Patients with episodic vertigo—or one severe episode of vertigo—may respond to vestibulosuppressive medications or operations on the labyrinth. In patients with constant incapacitating vertigo or disequilibrium, the clinician should suspect nonlabyrin-thine disease. A careful history and physical and neurologic examinations will provide clues to underlying disease and direct the selection of further objective tests.
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References
1.
. BalohRWHonrubiaV.Differential diagnosis of vestibular system disease. In: Clinical neurophysiology of the vestibular system. Philadelphia: F. A. Davis Company, 1979: 169–224.
2.
. LeighRJZeeDS.The vestibular-optokinetic system. In: The neurology of eye movements. Philadelphia: F. A. Davis Company, 1983: 11–38.
3.
. ThompsonGCIgarashiM.CortezAM.GABA imbalance in squirrel monkeys after unilateral vestibular end-organ ablation. Brain Res1986;372:72.
. IgarashiM.LevyJKO UchiT.ReschkeMF.Further study of physical exercise and locomotor balance compensation after unilateral labyrinthectomy in squirrel monkeys. Acta Otolaryngol1981;92:101–5.
6.
. IgarashiM.IshikawaK.Post-labyrinthectomy balance compensation with preplacement of cerebellar vermis lesion. Acta Otolaryngol1985;99:452–8.
7.
. PetersonBWGoldbergJ.BilottoG.FullerJH.Cervicocollic reflex: its dynamic properties and interaction with vestibular reflexes. J Neurophysiol1985;54:90–109.
