Vestibular

Question 1

Acute vestibular loss

Answer 1

• At rest: Nystagmus, vertigo, oscillopsia

- With movement: Nystagmus, vertigo, oscillopsia

Question 2

Unilateral vestibular hypofunction

Answer 2

• At rest: No nystagmus, no vertigo

- With movement: Dizziness, decreased VOR, disequilibrium

Question 3

BPPV

Answer 3

• At rest: None

- With position change: Vertigo, nausea/vomiting, lightheadedness, nystagmus

Question 4

Bilateral vestibular hypofunction

Answer 4

• At rest: Disequilibrium

- With movement: Disequilibrium, dizziness, oscillopsia, nausea/vomiting

Question 5

Meniere’s Disease

Answer 5

Sudden dizziness, sometimes vomiting

Hearing loss

Question 6

Vestibular Neuritis

Answer 6

Sudden onset; acute dizziness; symptoms = vertigo, disequilibrium, nausea/vomiting, oscillopsia

Question 7

Labyrinthitis

Answer 7

Sudden onset; acute dizziness; symptoms = vertigo, disequilibrium, nausea/vomiting, oscillopsia; also hearing loss & tinnitus

Question 8

Perilymph fistula

Answer 8

Conductive hyperacusis, imbalance with noise, physical effort that increases intracranial pressure (coughing); vertigo

Question 9

Superior canal dehisence

Answer 9

• Veritgo, hearing loss, oscilopsia
• Imbalance with noise or physical effort that increases intracranial pressure (cough); tullio phenomenon (eye movements with loud noises); Hennebert sign (eye movements induced by pressure in external auditory canal); sudden or progressive hearing loss