Abstract

Purpose

Pseudo-vestibular neuritis is a clinical diagnosis for patients presenting with acute vestibular syndrome due to a central pathology.

Case report

We reported a case of multiple sclerosis characterized by pseudo-vestibular neuritis. Our case was a 32-year-old male patient. The patient, who was diagnosed with multiple sclerosis in September 2019, came to the emergency clinic in January 2020 with the complaint of severe vertigo, vomiting-nausea. A newly developed demyelinating plaque was detected in the left vestibular nucleus in cranial MRI. The patient had no hearing loss. On examination of the patient, nystagmus findings supporting peripheral vestibular involvement were present on the left side. Neurologic examination showed left-sided hyperactive deep tendon reflexes, Achilles clonus, dysmetria, ataxia to the left and plantar reflex with extensor response on the left. Video head impulse test and cervical evoked myogenic potential tests were performed. Vestibular hypofunction was present on the left side. Steroid pulse therapy was administered as 1000 mg/day, i.v for 7 days. After treatment, his complaints decreased. In addition, there was an improvement in examination findings.

Conclusion

Multiple sclerosis is shown to be an etiological factor in patients with pseudo-vestibular neuritis.

中文翻译：

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以假前庭神经炎为表现的多发性硬化发作病例

摘要

目的

假性前庭神经炎是对因中枢病变而出现急性前庭综合征的患者的临床诊断。

案例报告

我们报告了一例以假前庭神经炎为特征的多发性硬化症。我们的病例是一名 32 岁的男性患者。该患者于 2019 年 9 月被诊断出患有多发性硬化症，并于 2020 年 1 月来急诊就诊，主诉严重眩晕、呕吐-恶心。在头颅 MRI 中检测到左前庭核中新出现的脱髓鞘斑块。患者没有听力损失。在对患者进行检查时，左侧存在支持外周前庭受累的眼球震颤结果。神经系统检查显示左侧深部腱反射亢进、跟腱反射、距离障碍、左侧共济失调和左侧有伸肌反应的足底反射。进行了视频头脉冲测试和颈椎诱发肌源性电位测试。左侧存在前庭功能减退。类固醇脉冲疗法以 1000 mg/天，静脉内给药，持续 7 天。治疗后，他的抱怨减少了。此外，检查结果也有所改善。

结论

多发性硬化被证明是假前庭神经炎患者的一个病因。