PDF(Pubmed)
Abstract：
BACKGROUND: Bilateral vestibulopathy is an important cause of imbalance. There are multiple etiologies of bilateral vestibulopathy (BVP), but reports of BVP due to otosyphilis are rare.
METHODS: A 39-year-old male was referred to our medical center due to vertigo, persistent dizziness and gait disturbance for 2 months.
METHODS: Bilateral vestibulopathy due to otosyphilis was considered in this case, as confirmed through analyses of vestibular function, laboratory tests, and penicillin treatment.
METHODS: The patient was was treated with a high dose of penicillin G (24 × 106 IU/d) for 14 days.
RESULTS: The patient\'s symptoms had improved greatly following treatment, with dizziness and gait disturbance having completely resolved at 3 months following hospital discharge.
CONCLUSIONS: Bilateral vestibulopathy should be considered when evaluating patients with acute or subacute persistent dizziness. Clinicians should also be aware of the potential for otosyphilis among patients who report BVP.
METHODS: A 39-year-old male was referred to our medical center due to vertigo, persistent dizziness and gait disturbance for 2 months.
METHODS: Bilateral vestibulopathy due to otosyphilis was considered in this case, as confirmed through analyses of vestibular function, laboratory tests, and penicillin treatment.
METHODS: The patient was was treated with a high dose of penicillin G (24 × 106 IU/d) for 14 days.
RESULTS: The patient\'s symptoms had improved greatly following treatment, with dizziness and gait disturbance having completely resolved at 3 months following hospital discharge.
CONCLUSIONS: Bilateral vestibulopathy should be considered when evaluating patients with acute or subacute persistent dizziness. Clinicians should also be aware of the potential for otosyphilis among patients who report BVP.
摘要：
背景：双侧前庭病是失衡的重要原因。双侧前庭病（BVP）有多种病因，但是耳梅毒引起的BVP的报道很少。
方法：一名39岁男性因眩晕被转诊到我们的医疗中心，持续2个月的头晕和步态障碍。
方法：在这种情况下，考虑了由于耳梅毒引起的双侧前庭病，通过前庭功能分析证实，实验室测试,和青霉素治疗。
方法：患者接受大剂量青霉素G（24×106IU/d）治疗14天。
结果：治疗后患者的症状有了很大改善，头晕和步态障碍在出院后3个月完全消退。
结论：在评估急性或亚急性持续性头晕患者时，应考虑双侧前庭病变。临床医生也应该意识到报告BVP的患者中耳梅毒的可能性。
方法：一名39岁男性因眩晕被转诊到我们的医疗中心，持续2个月的头晕和步态障碍。
方法：在这种情况下，考虑了由于耳梅毒引起的双侧前庭病，通过前庭功能分析证实，实验室测试,和青霉素治疗。
方法：患者接受大剂量青霉素G（24×106IU/d）治疗14天。
结果：治疗后患者的症状有了很大改善，头晕和步态障碍在出院后3个月完全消退。
结论：在评估急性或亚急性持续性头晕患者时，应考虑双侧前庭病变。临床医生也应该意识到报告BVP的患者中耳梅毒的可能性。
