Neurology

An uncommon cause of otalgia is geniculate neuralgia. In its most typical form it is characterized by severe paroxysmal neuralgic pain centered directly in the ear. The pain may be of a gradual onset and of a dull, persistent nature, with occasional sharp, stabbing pain. When the pain becomes intractable, an operation to surgically excise […]

The chemical element zinc has been in the last decades strongly studied. It is well known that it is present in some different structures of the Central Nervous System, acting as a co-factor of excitatory glutamatergic synapsis. Its function is not yet fully understood, but it seems to modulate the sensibility of glutamatergic post-sinaptic receptors […]

Purpose: To report the incident of psychological symptoms associated to neurootological symptoms. Method: It had been computed, in absolute and relative data, the complaints, age, gender, neurootological examination results, psychological symptoms and nourish habits in 1041 anamneses of patients from Neurootological and Neurootopsychological Clinic of Universidade Federal de São Paulo – Escola Paulista de Medicina, […]

Patients with definite multiple sclerosis frequently suffer from vestibular disorders due to a vestibulo-oculomotor and vestibulospinal systems involvement. The vestibulospinal reflexes in these subjects can be well investigated through the vestibular evoked myogenic potentials recording. These potentials, evoked by the acoustic stimulation of the saccular macula and mediated by vestibulocollic reflex pathway, are recorded using […]

Whiplash accidents may cause disturbances to the neck and/or CNS, primarily the brainstem. Neurootological findings are frequent. Posture is disturbed when the neck is held in a provocative position. Tjell et al have reported very high frequency of disturbances in the ocular pursuit tested with the neck turned. We tested 34 whiplash patients and 20 […]

The aim of this study was to elaborate an algorithm of the detection of brainstem lesion according BAEP changes. The following questions were raised for this purpose: 1) which interpretation strategy of BAEP changes selects the most patients with brainstem lesions? 2) which BAEP abnormalities differentiate between mass lesions of posterior fossa and demyelinating encephalomyelitis? […]

Cochlear implantation has been performed for 16 years by investigators at Semmelweis University. During this period, different types of cochlear implants have been used and, in 30% of cases, hearing was observed to be restored in the nonimplanted ear.

33 patients (9 male and 24 female) aged 28-59 (average 43,2) with multiple sclerosis were tested on the base of electro/videonystagmography. The duration of the disease was from half a year to 26 years. The aim of this study was to estimate the frequency of the central and peripheral vestibular disturbances in multiple sclerosis due […]

Tinnitus can be functionally measured and localized through sensorimotor and neurosensory tests. According to our Neurofisiología Otooftalmológica data bank, 60% of patients requiring a consultation have a history of cardiocirculatory disorders. This figure has moved us to study cerebrovascular processes in those patients seeking consultation for a tinnitus symptom only. The sudden appearance of the […]

Pulsatile tinnitus usually means a turbulent flow within the vessels. We describe a 54-year-old man with a disabling objective pulsatile tinnitus due to a diverticulum of the sigmoid sinus toward the ipsilateral mastoid. We performed a surgical intervention via the endovascular route using coils to obliterate the diverticulum and a stent to avoid coil migration. […]