Early vestibular evoked potentials were recorded with an extratympanic electrode. The recording principle was adding responses phase locked to a recording frequency. The recording frequency was empirically determined to match harmonically an individual response frequency and thus allowing averaging. This new technique was evaluated in benign paroxysmal positioning vertigo. Normal data were obtained from 12 [...]
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The authors illustrates a new rehabilitation technique worked out to treat equilibrium disorders. This technique, named ESAC (Elasticizzazione, Scollamento, Allenamento, Calore = Elasticization-Detachment-Training-Heat), is based on the recovery of soft tissue elasticity through repeated active movement, detachment and exogenous heat. In this paper the author reports the results attained in the course of the years [...]
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 [...]
Una nuova proposta riabilitativa per i disordini dell’equilibrio di origine cervicale:tecnica e.s.a.c.
L’autore espone una nuova tecnica riabilitativa elaborata e proposta per i disordini dell’equilibrio. Tale tecnica denominata E.S.A,C (.elasticizzazione,scollamento,allenamento,calore), si basa sul ripristino dell’ elasticità dei tessuti molli del distretto cervico_brachiale e torace ,attraverso il movimento attivo ripetuto, lo scollamento, e l’uso di calore esogeno. In questo lavoro vengono presentati i risultati ottenuti nel corso degli [...]
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 [...]
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. [...]
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 [...]
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 [...]
Fixed combination of cinnarizine and dimenhydrinate versus betahistine dimesylate in the treatment of ménière’s disease: a rando
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, [...]
Intratympanic dexamethasone treatment for control of subjective idiopathic tinnitus: our clinical experience
In this report, we summarize our clinical experience with intratympanic dexamethasone treatment (IDT) for control of tinnitus.