Hertz Jonas, Djurhuus Bjarki Ditlev
Ugeskr Laeger. 2019 Jan 28;181(5).
This case report is about a 70-year-old man, who developed bilateral vestibulopathy due to intravenous gentamicin for endocarditis, and during admission he developed dizziness and oscillopsia. He was diagnosed with bilateral vestibulop-athy, when saccades were found on a video head impulse test (vHIT). The diagnosis was postponed by the lack of severe vertigo and nystagmus, which is seen in acute unilateral vestibulopathy. When gentamicin-induced vestibulapathy is suspected, a vHIT examination is recommended.
本病例报告讲述的是一名70岁男性,因静脉注射庆大霉素治疗心内膜炎而患上双侧前庭病,住院期间出现头晕和视振荡。在视频头脉冲试验(vHIT)中发现扫视时,他被诊断为双侧前庭病。由于缺乏急性单侧前庭病中出现的严重眩晕和眼球震颤,诊断被推迟。当怀疑是庆大霉素引起的前庭病时,建议进行vHIT检查。