Naude Alida, Brown Lisa, Kanji Amisha
Centre for Augmentative and Alternative Communication, Faculty of Humanities, University of Pretoria, Pretoria, South Africa.
Cintocare Multidisciplinary Dizziness, Vertigo and Imbalance Clinic, Pretoria, South Africa.
J Clin Med Res. 2024 Dec;16(11):564-570. doi: 10.14740/jocmr6089. Epub 2024 Nov 30.
This paper describes a case study of a 56-year-old male patient with a small cavernous hemangioma and concurrent peripheral vestibular symptoms, initially thought to warrant neurosurgical intervention. A structured, multidisciplinary approach involving audiology, ear, nose and throat, and physiotherapy revealed that peripheral vestibular dysfunction, rather than the central lesion, was the primary cause of symptoms. The report illustrates the diagnostic utility of video head impulse testing (vHIT), caloric testing, and vestibular evoked myogenic potentials (VEMPs) in differentiating central and peripheral vestibular dysfunction, leading to a nonsurgical treatment plan. The case underscores the importance of multidisciplinary collaboration in preventing unnecessary interventions and highlights an effective clinical decision-making framework for similar cases.
本文描述了一名56岁男性患者的病例研究，该患者患有小海绵状血管瘤并伴有外周前庭症状，最初认为需要神经外科干预。一种结构化的多学科方法，涉及听力学、耳鼻喉科和物理治疗，结果显示外周前庭功能障碍而非中枢病变是症状的主要原因。该报告说明了视频头脉冲测试（vHIT）、冷热试验和前庭诱发肌源性电位（VEMP）在区分中枢和外周前庭功能障碍方面的诊断效用，从而制定了非手术治疗方案。该病例强调了多学科合作在防止不必要干预方面的重要性，并突出了针对类似病例的有效临床决策框架。
