Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-23T12:29:39.280Z Has data issue: false hasContentIssue false
  • English
  • Français

An unusual complication of cochlear implant: benign paroxysmal positional vertigo

Published online by Cambridge University Press:  29 June 2007

Stefano Di Girolamo ,
Anna Rita Fetoni ,
Walter Di Nardo  and
Gaetano Paludetti
Stefano Di Girolamo*
Affiliation:
Department of OtorhinolaryngologyCatholic University of the Sacred Heart, Rome, Italy.
Anna Rita Fetoni
Affiliation:
Department of OtorhinolaryngologyCatholic University of the Sacred Heart, Rome, Italy.
Walter Di Nardo
Affiliation:
Department of OtorhinolaryngologyCatholic University of the Sacred Heart, Rome, Italy.
Gaetano Paludetti
Affiliation:
Department of OtorhinolaryngologyCatholic University of the Sacred Heart, Rome, Italy.
*
Address for correspondence: Stefano Di Girolamo M.D., Institute of Otorhinolaryngology, Catholic University of the Sacred Heart, Largo Agostino Gemelli, 8, 100168 Rome, Italy. Fax: +39-06-3051194, +39-06-3051343 e-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Three days after the initial fitting of the cochlear device a 40-year-old woman complained of severe rotational vertigo following head movements associated with neurovegetative symptoms. Otoneurological evaluation revealed a horizontal paroxysmal positional nystagmus beating towards the lowermost ear, induced by rolling the patient's head from supine both to the right or to the left lateral position suggesting the diagnosis of benign paroxysmal positional vertigo of the left horizontal semicircular canal. The nystagmus characteristics were the same whether the cochlear device was switched on or off. The hypothesis of an otolith dislodging due to the electrical stimulation during the initial fitting is discussed.

