Tumarkin’s otolithic crisis

Evidence-based neurology checklist on tumarkin’s otolithic crisis: Clinical features These are sudden drop attacks associated with loss of muscle tone They occur as if the subject has been pushed The falls are always towards the same direction There is no associated vertigo or loss of…

Clinical features

  • These are sudden drop attacks associated with loss of muscle tone
  • They occur as if the subject has been pushed
  • The falls are always towards the same direction
  • There is no associated vertigo or loss of consciousness
  • There are no autonomic changes
  • There may be associated limb spasms or jerks

Pathophysiology

Causes

Treatment

References

  1. Brazis PW, Masdeu JC, Biller J. Localization in Clinical Neurology. Lippincott Williams & Wilkins Philadelphia 2007 pp315, 319.
  2. Ishiyama G, Ishiyama A, Jacobson K, Baloh R. Drop attacks in older patients secondary to an otologic cause. Neurology 2001; 57:1103-1106.
  3. Ishiyama G, Ishiyama A, Baloh RW. Drop attacks and vertigo secondary to a non-Meniere otologic cause. Arch Neurol 2003; 60:71-75.
  4. Tumarkin A. The otolithic catastrophe. A new syndrome. BMJ 1936; 1:175-177.
  5. Janzen VD, Russell RD. Conservative management of Tumarkin's otolithic crisis. J Otolaryngol 1988; 17:359-361.

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