Skip to main content Accessibility help

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

  • A F Jahn (a1)



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.


Corresponding author

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:


Hide All

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



Hide All
1 McCabe, BF, Ryu, JH. Experiments on vestibular compensation. Laryngoscope 1969;79:1728–36
2 McCabe, BF, Ryu, JH, Sekitani, T. Further experiments on vestibular compensation. Laryngoscope 1972;82:381–96
3 Katsarkis, A, Segal, BN. Unilateral loss of peripheral vestibular function in patients: degree of compensation and factors causing decompensation. Otolaryngol Head Neck Surg 1988;98:45–7
4 Baloh, RW. Disequilibrium and gait disorders in older people. Rev Clin Gerontol 1996;6:41–8
5 Foster, CA. Vestibular rehabilitation. Baillieres Clin Neurol 1994;3:577–92
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *



Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed