Nystagmus in patients with unilateral acute otitis media complicated by serous labyrinthitis

Acta Oto-laryngologica
Chang-Hee KimJung Eun Shin

Abstract

Conclusion The patients with serous labyrinthitis caused by acute otitis media (AOM) exhibited various patterns of nystagmus in which direction-fixed irritative-type nystagmus was the most common pattern. Differential effects on inner ear function by toxic or inflammatory mediators may be responsible for the various manifestation of nystagmus. Objective This study aimed to investigate nystagmus patterns in patients with serous labyrinthitis, and discuss possible mechanisms. Methods From October 2011 to March 2014, 13 consecutive patients with serous labyrinthitis were included. Eye movements of the patients were serially examined using video-nystagmography, and patterns of nystagmus were investigated. Results The most commonly observed pattern was direction-fixed nystagmus (nine of 13 patients). Of these, eight showed irritative-type, and one showed paretic-type. Direction of nystagmus, although the intensity gradually decreased, was not changed during the course of treatment. One patient showed direction-changing spontaneous nystagmus, which changed into paretic-type direction-fixed nystagmus 1 day after myringotomy. Three patients exhibited persistent direction-changing positional nystagmus in a supine head-roll test. Of them...Continue Reading

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Citations

Nov 25, 2016·The Annals of Otology, Rhinology, and Laryngology·Serdar KayaSebahattin Cureoglu
Apr 28, 2018·Annals of Medicine·Rafael da Costa MonsantoNorma de Oliveira Penido
Oct 25, 2017·Journal of Audiology & Otology·Min-Beom KimChang-Hee Kim
Sep 27, 2018·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Hye Rang ChoiChang-Hee Kim
Nov 18, 2018·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Emma HoskisonGabor Michael Halmagyi
Mar 15, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Jin Woo ChoiChang-Hee Kim
Oct 22, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·HyunJoo NahmChang-Hee Kim
Jan 18, 2018·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Chang-Hee KimJung Eun Shin
Aug 15, 2019·Journal of Neurology·Chang-Hee Kim, Kwang-Dong Choi
Jul 19, 2020·Current Medical Science·Su-Lin ZhangWei-Jia Kong
Jun 28, 2020·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Jiyeon LeeChang-Hee Kim
Dec 21, 2020·International Journal of Pediatric Otorhinolaryngology·Ela CömertNuray Bayar Muluk
Feb 11, 2021·Audiology Research·Haemin NohChang-Hee Kim

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