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Clinical Neuroradiology
Published in: Clinical Neuroradiology 1/2019

01-03-2019 | Correspondence

Bilateral Inferior Vestibular Nerve Lesion a Late Neurotoxic Effect of Liposoluble Myelographic Contrast Agent

Case Report with Imaging and Electrophysiological Confirmation

Authors: Rita Fernandes Sousa, João Levy, Jorge Campos, Leonel Luis

Published in: Clinical Neuroradiology | Issue 1/2019

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Excerpt

An 83-year-old man presented with a history of progressive imbalance and positional paroxysmal vertigo over the past 3 months. He reported no cochlear symptoms, headache or history of trauma, and no prior complaints of visual or postural symptoms. The otoneurological examination revealed no spontaneous, gaze-evoked, or positional nystagmus. The clinical head-impulse test (HIT) was pathologic when testing the posterior canals. A 3D video HIT (Fig. 1) confirmed a low gain of the vestibulo-ocular reflex (VOR) in the posterior canals. The neurological examination was otherwise unremarkable. …
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Zuma e Maia F, Luis L. Inferior peduncle lesion presenting with bilaterally impaired vestibular responses to horizontal and posterior head impulses. Laryngoscope. 2015;125:2386–7.CrossRefPubMed
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Metadata
Title
Bilateral Inferior Vestibular Nerve Lesion a Late Neurotoxic Effect of Liposoluble Myelographic Contrast Agent
Case Report with Imaging and Electrophysiological Confirmation
Authors
Rita Fernandes Sousa
João Levy
Jorge Campos
Leonel Luis
Publication date
01-03-2019
Publisher
Springer Berlin Heidelberg
Published in
Clinical Neuroradiology / Issue 1/2019
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-018-0688-y

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