018, 8(1), 206; https://doi.org/10.4081/audiores.2018.206
Submission received: 8 February 2018 / Revised: 8 February 2018 / Accepted: 31 March 2018 / Published: 11 May 2018

Abstract

The term vestibular paroxysmia (VP) was introduced for the first time by Brandt and Dieterich in 1994. In 2016, the Barany Society formulated the International Classification of VP, focusing in particular on the number and duration of attacks, on the differential diagnosis and on the therapy. Ephaptic discharges in the proximal part of the eighth cranial nerve, which is covered by oligodendrocytes, are assumed to be the neural basis of VP. We report the first case in literature of an onset of symptoms and signs typical of VP in a young man following acute unilateral vestibular loss not combined with auditory symptoms. Indeed, the pathogenic mechanism affected only the vestibular nerve as confirmed by the presence of a stereotyped nystagmus pattern. The magnetic resonance imaging didn’t reveal any specific cause therefore we suggest the possible role of a neuritis triggering an ephaptic discharge as the neural mechanism of VP.
Keywords: Vestibular paroxysmia; vestibular neuritis; ephaptic discharge; young age Vestibular paroxysmia; vestibular neuritis; ephaptic discharge; young age

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MDPI and ACS Style

Ori, M.; Gambacorta, V.; Ricci, G.; Faralli, M. Vestibular Paroxysmia in Vestibular Neuritis: A Case Report. Audiol. Res. 2018, 8, 206. https://doi.org/10.4081/audiores.2018.206

AMA Style

Ori M, Gambacorta V, Ricci G, Faralli M. Vestibular Paroxysmia in Vestibular Neuritis: A Case Report. Audiology Research. 2018; 8(1):206. https://doi.org/10.4081/audiores.2018.206

Chicago/Turabian Style

Ori, Michele, Valeria Gambacorta, Giampietro Ricci, and Mario Faralli. 2018. "Vestibular Paroxysmia in Vestibular Neuritis: A Case Report" Audiology Research 8, no. 1: 206. https://doi.org/10.4081/audiores.2018.206

APA Style

Ori, M., Gambacorta, V., Ricci, G., & Faralli, M. (2018). Vestibular Paroxysmia in Vestibular Neuritis: A Case Report. Audiology Research, 8(1), 206. https://doi.org/10.4081/audiores.2018.206

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