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Dysequilibrium in a 5-year-old child with intrameatal vascular loops bilaterally
Abstract A 5 year-old boy was rather healthy until one month ago when loss of balance and muscle tone was noted by the parents. A battery of tests comprising electroencephalography, audiometry, caloric test and ocular vestibular evoked myogenic potential (oVEMP) test were performed, yet all tests sh...
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Published in: | International journal of pediatric otorhinolaryngology 2017-03, Vol.94, p.8-10 |
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container_title | International journal of pediatric otorhinolaryngology |
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creator | Wen, Ming-Hsun Cheng, Po-Wen Young, Yi-Ho |
description | Abstract A 5 year-old boy was rather healthy until one month ago when loss of balance and muscle tone was noted by the parents. A battery of tests comprising electroencephalography, audiometry, caloric test and ocular vestibular evoked myogenic potential (oVEMP) test were performed, yet all tests showed normal responses. Conversely, cervical VEMP (cVEMP) test showed delayed responses bilaterally. MR imaging demonstrated bilaterally intrameatal vascular loops extending into both internal auditory canals. After a 3-month medication, delayed cVEMPs were resolved and returned to normal cVEMPs bilaterally, accompanied by subsidence of dysequilibrium. |
doi_str_mv | 10.1016/j.ijporl.2017.01.004 |
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A battery of tests comprising electroencephalography, audiometry, caloric test and ocular vestibular evoked myogenic potential (oVEMP) test were performed, yet all tests showed normal responses. Conversely, cervical VEMP (cVEMP) test showed delayed responses bilaterally. MR imaging demonstrated bilaterally intrameatal vascular loops extending into both internal auditory canals. After a 3-month medication, delayed cVEMPs were resolved and returned to normal cVEMPs bilaterally, accompanied by subsidence of dysequilibrium.</description><identifier>ISSN: 0165-5876</identifier><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/j.ijporl.2017.01.004</identifier><identifier>PMID: 28167018</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Anterior inferior cerebellar artery (AICA) loop ; Arteries - diagnostic imaging ; Audiometry ; Caloric Tests ; Cerebellum - blood supply ; Cervical vestibular evoked myogenic potential ; Child, Preschool ; Humans ; Imbalance ; Magnetic Resonance Imaging ; Male ; Muscle Weakness - etiology ; Ocular vestibular evoked myogenic potential ; Otolaryngology ; Pediatrics ; Postural Balance ; Sensation Disorders - etiology ; Vestibular Diseases - complications ; Vestibular Diseases - diagnostic imaging ; Vestibular Diseases - physiopathology ; Vestibular Evoked Myogenic Potentials</subject><ispartof>International journal of pediatric otorhinolaryngology, 2017-03, Vol.94, p.8-10</ispartof><rights>Elsevier B.V.</rights><rights>2017 Elsevier B.V.</rights><rights>Copyright © 2017 Elsevier B.V. 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A battery of tests comprising electroencephalography, audiometry, caloric test and ocular vestibular evoked myogenic potential (oVEMP) test were performed, yet all tests showed normal responses. Conversely, cervical VEMP (cVEMP) test showed delayed responses bilaterally. MR imaging demonstrated bilaterally intrameatal vascular loops extending into both internal auditory canals. After a 3-month medication, delayed cVEMPs were resolved and returned to normal cVEMPs bilaterally, accompanied by subsidence of dysequilibrium.