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Acute Peripheral Vestibular Syndrome in Relapsing Polychondritis

Research in Vestibular Science 2020년 19권 3호 p.104 ~ 109
노해민, 이동한, 신정은, 김창희,
소속 상세정보
노해민 ( Noh Hae-Min ) - Konkuk University School of Medicine Konkuk University Medical Center Department of Otorhinolaryngology-Head and Neck Surgery
이동한 ( Lee Dong-Han ) - Konkuk University School of Medicine Konkuk University Medical Center Department of Otorhinolaryngology-Head and Neck Surgery
신정은 ( Shin Jung-Eun ) - Konkuk University School of Medicine Konkuk University Medical Center Department of Otorhinolaryngology-Head and Neck Surgery
김창희 ( Kim Chang-Hee ) - Konkuk University School of Medicine Konkuk University Medical Center Department of Otorhinolaryngology-Head and Neck Surgery

Abstract


Relapsing polychondritis is a rare multisystemic autoimmune disorder of unknown etiology and characterized by recurrent episodes of inflammation affecting the cartilaginous tissues. Otologic manifestation such as auricular chondritis is one of the most frequent presenting symptoms in relapsing polychondritis, and inner ear symptoms, such as hearing loss, tinnitus, and vertigo, may develop in 7% to 42% of the patients. In this study, we present a 42-year-old male patient with relapsing polychondritis, who experienced two separate episodes of acute vestibular syndrome at the interval of 6 years. At the first vertigo attack, the patient showed left-beating spontaneous nystagmus with sudden hearing loss on the right side, and a bithermal caloric test revealed canal paresis on the right side. At the second vertigo attack, he showed right-beating spontaneous nystagmus, and a bithermal caloric test, compared to that during the first vertigo attack, revealed additional decrease in caloric response on the left side.

키워드

Relapsing polychondritis; Magnetic resonance imaging; Vertigo; Intracanalicular mass

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