Which physical findings are characteristic of vestibular neuronitis?

Updated: Jul 16, 2018
  • Author: Keith A Marill, MD; Chief Editor: Gil Z Shlamovitz, MD, FACEP  more...
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Answer

Spontaneous, unidirectional, horizontal nystagmus is the most important physical finding. [5, 6] Fast phase oscillations beat toward the healthy ear. Nystagmus may be positional and apparent only when gazing toward the healthy ear, or during Hallpike maneuvers. Patients may suppress their nystagmus by visual fixation.

Patient tends to fall toward his or her affected side when attempting ambulation or during Romberg tests.

Affected side has either unilaterally impaired or no response to caloric stimulation.


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