title: Vestibular system paresis due to emergency endovascular catheterization.
abstract: OBJECTIVE
  The objective of this story of case is to describe an uncommon cause of associated peripheral Vestibulopathy to the unilateral auditory loss in aged patient after catheterization of urgency. Story of case: Patient of the masculine sort, 82 years, submitted to the correction of abdominal ragged aneurism of aorta, in the intra-operative suffered heart attack acute from the myocardium needing primary angioplasty. High after hospital it relates to complaint of accented hearing loss to the right and crippling vertigo, without focal neurological signals. To the otorhinolaryngological clinical examination it presented: Test of Weber lateralized for the left, spontaneous nystagmus for the left, marches rocking, has taken normal disbasia and ataxia, index-nose and diadochokinesia, Test of Romberg with oscillation without fall and Fukuda with lateral shunting line for the right. The audiometric examination evidenced deafness to the right and sensorineural loss to the left in sharps, areflexia initial to the right in caloric test e, the computerized tomography of the secular bones and brainstem, presence of metallic connecting rod crossing the right secular bone, from the vein internal jugular vein and bulb jugular vein, crossing the posterior, superior and vestibule semicircular canals, projecting itself in temporal lobe. The radiological diagnoses was traumatic injury for guide to endovascular metallic during catheterization of urgency and the behavior, considering that the patient had not compensated the balance, it was vestibular rehabilitation.
  
  
  CONCLUSIONS
  Complaints of giddiness in the aged patient must be closely evaluated of its pathological clinical description because the antecedents of illnesses and previous treatments, in general, direct the diagnostic hypotheses however they can bring unexpected alterations.
authors.affiliation: Doctor in otolaryngology for FMUSP. Responsible for the Sector of Otology of the Hospital Portuguese Charity of São Paulo.
authors.forename: Lucinda
authors.initials: L
authors.lastname: Simoceli
authors.affiliation: Resident of as the year of otolaryngology of the Hospital of the Portuguese Charity of São Paulo.
authors.forename: Danilo Anunciatto
authors.initials: DA
authors.lastname: Sguillar
authors.affiliation: Resident of as the year of otolaryngology of the Hospital of the Portuguese Charity of São Paulo.
authors.forename: Henrique Mendes Paiva
authors.initials: HM
authors.lastname: Santos
authors.affiliation: Resident of as the year of otolaryngology of the Hospital of the Portuguese Charity of São Paulo.
authors.forename: Camilla
authors.initials: C
authors.lastname: Caputti
keywords: cardiac catheterization; emergencies; vestibule of the labyrinth