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Dysequilibrium of ageing (presbyastasis)

  • A. Belal (a1) and Aram Glorig (a2)

Abstract

We reviewed clinical findings in 740 patients over age 65 who consulted the Otological Medical Group, Inc., during a one-year period for dizziness. A thorough neurotologic evaluation is indicated in every such case to determine the specific cause of dizziness. In 21 per cent of these patients, a specific cause of dizziness was found. In the remaining 79 per cent, the diagnosis of primary dysequilibrium of ageing (presbyastasis) was made.

We classified dysequilibrium of ageing (presbyastasis) according to the character, time course, and precipitating factors of dizziness. Two clinical types were described: constant and unclassified. The histological finding in the temporal bones of four cases with dysequilibrium of ageing were reviewed. Pathological changes other than those in the peripheral vestibular system seem to be responsible for dysequilibrium of ageing.

In the present series, about three-fourths of the patients had a daily dose of nicotinic acid to produce flushing of the skin. In 16 per cent, the dizziness was minor, requiring no special treatment. In the remaining 9 per cent with incapacitating vertigo, a vasodilator regimen, antivertiginous drugs, and Cawthorne's vestibular exercises were prescribed.

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Corresponding author

A. Belal M.D. P.O. Box 7344, Jeddah, Saudi Arabia.

References

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Anniko, M. (1983) The Aging Vestibular Hair Cell. American Journal of Otolaryngology, 4: 151160.
Belal, A. A. (1979) Effects of Vascular Occlusion on the human inner ear. Journal of Laryngology and Otology, 93: 955968.
Bruner, A. and Norris, T. (1971) Age-related changes in caloric nystagmus. Acta Otolaryngologica (Stockholm), Supplement, 282: 128.
Cawthorne, T. (1947) Meniére's Disease. Annals of Otology, Rhinology and Laryngology, 56: 18.
Engström, H., Ades, H. W. and Engström, B. (1977) Structural changes in the vestibular epithelia in elderly monkeys and humans. Fortschr Hals-Nasohrenheilkd, 22: 93110.
Harrison, M. and Naftalin, E. (1968) Meniére's disease. Mechanism and Management. Charles C. Thomas, Springfield III.
House, W. F. and Lutje, C. M. (1979) Acoustic Tumors. University Park Press, Baltimore.
Johnsson, L.-G. (1971) Degenerative changes and anomalies of the vestibular system in man. Laryngoscope, 81:16821694.
Lindsay, J. R. and Hemenway, W. G. (1956) Postural vertigo due to unilateral sudden partial loss of vestibular function. Annals of Otology, Rhinology and Laryngology, 65: 692.
Rosenhall, V. (1973) Degenerative patterns in the Aging human vestibular neuro-epithelia. Acta Otolaryngologica, 76: 208220.
Schuknecht, H. F. (1974) Pathology of the Ear. Harvard University Press, Cambridge, Massachusetts.

Dysequilibrium of ageing (presbyastasis)

  • A. Belal (a1) and Aram Glorig (a2)

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