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Decompensated labyrinthine weakness presenting as de novo peripheral vertigo: a discrete clinical entity?

Published online by Cambridge University Press:  18 January 2018

A F Jahn*
Department of Otolaryngology, Mount Sinai West Hospital Center, New York, USA
Address for correspondence: Dr Anthony F Jahn, Suite 10, 425 West 59th St, New York, NY 10019, USA Fax: (+1) 212 523 6364 E-mail:



A distinct subgroup of patients, presenting with apparently spontaneous onset of vertigo, is described.


Although vestibular evaluation revealed caloric weakness, the proximate cause of vertigo was not labyrinthine dysfunction, but rather the loss of vestibular compensation for an older and previously compensated labyrinthine injury.


Instead of addressing the vestibular weakness, effective management needs to focus on the condition that has caused the loss of compensation.

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Copyright © JLO (1984) Limited 2018 

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Presented at the 6th Asia Pacific Otology, Neurotology and Skull Base Conference, 29–31 May 2014, Penang, Malaysia.


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