Keywords

Cochlear implantVertigoSemicircular canals
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 10 , October 1999 , pp. 922 - 923
Copyright
Copyright © JLO (1984) Limited 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Andaz, C., Whittet, H. B., Ludman, H. (1993) An unusual cause of benign paroxysmal positional vertigo. Journal of Laryngology and Otology 107: 1153–1154.CrossRefGoogle ScholarPubMed
Baloh, R. W., Jacobson, K., Honrubia, V. (1994) Horizontal semicircular canal variant of benign positional vertigo. Neurology 43: 2542–2549.CrossRefGoogle Scholar
Black, F. O. (1977) Present vestibular status of subjects implanted with auditory prosthesis. Annals of Otology, Rhinology and Laryngology 86 (Suppl 38): 49–56.CrossRefGoogle Scholar
Black, F. O., Lilly, D. J., Perterka, R. J., Fowler, L. P., Simmons, F. S. (1987) Vestibular-ocular and vestibular-spinal function before and after cochlear implant surgery. Annals of Otology, Rhinology and Laryngology 96 (Suppl 128): 106–109.CrossRefGoogle Scholar
Black, F. O., Simmons, F. B., Wall, C. III. (1980) Human vestibulospinal responses to direct electrical eighth nerve stimulation. Acta Otolaryngologica (Stockholm) 90: 86–92.CrossRefGoogle ScholarPubMed
Brey, R. H., Facer, G. W., Trine, M. B., Lynn, S. G., Peterson, A. M., Suman, V. J. (1995) Vestibular effects associated with implantation of a multiple channel cochlear prosthesis. American Journal of Otology 16: 424–430.Google ScholarPubMed
Clark, G. M., Shepherd, R. K., Franz, B. (1988) The histopathology of the human temporal bone and auditory canal nervous system following cochlear implantation in a patient. Acta Otolaryngologica (Stockholm) (Suppl 448): 5–65.Google Scholar
Di Girolamo, S., Paludetti, G., Briglia, G., Cosenza, A., Santarelli, R., di Nardo, W. (1998) Postural control in benign paroxysmal vertigo before and after recovery. Acta Otolaryngologica (Stockholm) 118: 289–293.Google ScholarPubMed
Dix, R., Hallpike, C. S. (1952) The pathology, symptomatology and diagnosis of certain common disorders of vestibular system. Annals of Otology 61: 987–1016.Google ScholarPubMed
Fife, T. D. (1998) Recognition and management of horizontal-canal benign positional vertigo. American Journal of Otology 19: 345–351.Google ScholarPubMed
Froehling, D. A., Silverstein, M. D., Mohr, D. N., Beatty, C. W., Offord, K. P., Ballard, D. J. (1991) Benign positional vertigo: incidence and prognosis in a population-based study in Olmsted County, Minnesota. Mayo Clinic Procedures 66: 596–601.CrossRefGoogle Scholar
Graham, S. S., Dickins, J. R. E. (1995) Postimplantation Meniere's syndrome with fluctuant electrical thresholds. Annals of Otology, Rhinology and Laryngology 104 (Suppl 166): 412–414.Google Scholar
Hoffman, R. A., Cohen, N. L. (1995) Complications of cochlear implant surgery. Annals of Otology, Rhinology and Laryngology 104 (Suppl 166): 420–422.Google Scholar
Hughes, A. C, Proctor, L. (1997) Benign paroxysmal positional vertigo. Laryngoscope 107: 607–613.CrossRefGoogle ScholarPubMed
Huygen, P. L. M., Hinderink, J. B., van den Broek, P., van den Borne, S., Brokx, J. P. L., Mens, L. H. M., Admiraal, R. J. C. (1995) The risk of vestibular function loss after intracochlear implantation. Acta Otolaryngologica (Stockholm) Suppl 520: 270–272.CrossRefGoogle ScholarPubMed
Lanska, D. J., Remler, B. (1997) Benign paroxysmal positioning vertigo: classic descriptions, origins of the provocative positioning technique, and conceptual developments. Neurology 48: 1167–1177.CrossRefGoogle ScholarPubMed
Lempert, T., Tiel, Wilck K. (1996) A positional manoeuvre for treatment of horizontal-canal benign positional vertigo. Laryngoscope 106: 476–478.CrossRefGoogle ScholarPubMed
Luetje, C., Mediayilla, S., Geier, L. (1993) Clinical correlates of sudden auditory vestibular loss in a cochlear implant patient. Ear Nose and Throat Journal 72: 452–459.CrossRefGoogle Scholar
Magnusson, M., Petersen, H., Harris, S., Johansson, R. (1995) Postural control and vestibulospinal function in patients selected for cochlear implantation. British Journal of Audiology 29: 231–236.CrossRefGoogle ScholarPubMed
Mangham, C. A. (1987) Effects of cochlear prostheses and vestibulo-ocular reflexes to rotation. Annals of Otology, Rhinology and Laryngology 96 (Suppl 128): 101–104.CrossRefGoogle Scholar
McClure, J. A. (1985) Horizontal canal BPV. Journal of Otolaryngology 14: 30–35.Google ScholarPubMed
Mizukoshi, K., Watanabe, Y., Shojaku, H., Okubo, J., Watanabe, I. (1988) Epidemiological studies on Benign Paroxysmal Positional Vertigo in Japan. Acta Otolaryngologica (Stockholm) (Suppl 447): 67–72.CrossRefGoogle ScholarPubMed
Pagnini, P., Nuti, D., Vannucchi, P. (1989) Benign paroxysmal vertigo of the Horizontal canal. ORL 51: 161–170.CrossRefGoogle ScholarPubMed
Pyman, B. C., Brown, A. M., Dowell, R. C., Clark, G. M. (1990) Preoperative evaluation and selection of adults. In Cochlear Prostheses (Clark, G. M. et al. , eds.) LondonChurchill Livingstone, pp 125–134.Google Scholar
Van den Broek, P., Huygen, P. L. M., Mens, L. H. M., Admiraal, R. J. C., Spies, T. (1993) Vestibular function in cochlear implant patients. Acta Otolaryngologica (Stockholm) 113: 263–265.CrossRefGoogle ScholarPubMed