Vestibulopathy Type of lesion Hearing loss? Symptoms Notes Vertigo?

Treatment
(slow twitch
towards
hypoactive
side)
Ischemic Hypoactive Yes Acute loss of Due to the Yes Angioplasty
Stroke hearing on one blood supply with stent
side of inner ear placement
Spontaneous (labyrinthine
Nystagmus artery).
Hearing loss in
affected ear
TIA No High pitched Brief episodes
ringing, of symptoms
dizziness,
dysequilibrium
BPPV Hyperactive No Vertigo Otoconia Yes Epley
triggered by detach from Maneuver
sudden wall of utricle, Head is
movements creating initially turned
and turning to currents of towards
affected side endolymph affected side
in bed (usually
posterior SCC)
Recent dental
work
Diagnosed
with dix
hallpike
maneuver
Peri-lymphatic Hyperactive No Acute onset of Fistula allows Yes Time, surgery
fistula vertigo when leaking of
pressure endolymp fluid
changes. that affects
vestibular
system
Vestibulopath Type of lesion Hearing loss? Symptoms Notes Vertigo? Treatment
y
Meniere’s hyperactive Overtime: Tinnitus, Abnormal Yes Monitor for
disease yes fullness and accumulation of Tumarkin’s hearing loss,
Experience pressure in endolympatic fluid otolithic low salt
pike’s peak right ear Pressure in the crisis: “being intake,
audiogram: Abrubt affected ear. thrown to diuretics,
high and low episodes of Triggered by pressure floor” surgery
frequency vertigo, changes and high
loss nausea and salt intake
vomiting
Vestibular Hypoactive No Vertigo with Inflammation of Yes Steroids,
Neuritis nausea and nerve Time
vomiting Associated with
recent illness
Labyinthitis Hypoactive Yes Vertigo with Inflammation of Yes Steroids,
nausea and nerve. Associated Time
vomiting with recent illness
Aminoglycosid None No Balance Hospitalized for No
e Induced problems peritonitis
Autotoxicity Unable to Damaged hair cells
read signs so no vertigo b/c
while driving both vestibular
or walking systems are equally
damaged
No nystagmus
Cerebello- Lesion on the Yes (lesion on Episodes of Lesion on side of Yes
pontine angle side of right side) severe hearing loss
tumor hearing loss vertigo and Nystagmus induced
spatial with hyperventilation
 disorientation reduces CO2
occurring for alters lymp
months production
vestibular system
cannot compensate
Tornado None Vertigo Yes
Epilepsy preceded by (associated
inability to with
calculate perception of
Extreme env. Tilt)
fatigue
Migrane No Vertigo Negative dix-hallpike yes
followed by test b/c there is no
pulsating latency and the
headache downbeat is not
Vomiting fatigable
Frequent
around
menses
Photophobia