%0 Journal Article
%T Acute diplopia posterior to chemical laberinthectomy
%A Santos-Gorj車n P
%A Collazo-Lorduy T
%A S芍nchez-Terradillos E
%A S芍nchez-Jara-S芍nchez J L
%J Revista de la Sociedad Otorrinolaringol車gica de Castilla y Le車n, Cantabria y La Rioja
%D 2012
%I Sociedad Otorrinolaringol車gica de Castilla y Le車n, Cantabria y La Rioja
%X SummaryIntroduction: Chemical laberinthectomy with gentamicin is an ambulatory procedure with a low rate of iatrogenical effects. We present a case with a rare complication and review the especifical literature. Clinical repport: We present a women with a left Meniere∩s syndrome. A corticoid intratimpanic threathment was done and we don＊t get control of symptoms. A gentamicin laberinthectomy was done, and an accute diplopia with no other clinical manifestations appears. Discussion: 95% of M谷ni豕re∩s symptoms gets control with medical theathments. Security of gentamicin is accepted since 80`s decade. Susceptibility of action in inner ear is variable. We have to use minimal dosis of gentamicin to have control of the disease. Monitoring with VHIT is a new diagnosys arm to avoid complications. No references of diplopia postlaberintectomy was collected on medical literature. It∩s very important control ocular movements by a recording metod or Frenzel glasses. Conclussion: Intratimpanic therapy is a secure metod. A diplopia postlaberinthectomy is undiagnosed. Usually no speciffic treathment is required. We have to use all recurses to detect a earl abolition of vestible and use minimal dose of gentamicin as possible.
%K Chemical laberintectomy
%K intratimpanic gentamicin
%K phoria.
%U https://sites.google.com/site/revistasociedadorlclcrcarga/home/revistaorl201208_diplopiameniere.pdf?attredirects=0&d=1