Oscillopsia and Bilateral Vestibular Loss with Gentamicin Ototoxicity

Update Item Information
Identifier Bilateral_vestibular_loss_and_oscillopsia
Title Oscillopsia and Bilateral Vestibular Loss with Gentamicin Ototoxicity
Creator Daniel R. Gold, DO
Affiliation (DRG) Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, Emergency Medicine, and Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland
Subject Abnormal VOR; Abnormal HIT
Description Patients with bilateral vestibular loss commonly experience oscillopsia with head movements, or an inability to stabilize retinal images with subsequent bouncing or jumping of the environment due to loss of vestibular function. This causes significant blurring of vision and disorientation, dizziness and imbalance, most noticeable while ambulating or while driving on a bumpy road. Such symptoms were experienced by the patient in the second portion of the video who was treated with gentamicin, and had bilateral loss of her vestibular function as a result of ototoxicity, which with aminoglycosides, commonly spares auditory function. This patient had no hearing loss. The head impulse test was positive (i.e., there were catch-up saccades following a rapid head movement to either direction) to the right and left in this patient, due to impairment of the vestibulo-ocular reflex hypofunction bilaterally.
Date 2017
Language eng
Format video/mp4
Type Image/MovingImage
Collection Neuro-Ophthalmology Virtual Education Library: Dan Gold Neuro-Ophthalmology Collection: https://novel.utah.edu/Gold/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management Copyright 2016. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6nc9q26
Setname ehsl_novel_gold
ID 1213435
Reference URL https://collections.lib.utah.edu/ark:/87278/s6nc9q26