Inadvertent Dural Puncture Causing Low Pressure Headache and Peripheral Vestibular Bilateral Damage

Introduction: This edition of the <i>Audiology Research</i> journal is dedicated to Dr. John Epley. For this reason, we would like to present a very unusual case involving the development of a bilateral abnormality of the otolith organs. The otoliths are the structures from which calcium...

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Main Authors: N. S. Longridge, A. I. Mallinson, R. G. Robinson
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Audiology Research
Subjects:
Online Access:https://www.mdpi.com/2039-4349/15/2/18
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author N. S. Longridge
A. I. Mallinson
R. G. Robinson
author_facet N. S. Longridge
A. I. Mallinson
R. G. Robinson
author_sort N. S. Longridge
collection DOAJ
description Introduction: This edition of the <i>Audiology Research</i> journal is dedicated to Dr. John Epley. For this reason, we would like to present a very unusual case involving the development of a bilateral abnormality of the otolith organs. The otoliths are the structures from which calcium particles detach to induce benign paroxysmal positional vertigo, the disorder for which Dr. Epley is famous for managing. Case report: This case report outlines an unusual presentation of vestibular pathology involving the otoliths. Discussion: We suggest that the atypical presentation may be related to a bilaterally asymmetrical insult to the otoliths. Conclusions: The central insult suffered by this patient resulted in bilateral peripheral otolithic pathology.
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spelling doaj-art-cfcae7ce4f2645ebac5c7d9a82909ffe2025-08-20T02:17:19ZengMDPI AGAudiology Research2039-43492025-02-011521810.3390/audiolres15020018Inadvertent Dural Puncture Causing Low Pressure Headache and Peripheral Vestibular Bilateral DamageN. S. Longridge0A. I. Mallinson1R. G. Robinson2Division of Otolaryngology, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, CanadaDivision of Otolaryngology, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, CanadaDivision of Neurology, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, CanadaIntroduction: This edition of the <i>Audiology Research</i> journal is dedicated to Dr. John Epley. For this reason, we would like to present a very unusual case involving the development of a bilateral abnormality of the otolith organs. The otoliths are the structures from which calcium particles detach to induce benign paroxysmal positional vertigo, the disorder for which Dr. Epley is famous for managing. Case report: This case report outlines an unusual presentation of vestibular pathology involving the otoliths. Discussion: We suggest that the atypical presentation may be related to a bilaterally asymmetrical insult to the otoliths. Conclusions: The central insult suffered by this patient resulted in bilateral peripheral otolithic pathology.https://www.mdpi.com/2039-4349/15/2/18otolithsvertigodural punctureVEMPs
spellingShingle N. S. Longridge
A. I. Mallinson
R. G. Robinson
Inadvertent Dural Puncture Causing Low Pressure Headache and Peripheral Vestibular Bilateral Damage
Audiology Research
otoliths
vertigo
dural puncture
VEMPs
title Inadvertent Dural Puncture Causing Low Pressure Headache and Peripheral Vestibular Bilateral Damage
title_full Inadvertent Dural Puncture Causing Low Pressure Headache and Peripheral Vestibular Bilateral Damage
title_fullStr Inadvertent Dural Puncture Causing Low Pressure Headache and Peripheral Vestibular Bilateral Damage
title_full_unstemmed Inadvertent Dural Puncture Causing Low Pressure Headache and Peripheral Vestibular Bilateral Damage
title_short Inadvertent Dural Puncture Causing Low Pressure Headache and Peripheral Vestibular Bilateral Damage
title_sort inadvertent dural puncture causing low pressure headache and peripheral vestibular bilateral damage
topic otoliths
vertigo
dural puncture
VEMPs
url https://www.mdpi.com/2039-4349/15/2/18
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