</description><subject>Anterior inferior cerebellar artery (AICA) loop</subject><subject>Arteries - diagnostic imaging</subject><subject>Audiometry</subject><subject>Caloric Tests</subject><subject>Cerebellum - blood supply</subject><subject>Cervical vestibular evoked myogenic potential</subject><subject>Child, Preschool</subject><subject>Humans</subject><subject>Imbalance</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Muscle Weakness - etiology</subject><subject>Ocular vestibular evoked myogenic potential</subject><subject>Otolaryngology</subject><subject>Pediatrics</subject><subject>Postural Balance</subject><subject>Sensation Disorders - etiology</subject><subject>Vestibular Diseases - complications</subject><subject>Vestibular Diseases - diagnostic imaging</subject><subject>Vestibular Diseases - physiopathology</subject><subject>Vestibular Evoked Myogenic Potentials</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqFkctq3DAUQEVpaKZJ_6AUL7uxqytbD28KJekLAg0keyFLd4hc2ZpIdor_vhom7aKbIpAWOvd1LiFvgTZAQXwYGz8eYgoNoyAbCg2l3QuyAyVZrTrRvSS7gvGaKynOyeucR1pAyvkrcs4UCElB7cjt9ZbxcfXBD8mvU-XnylS83tCkOgZX2Qdf7l9-eShfSzITmsWE6slkuwaTqhDjIVeDD2bBZELYLsnZ3oSMb57fC3L_5fP91bf65sfX71efbmrbgVzqwRnLDBd9LwYHA-8NcxScYo5BOZ2klnWC96q0z4DLfd-WYXreceWgFe0FeX9Ke0jxccW86MlniyGYGeOaNSjBFfStlAXtTqhNMeeEe31IfjJp00D1UaUe9UmlPqrUFHRRWcLePVdYhwnd36A_7grw8QRgGfPJY9LZepwtOp_QLtpF_78K_yawwc_emvATN8xjXNNcFGrQmWmq747rPG4TZEsp5ar9DZkqmm4</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Wen, Ming-Hsun</creator><creator>Cheng, Po-Wen</creator><creator>Young, Yi-Ho</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170301</creationdate><title>Dysequilibrium in a 5-year-old child with intrameatal vascular loops bilaterally</title><author>Wen, Ming-Hsun ; Cheng, Po-Wen ; Young, Yi-Ho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-bdac2a56996bd1b59a2d01d82d21212470c2465985872157f9316595458d1363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Anterior inferior cerebellar artery (AICA) loop</topic><topic>Arteries - diagnostic imaging</topic><topic>Audiometry</topic><topic>Caloric Tests</topic><topic>Cerebellum - blood supply</topic><topic>Cervical vestibular evoked myogenic potential</topic><topic>Child, Preschool</topic><topic>Humans</topic><topic>Imbalance</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Muscle Weakness - etiology</topic><topic>Ocular vestibular evoked myogenic potential</topic><topic>Otolaryngology</topic><topic>Pediatrics</topic><topic>Postural Balance</topic><topic>Sensation Disorders - etiology</topic><topic>Vestibular Diseases - complications</topic><topic>Vestibular Diseases - diagnostic imaging</topic><topic>Vestibular Diseases - physiopathology</topic><topic>Vestibular Evoked Myogenic Potentials</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wen, Ming-Hsun</creatorcontrib><creatorcontrib>Cheng, Po-Wen</creatorcontrib><creatorcontrib>Young, Yi-Ho</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wen, Ming-Hsun</au><au>Cheng, Po-Wen</au><au>Young, Yi-Ho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dysequilibrium in a 5-year-old child with intrameatal vascular loops bilaterally</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>94</volume><spage>8</spage><epage>10</epage><pages>8-10</pages><issn>0165-5876</issn><eissn>1872-8464</eissn><abstract>Abstract A 5 year-old boy was rather healthy until one month ago when loss of balance and muscle tone was noted by the parents. A battery of tests comprising electroencephalography, audiometry, caloric test and ocular vestibular evoked myogenic potential (oVEMP) test were performed, yet all tests showed normal responses. Conversely, cervical VEMP (cVEMP) test showed delayed responses bilaterally. MR imaging demonstrated bilaterally intrameatal vascular loops extending into both internal auditory canals. After a 3-month medication, delayed cVEMPs were resolved and returned to normal cVEMPs bilaterally, accompanied by subsidence of dysequilibrium.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>28167018</pmid><doi>10.1016/j.ijporl.2017.01.004</doi><tpages>3</tpages></addata></record> |
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subjects | Anterior inferior cerebellar artery (AICA) loop Arteries - diagnostic imaging Audiometry Caloric Tests Cerebellum - blood supply Cervical vestibular evoked myogenic potential Child, Preschool Humans Imbalance Magnetic Resonance Imaging Male Muscle Weakness - etiology Ocular vestibular evoked myogenic potential Otolaryngology Pediatrics Postural Balance Sensation Disorders - etiology Vestibular Diseases - complications Vestibular Diseases - diagnostic imaging Vestibular Diseases - physiopathology Vestibular Evoked Myogenic Potentials |
title | Dysequilibrium in a 5-year-old child with intrameatal vascular loops bilaterally |
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