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Preliminary diagnostic procedures include ear examination, hearing and vestibular testing. Typical symptoms include unilateral tinnitus, progressive hearing loss and vertigo. Usually diagnostic sensitivity is increased with one or more otological symptom. The rate of VS pick up with unilateral tinnitus alone using MRI has been shown to be <0.1% ...
The symptoms of vestibulocerebellar syndrome vary among patients but are typically a unique combination of ocular abnormalities including nystagmus, poor or absent smooth pursuit (ability of the eyes to follow a moving object), strabismus (misalignment of the eyes), diplopia (double vision), oscillopsia (the sensation that stationary objects in the visual field are oscillating) and abnormal ...
Evaluation of tinnitus can include a hearing test (audiogram), measurement of acoustic parameters of the tinnitus like pitch and loudness, and psychological assessment of comorbid conditions like depression, anxiety, and stress that are associated with severity of the tinnitus.
Lesions in the area of cerebellopontine angle cause signs and symptoms secondary to compression of nearby cranial nerves, including cranial nerve V (trigeminal), cranial nerve VII (facial), and cranial nerve VIII (vestibulocochlear). The most common cerebellopontine angle (CPA) tumor is a vestibular schwannoma affecting cranial nerve VIII (80% ...
These headaches are typically bilateral, very severe and peak in intensity within a minute. [1] They may last from minutes to days, and may be accompanied by nausea, photophobia, phonophobia or vomiting. [1] Some patients experience only one headache, but on average there are four attacks over a period of one to four weeks. [1]
The most common symptom of a spinal CSF leak is a fast-onset, extremely painful orthostatic headache. [23] [25] This headache is usually made worse by standing and typically becomes prominent throughout the day, with the pain becoming less severe when lying down. [26] Orthostatic headaches can become chronic and disabling to the point of ...
For sensorineural hearing loss, the lack of input coming from the damaged sensory apparatus can cause "ghost beeps" or ringing/tinnitus as the brain attempts to interpret the now missing sensory data. The frequency and the volume of the noise can increase according to one's physical condition (stress, fatigue, etc.).
Visual snow likely represents a clinical continuum, with different degrees of severity. The presence of comorbidities such as migraine and tinnitus is associated with a more severe presentation of visual symptoms. [13] Non-visual symptoms may include difficulty concentrating, insomnia, frequent migraines, nausea, and vertigo. [16]