Case Report

Vol. 16 No. 1 (2020): The Journal of International Advanced Otology
DOI: https://doi.org/10.5152/iao.2019.6283

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Published: Apr 1, 2020
Keywords:
Horizontal nystagmus, hydrops, utricle

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Fatemeh Hassannia
Department of Otolaryngology, Head and Neck Surgery, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Canada
Simon D. Carr
Department of Otolaryngology, Head and Neck Surgery, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Canada
John A. Rutka
Department of Otolaryngology, Head and Neck Surgery, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Canada

Transient Vertigo with Horizontal Nystagmus to Loud Noise and Pressure: Utricular Hydrops or Vestibular Atelectasis?

Main Article Content

Fatemeh Hassannia
Department of Otolaryngology, Head and Neck Surgery, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Canada
Simon D. Carr
Department of Otolaryngology, Head and Neck Surgery, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Canada
John A. Rutka
Department of Otolaryngology, Head and Neck Surgery, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Canada

Abstract

We present an unusual case of a patient with a positive Tullio phenomenon, brief Valsalva-induced transient horizontal nystagmus, reduced left caloric response, and bilateral vestibulo-ocular reflex loss. This study discusses the pathophysiology and differential diagnosis concerning the suspected pathology for the phenomenon of utricular hydrops or vestibular atelectasis and presents a literature review.



Cite this article as: Hassannia F, Carr SD, Rutka JA. Transient Vertigo with Horizontal Nystagmus to Loud Noise and Pressure: Utricular Hydrops or Vestibular Atelectasis? J Int Adv Otol 2020; 16(1): 127-9.


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