title: Recent onset disequilibrium mimicking acute vestibulopathy in early multiple sclerosis.
abstract: The differential diagnosis of patients with acute unilateral vestibulopathy rests in the proper clinical assessment and use of selected tests of vestibular function. In case of a central nervous system lesion as in Multiple Sclerosis, the case shown here, it is of particular importance to observe congruency between severity of symptoms and signs and, of topographic diagnosis. We report a case of a 37-year-old woman with recent onset disequilibrium that after careful analysis of the different test results several incongruences were found; this prompted a radiological study that provided the clue to diagnosis. After treatment the patient recovered completely not only clinically but also in vestibular deficit.
authors.affiliation: Department of Otorhinolaryngology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain.
authors.forename: Luz
authors.initials: L
authors.lastname: Barona-Lleo
authors.affiliation: Department of Otorhinolaryngology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: Zulueta-Santos
authors.affiliation: Department of Neurology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Murie-Fernandez
authors.affiliation: Department of Otorhinolaryngology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain. Electronic address: nperezfer@unav.es.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Pérez-Fernández
mesh_terms: D000208:Acute Disease; D000328:Adult; D002524:Cerebellar Ataxia / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008607:Intellectual Disability / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D009103:Multiple Sclerosis / Q000150:complications* / Q000175:diagnosis; D015837:Vestibular Diseases / Q000175:diagnosis* / Q000209:etiology; D058585:Vestibular Evoked Myogenic Potentials; D014724:Vestibular Function Tests; D014722:Vestibule, Labyrinth / Q000473:pathology / Q000503:physiopathology