Vertigo with upbeat nystagmus shortly after exposure to a small amount of organic solvent
AbstractVertigo is a symptom with several possible etiologies. In this case, a 53-year-old woman presented with a 1-month history of vertigo. She had smelled an unpleasant organic solvent for three hours while working at a desk before the onset of vertigo. Physical examination revealed upbeat nystag...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2023-12-01
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| Series: | Acta Oto-Laryngologica Case Reports |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/23772484.2023.2225746 |
| _version_ | 1797245379644751872 |
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| author | Keisuke Kondo Yuko Hata |
| author_facet | Keisuke Kondo Yuko Hata |
| author_sort | Keisuke Kondo |
| collection | DOAJ |
| description | AbstractVertigo is a symptom with several possible etiologies. In this case, a 53-year-old woman presented with a 1-month history of vertigo. She had smelled an unpleasant organic solvent for three hours while working at a desk before the onset of vertigo. Physical examination revealed upbeat nystagmus and a wide-based gait but was otherwise unremarkable; no problems with coordination were observed. Further diagnostic tests, including MRI, inner ear function tests, blood sample analysis assessment of Vitamin B12 levels, and urinalysis, were performed. Vestibular rehabilitation and prevention of exposure to organic solvent were recommended to the patient. The upbeat nystagmus gradually subsided, then the nystagmus and gait disturbance resolved after six months. Patient history and past reports show that such a small amount of organic solvent can cause vertigo. This case highlights a diagnostic approach to vertigo and emphasizes the importance of obtaining a comprehensive history from the patient. |
| first_indexed | 2024-03-08T19:13:10Z |
| format | Article |
| id | doaj.art-057eb825ff794fb9af656b5a99244f25 |
| institution | Directory Open Access Journal |
| issn | 2377-2484 |
| language | English |
| last_indexed | 2024-04-24T19:25:58Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Acta Oto-Laryngologica Case Reports |
| spelling | doaj.art-057eb825ff794fb9af656b5a99244f252024-03-25T14:56:39ZengTaylor & Francis GroupActa Oto-Laryngologica Case Reports2377-24842023-12-0181979910.1080/23772484.2023.2225746Vertigo with upbeat nystagmus shortly after exposure to a small amount of organic solventKeisuke Kondo0Yuko Hata1Department of Otolaryngology, Tokyo Shinagawa Hospital, Tokyo, JapanDepartment of Otolaryngology, Tokyo Shinagawa Hospital, Tokyo, JapanAbstractVertigo is a symptom with several possible etiologies. In this case, a 53-year-old woman presented with a 1-month history of vertigo. She had smelled an unpleasant organic solvent for three hours while working at a desk before the onset of vertigo. Physical examination revealed upbeat nystagmus and a wide-based gait but was otherwise unremarkable; no problems with coordination were observed. Further diagnostic tests, including MRI, inner ear function tests, blood sample analysis assessment of Vitamin B12 levels, and urinalysis, were performed. Vestibular rehabilitation and prevention of exposure to organic solvent were recommended to the patient. The upbeat nystagmus gradually subsided, then the nystagmus and gait disturbance resolved after six months. Patient history and past reports show that such a small amount of organic solvent can cause vertigo. This case highlights a diagnostic approach to vertigo and emphasizes the importance of obtaining a comprehensive history from the patient.https://www.tandfonline.com/doi/10.1080/23772484.2023.2225746Vertigoorganic solventupbeat nystagmuscentral nystagmus |
| spellingShingle | Keisuke Kondo Yuko Hata Vertigo with upbeat nystagmus shortly after exposure to a small amount of organic solvent Acta Oto-Laryngologica Case Reports Vertigo organic solvent upbeat nystagmus central nystagmus |
| title | Vertigo with upbeat nystagmus shortly after exposure to a small amount of organic solvent |
| title_full | Vertigo with upbeat nystagmus shortly after exposure to a small amount of organic solvent |
| title_fullStr | Vertigo with upbeat nystagmus shortly after exposure to a small amount of organic solvent |
| title_full_unstemmed | Vertigo with upbeat nystagmus shortly after exposure to a small amount of organic solvent |
| title_short | Vertigo with upbeat nystagmus shortly after exposure to a small amount of organic solvent |
| title_sort | vertigo with upbeat nystagmus shortly after exposure to a small amount of organic solvent |
| topic | Vertigo organic solvent upbeat nystagmus central nystagmus |
| url | https://www.tandfonline.com/doi/10.1080/23772484.2023.2225746 |
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