Summary
A 20-year-old man suffered a closed head in-jury followed by symptoms of right-sided labyrinthine concussion with complete clinical recovery within 3 weeks. Episodic vertigo and ataxic gait occurred after the ingestion of small amounts of alcohol over the next 2 years. Electro-oculography revealed a right-sided peripheral type vestibular lesion, only after taking alcohol. This was interpreted as an alcohol-induced impairment of central compensation following an incomplete recovery from right-sided labyrinthine trauma.
References
Baloh RW, Honrubia V (1979) Clinical neurophysiology of the vestibular system. Davis, Philadelphia
Brandt I (1986) Vertigo and dizziness. In: Asbury AK, McKhann GM, McDonald WI (eds) Diseases of the nervous system. Heinemann, London, pp 561–578
Leigh RJ, Zee DS (1983) The neurology of eye movement. Davis, Philadelphia, pp 11–38
McCabe BF, Ryu JH, Sekitani T (1973) Further experiments on vestibular compensation. Adv Otorhinolaryngol 19:195–205
Precht W (1974) Characteristics of vestibular neurons after acute and chronic labyrinthine destruction. In: Kornhuber HH (ed) Handbook of sensory physiology. The vestibular system, vol VI, part 2. Springer, New York Berlin Heidelberg, pp 452–462
Precht W, Shimazu H, Markham CH (1966) A mechanism of central compensation of vestibular function following hemilabyrinthectomy. J Neurophysiol 29:996–1010
Rudge P (1983) Clinical neuro-otology. Churchill Livingstone, Edinburgh, pp 302–327
Ryu JH, McCabe BF (1976) Central vestibular compensation. Arch Otolaryngol 102:71–76
Schaefer KP, Wilhelms G, Meyer DL (1978) Der Einfluß von Alkohol auf die zentralnervösen Ausgleichvorgänge nach Labyrinthausschaltung. Z Rechtsmed 81:249–260
Schroeder J (1972) Some effects of alcohol on nystagmus and vertigo during caloric and optokinetic stimulation. Ann Otol Rhinol Laryngol 81:218–228
Toglia JU, Katinsky S (1982) Neuro-otological aspects of closed head injury. In: Vinken PJ, Bruyn GW (eds) Handbook of clinical neurology, vol 24. North-Holland, Amsterdam, pp 119–140
Umeda Y, Sakata E (1978) Alcohol and the oculomotor system. Ann Otol Rhinol Laryngol 87:392–398
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Thömke, F., Vogt, T. & Hopf, H.C. Alcohol-dependent unilateral vestibular impairment persisting after a closed head injury. J Neurol 237, 326–327 (1990). https://doi.org/10.1007/BF00314754
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DOI: https://doi.org/10.1007/BF00314754