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J Korean Bal Soc > Volume 3(2); 2004 > Article
Journal of the Korean Balance Society 2004;3(2): 372-378.
노인 연령층에서 이과적 원인에 의한 적하발작
, , , , 이 형1, 이현아1, 임정근1, 안병훈2, 박병림3
계명대학교 의과대학 신경과학교실1, 이비인후과학교실2, 원광대학교 의과대학 생리학교실3
Otologic Causes of Drop Attacks in Elderly Patients
Hyung Lee, Hyon Ah Yi, Jeong Geung Lim, Byung Hoon Ahn, Byung Rim Park
1Department of Neurology, Keimyung University School of Medicine, Korea. hlee@dsmc.or.kr
2Department of Otorhinolaryngology, Keimyung University School of Medicine, Korea.
3Department of Physiology, Wonkwang University School of Medicine, Korea.
Background and Objectives : Many neurologists are unaware of the drop attack that may occur from an inner ear dysfunction especially in elderly. We performed this study to investigate the clinical features and results of quantitative audiovestibular tests in six elderly patients (≥65 years of age) who presented with drop attacks attributable to an inner ear pathology. Materials and Method : Group was divided into Meniere's syndrome (4) or non-Meniere peripheral vestibulopathy (2). Standard dizziness questionnaire and quantitative audiovestibular function testing were performed. Results : Episodes were described as a sudden push to the ground in four or a violent illusionary movement of environment leading to a fall in two. All cases gave a history of prior vertiginous episodes and vestibular testing revealed unilateral caloric paresis. Ipsilateral hearing loss was documented in four cases. Conclusions : Our results suggest that otologic causes should be considered in the differential diagnosis of the drop attack in elderly, even if the symptoms and signs were not consistent with Meniere's syndrome.
Keywords: Otologic cause; Drop attack; Elderly patients
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