Unexpected positional findings in a patient with an inner ear disorder.A 55-year-old man came to the office with an 18-month history of episodic vertigo and aural fullness in the right ear. He reported no hearing loss or tinnitus Tinnitus Definition Tinnitus is hearing ringing, buzzing, or other sounds without an external cause. Patients may experience tinnitus in one or both ears or in the head. . Electronystagmography revealed a 69% reduced vestibular response in the right and a 19% directional preponderance to the right. A right-beating direction-fixed positional nystagmus, as was seen in this case, is not expected when a right ear is suspected as the source of dizziness. The increase in nystagmus Nystagmus Definition Rhythmic, oscillating motions of the eyes are called nystagmus. The to-and-fro motion is generally involuntary. Vertical nystagmus occurs much less frequently than horizontal nystagmus and is often, but not necessarily, a sign of while the patient was lying on his left side and when he turned his neck to the left was also unexpected. The results of the simultaneous 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 caloric test agreed with those of the alternate binaural bithermal in revealing a right inner ear disorder. 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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