Superior Oblique Myokymia

This is an interesting case of a 48yr woman with a 2year complaint of missing lines when reading and blurring when focusing on something or someone. She has frequent fluttering of the right eye lasting less than a minute and feeling like right eye is crossing over left one. The only thing I found in […]

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Posterior Canal Dehiscence

posterior canal dehiscence

Man 49yr with tinnitus and hearing loss at right ear lasting for 5-6years. Two times per year he has episodes of positional vertigo usually lasting about 7 days (last time a month ago). He doesn’t have vertigo on sounds. tympanograms type A But cVEMP shows good vestibulo-cervical reflex at both sides. Because of present cVEMP, […]

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Wallenberg or lateral medullary syndrome

Lateral medullary syndrome

74yr woman with acute vestibular syndrome 10days old, but with still pronounced instability. She has diabetes and hypertension. On first day she was hypertensive 200mmHg and with described 3rd grade of Ny to the right. Because CT was ok she was dismissed. On a second day again at emergency unit there was not described Ny […]

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Acute Isolated Utricular Lesion

oVEMP utriculus

Woman 66yr with symptoms of acute vestibular syndrome comes three weeks later to our office with complaints of slight instability, oscillopsia and vertigo with abrupt head movements. No spont Ny, head-impulse neg. positional tests neg. VHIT, calotic test and cVEMP didn’t show any pathological finding BUT oVEMP showed left utricular deficit. SVV also confirmed it: […]

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Summer school of Audiology

mbmeniere

Zajvaljujući prof. Komazecu koji je omogućio ovu izuzetnu edukaciju dodajem moj skromni doprinos na temu oboljenja unutrašnjeg uva po nazivu francuskog naučnika Menierova bolest from Dusan Pavlovic + zanimljiv link o striji vaskularis Ukoliko imate bilo kakva pitanja, možete me kontaktirati mailom: dusan@bbf.rs ili na facebook: dr.dusan.pavlovic Program i najavu sledeće konferencije iz oblasti novina […]

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First SHIMP in Serbia

In head impulse test, patient is looking at earth fixed target while passive and unpredictable movement quickly turns his head. In subjects with preserved VOR function the vision stays at target regarding eye movement at same velocity but opposite direction. While in patients with deficient VOR function eyes don’t move, or eyes velocity lag head […]

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Betahistine in treating Meniere’s disease patients

What is the long term efficacy of betahistine dihydrochloride on the incidence of vertigo attacks in patients with Meniere’s disease, compared with placebo? METHODS: The BEMED trial is a multicentre, double blind, randomised, placebo controlled, three arm, parallel group, phase III, dose defining superiority trial conducted in 14 German tertiary referral centres Results of this […]

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INO – Internuclear ophtalmoplegia

INO MLF

Internuclear ophtalmoplegia (INO) results from the damage of the MLF (medial longitudinal fasciculus). The eye on the lesional side can’t adduct during horizontal eye movements. That results in dubble vision when looking contralesionaly. But contruary to III nerve paresis, the eye can adduct during convergence eye movement. The most frequent cause of INO are stroke […]

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