La scrittura 'orale' di G.G. Belli. Sette appunti

Gibellini, Pietro

doi:10.2307/1479487

Cited by 1 publication

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“…[5] Consequently, neurotology consultation and vestibular testing was performed in this subset of patients. Identification of a vestibular source for dizziness in these VH patients was observed in many, forming the basis for the current study [6]. The purpose of this paper is to describe an association between the positive response (i.e.-reduction of symptoms) to NCDs in a group of traumatic brain injury (TBI) patients with dizziness presenting to a binocular vision specialty clinic that had been diagnosed with VH and a vestibular disorder known as Third Mobile Window Disorder or TMWD.…”

Section: Of 12mentioning

confidence: 91%

Association Between Third Mobile Window Disorders and Symptom Reduction Using a Noise Cancelling Device (NCD): Inverse Tullio Phenomena

Feinberg¹,

Rosner²,

Gianoli³

2023

Preprint

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Identifying a vestibular source of pathology in patients complaining of post-traumatic brain injury (TBI) dizziness can be difficult. We describe a possible new method utilizing the reduction of post-TBI symptom (including dizziness) with the use of a noise cancellation device (NCD). This retrospective case series included patients with TBI and dizziness presenting to a binocular vision specialty clinic, who were diagnosed with a vertical heterophoria (VH). If they did not respond adequately to microprism lenses and/or if they experienced hyperacusis, they were evaluated with an NCD. If there was marked reduction of TBI symptoms (including dizziness), the patients were referred to a neuro-otologist for vestibular diagnostic evaluation and treatment. Fourteen patients were identified and found to have abnormalities on vestibular testing consistent with Third Mobile Window Disorder (TMWD). All were treated with a 6-week medical protocol (diuretics, no straining, low sodium/no caffeine diet). Five responded positively, requiring no further treatment. Nine required surgical intervention and responded positively. In conclusion, 14 patients with post-concussive dizziness and VH, a positive response to NCD was associated with abnormal vestibular testing, a diagnosis of TMWD, and symptom reduction/resolution with a medical or surgical approach. The removal of sound resulting in reduction or resolution of vestibular symptoms represents an Inverse Tullio Phenomena.

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Section: Of 12mentioning

confidence: 91%