Journal of Neurology (2018) 265:1711–1713 https://doi.org/10.1007/s00415-018-8920-x LE T TER TO THE EDITORS 1 2 1 SeoY ‑ oung Choi · Jae‑Hwan Choi · Kwang‑Dong Choi Received: 23 May 2018 / Accepted: 25 May 2018 / Published online: 31 May 2018 © Springer-Verlag GmbH Germany, part of Springer Nature 2018 Dear Sirs, nystagmus were 2 and 4°/s, respectively, while those of the paroxysmal right-beating nystagmus were 3 and 7°/s Vestibular paroxysmia is a rare vestibular disorder charac- (Fig. 1b). Hyperventilation did not affect the pattern of spon- terized by brief attacks of spinning or non-spinning vertigo taneous and paroxysmal nystagmus. Video head impulse which lasts from a second up to a few minutes, and occurs tests (HITs) showed decreased vestibulo-ocular reflex gain with or without ear symptoms [1, 4, 6]. A neurovascular with covert saccades in right horizontal semicircular canal cross-compression of the eighth cranial nerve is assumed to (Fig. 1c), and bithermal caloric tests revealed a right canal be the cause of short episodes of vertigo in vestibular parox- paresis of 59% (Jongkees equation) (Fig. 1d). Cervical and ysmia that was recently documented in a patient who under- ocular vestibular-evoked myogenic potentials (VEMPs) were went a successful operation [1, 2, 4, 6, 7]. The
Journal of Neurology – Springer Journals
Published: May 31, 2018
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