Cavernous hemangioma with right vestibulopathy : a case report illustrating multidisciplinary clinical decision-making in vestibular diagnostics

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Authors

Naude, Alida
Brown, Lisa
Kanji, Amisha

Journal Title

Journal ISSN

Volume Title

Publisher

Elmer Press

Abstract

This paper describes a case study of a 56-year-old male patient with a small cavernous hemangioma and concurrent peripheral vestibular symptoms, initially thought to warrant neurosurgical intervention. A structured, multidisciplinary approach involving audiology, ear, nose and throat, and physiotherapy revealed that peripheral vestibular dysfunction, rather than the central lesion, was the primary cause of symptoms. The report illustrates the diagnostic utility of video head impulse testing (vHIT), caloric testing, and vestibular evoked myogenic potentials (VEMPs) in differentiating central and peripheral vestibular dysfunction, leading to a nonsurgical treatment plan. The case underscores the importance of multidisciplinary collaboration in preventing unnecessary interventions and highlights an effective clinical decision-making framework for similar cases.

Description

SUPPLEMENTARY MATERIAL : Suppl 1. Results from the vestibular audiological assessment.
DATA AVAILABILITY : The authors declare that data supporting the findings of this study are available within the article.

Keywords

Vestibulopathy, Multidisciplinary team, Hemangioma, Differential diagnosis, SDG-03: Good health and well-being, Vestibular evoked myogenic potentials (VEMPs), Video head impulse testing (vHIT), Caloric testing

Sustainable Development Goals

SDG-03:Good heatlh and well-being

Citation

Naude, A., Brown, L., KAnji, A. 2024, 'Cavernous hemangioma with right vestibulopathy : a case report illustrating multidisciplinary clinical decision-making in vestibular diagnostics', Journal of Clinical Medicine Research, vol. 16, no. 11, pp. 564-570. https://DOI.org/10.14740/jocmr6089.