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J Korean Bal Soc > Volume 3(1); 2004 > Article
Journal of the Korean Balance Society 2004;3(1): 187-191.
이성대상포진과 동시에 발생된 전정신경염
, , , , 한규철1, 이주형1, 우주현1, 유정국1, 임선화2
가천의과대학교 이비인후-두경부외과학교실1, 분자생물학교실2
Vestibuloneuritis Developed Concurrently in Ipsilateral Site with Herpes-Zoster Oticus Syndrome
Gyu Cheol Han, Ju Hyoung Lee, Joo Hyun Woo, Jung Kook Yoo, Sun Hwa Lim
1Department of Otolaryngology-Head & Neck Surgery, Gil Medical Center, Gachon Medical School, Incheon, Korea.
2Department of Molecular biology, Gil Medical Center, Gachon Medical School, Incheon, Korea.
ABSTRACT
Background : Acute vestibular neuronitis is the disease of which the etiology and pathophysiology are largely unknown . But the viral infection and ischemia of the labyrinth and the vestibular nerve are considered as general etiology. This study was performed to support the viral infection rather than the ischemic theory. Materials & Methods : We studied seventy years old female patient who showed painful vesicles on left auricle and vertigo with spontaneous nystagmus to the right side. We performed physical examination, serologic test, ENG test, pure tone audiogram, brain magnetic resonance imaging and polymerase chain reaction. Results : We found small vesicles and vascular injection in left EAC, herpes zoster IgG positive, spontaneous right beating in electronystagmograpy, 54% left canal paresis in Caloric test , decreasing left side Tc in velocity step rotatory test, decresed gain, deviation to left in symmetry and phase lead in sinusoidal harmonic acceleration test, normal range hearing in pure tone audiogram, microangiopathy on cortex in brain MRI and negative PCR. Conclusion : This case supports viral infection etiology rather than ischemia in vestibular neuritis. But more studies to find the etiology of vestibular neuronitis are required. Key Words : Herpes zoster oticus, Vestibular neuronitis.
Keywords: Herpes zoster oticus; Vestibular neuronitis
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