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.
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。