Electronystagmography in a patient with recent disequilibrium and a family history of otosclerosis. (Vestibulology Clinic).A 66-year-old woman had been monitored for 4 years because of aural fullness in both ears and a mild hearing loss. She had been observed because she had a family history of a conductive hearing loss Conductive hearing loss A type of medically treatable hearing loss in which the inner ear is usually normal, but there are specific problems in the middle or outer ears that prevent sound from getting to the inner ear in a normal way. in an otosclerotic patient (her son). In addition, her father, brother, and maternal uncles had a history of hearing loss. She had recently come to the office complaining of a shaky tremor while standing; the tremor abated with support. She said this feeling would "come and go." She was aware at times that she did not "feel right" while seated. She did not experience this feeling while reclining in bed. Electronystagmography revealed no spontaneous or positional nystagmus. Alternate binaural binaural /bi·nau·ral/ (bi-naw´r'l) pertaining to both ears. bin·au·ral adj. Having or relating to both ears. binaural pertaining to both ears. bithermal testing showed that she had a reduced vestibular response (RVR RVR Regionalverband Ruhr (Ruhr area, Germany) RVR Runway Visual Range RvR Realm Versus Realm (game) RVR Renal Vascular Resistance RVR Risk vs. ) on the right and a slightly hypoactive warm response on the right. Simultaneous binaural bithermal testing elicited a type 2 response with an RVR right, thus identifying a peripheral vestibular disorder peripheral vestibular disorder Neurology A hallucination of movement, either subjective or objective History Duration of an attack–eg, hrs v. days, frequency daily v. . From Neurotologic Associates, P.C., New York City New York City: see New York, city. New York City City (pop., 2000: 8,008,278), southeastern New York, at the mouth of the Hudson River. The largest city in the U.S. . |
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