ISSN 1612-3352

Editors in Chief

Prof. Dr. Claus F. Claussen, Neurootological Research Institute of the Research Society for Smell, Taste, Hearing and Equilibrium Disorders at Bad Kissingen (4-G-F). Bad Kissingen, Germany.
Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Otoneuroophthalmological Neurophysiology,
Buenos Aires, Argentina.

Production Managers

Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Otoneuroophthalmological Neurophysiology,
Buenos Aires, Argentina.


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Vertigo and other neurootological signs in cases after apoplexia

Abstract

An apoplectic stroke means sudden neurologic impairment due to a cerebrovascular disorder, limited by some to intracranial hemorrhage, extended by others to include occlusive cerebrovascular lesions.
Cerebrovascular accidents may occur at any age, but intracerebral hemorrhage and thrombosis are rare before age 40 years. Peak incidence for cerebral thrombosis is at age 50 – 70 years, for cerebral hemorrhage, 40 – 70 years . In patients with cerebrovascular insufficiency there is a high incidence of occlusion or stenosis of extracranial arteries.
As also dizziness, vertigo, tinnitus and hearing impairment belong to the common signs after stroke, we meet these patients in our neurootological offices, too.
The present study deals with the neurootological aspects in 69 patients, 50,7% males and 49,3% females. Each person complains about 2,25 vertigo symptoms out of 6 signs. When taking a statistical list of all the 11 vertigo and nausea symptoms each person complains about 2,93 signs. 24,64% are suffering from tinnitus and 53,62% from hearing loss. The ENG-based caloric butterfly shows pathological patterns in 68,12% and the stepping CCG is pathological in 73,91%. Pure tone audiometry of bone conduction is abnormal in 33,33% on the right and in 40,58% on the left ear.

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