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Controversial issues 

Controversial issues
Chapter:
Controversial issues
Author(s):

Béla Büki

and Alexander A. Tarnutzer

DOI:
10.1093/med/9780199680627.003.0012
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date: 03 April 2020

Although arterial loops touching or even distorting the cochleovestibular nerve are frequently seen radiologically, it is questionable as to whether they may cause vertigo attacks. Arthritic cervical spine disease is common in the elderly; however, it is disputed as to whether it causes ‘cervical’ vertigo. It is unlikely that hearing loss and vertigo without any clear traumatic precipitating physical event could be caused by rupture of labyrinthine windows (such as round window). There is a large group of patients with slight chronic postural and/or positional dizziness but with normal vestibular tests. This may be caused by conditioned/phobic subjective vertigo and/or chronic atypical otoconia displacement.

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