Central Vestibular disorder with Visual conflict and Motor coordination problem post-acoustic neuroma surgery

    
      Re: Central Vestibular disorder with Visual conflict and Motor coordination problem post-acoustic neuroma surgery
    


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Posted by CCF NEURO MD on June 04, 1997 at 11:36:10:

In Reply to: Central Vestibular disorder with Visual conflict and Motor coordination problem post-acoustic neuroma surgery posted by Barbara Pease on May 30, 1997 at 00:47:54:

: I have been diagnosed thru a posturography test with a possible central vestibular disorder with visual conflict and motor coordination problem, post-acoustic neuroma sub-occipical approach tumor removal 11/93. I have drop attacks (loss of muscle tone) of unknown etiology.  This seems to be triggered by eye scanning and visual and/or audio conflict.  An EEG/MRI/MRA has ruled out seizures, vascular problem. MRI shows no damage.  A sleep study has ruled out narcalepsy.  I am looking for someone who specializes in this post-acoustic neuroma surgical complication.  Are their any further tests that can be done, and can the Cleveland Clinic help me and how?
  Thank-you for taking the time to help.
  Warm Regards,
  Barbara  
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What you describe sounds like vestibular dysfunction post acoustic neuroma resection.  Your description of drop attacks is interesting.  People who develop acute attacks of vertigo (room spinning), may lose their balance and fall.  They may feel as though they are being pushed over.  Meniere's disease  is often complicated by drop attacks which are unassociated with vertigo.  These are called Tumarkin's otolithic crisis.  It is thought that stimulation of the otolithic receptors in the saccule triggers inappropriate postural adjustments, via vestibulospinal reflex pathways, leading to falls.  Meniere's is also associated with hearing loss, ringing in the ears and vertigo.  It may be possible that some of these mechanisms may be affecting you.  The best way to address these questions is to be seen at the Vestibular and Balance Disorders Clinic at the Cleveland Clinic.  After evaluation, they may be able to provide further information about what you are experiencing as well as different treatment options.  To
call for an appointment, 1-800-223-2273 ext 46689 or 216-444-6689.  I hope this information will help you.  
This information is provided for general medical education purposes only.  Please consult your physician for diagnostic and treatment options of your specific medical condition