Equilibrium

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 […]

Vertigo in children is rarer than in adults and the examiner in cases showing these symptoms must rely on the parents’ or relatives’ observations and details. Besides the equilibrium disorders caused by hereditary malabsorptions or lesions in the peripheral and central vestibular structures, we know of typical diseases, associated with vertigo and hearing problems, that […]

This study reports 21 patients who suffered from vertigo and underwent a complete otorhinolaryngological evaluation and otoneurological tests to establish a peripheral labyrinthine disorder.

Tinnitus as a symptom remains a serious multidisciplinary problem. Vertigo or dizziness is not noticed frequently in tinnitus patients, so vestibular function is not often studied.

It is known that equilibrium disorders caused by involvement of brainstem-cerebellar structures are common in patients with Multiple Sclerosis (MS), but peripheral conditions such as Benign Paroxysmal Positional Vertigo (BPPV), can be sometimes confused with those of central origin. Therefore, an accurate otoneurologic investigation paying attention to differential diagnosis aspects should be performed in these […]

In a randomized, double-blind clinical study, we evaluated the efficacy and tolerability of the fixed combination of cinnarizine, 20 mg, and dimenhydrinate, 40 mg (Arlevert [ARL]) in comparison to betahistine dimesylate (12 mg) in 82 patients suffering from Ménière’s disease for at least 3 months and showing the characteristic triad of symptoms (paroxysmal vertigo attacks, […]

Several prognostic indicators of favorable outcome in idiopathic sudden sensorineural hearing loss (ISSHL) have been proposed: an initial profound hearing loss, a down-sloping audiometric curve, advanced age, and the presence of vertigo. The latter has been disputed in the literature. The present study addressed the correlation between vertigo and outcome of ISSHL. Sixty-seven patients with […]

Transtympanic gentamicin administration has become a popular modality in the treatment of Ménière’s disease. This modality and other inner-ear medical therapy are gaining increased clinical and scientific attention.

The aim of this study was to highlight the clinical characteristics of tinnitus and to attempt a quantitative assessment in relation to any underlying etiologies. We undertook to study a population of 123 patients attending a tinnitus clinic between 1998 and 2000.

We carried out a retrospective survey of 25 years of clinical experience with the use of clonazepam as a vestibular and tinnitus suppressant in the pharmacological treatment of vestibular or cochleovestibular disorders due to different causes.