Neuro-Ophthalmology & Neuro-Otology
Gait ataxia and oscillopsia are the key clinical features of bilateral vestibulopathy. The insidious symmetrical presentation is characterized by gradually progressive unsteadiness without episodes of vertigo, whereas the sequential unilateral mode of presentation is characterized by postural instability and severe vertigo with spontaneous nystagmus. Patients have an unsteady wide-based gait and a tendency to fall to either side, made worse on uneven or soft surfaces.
Oct. 21, 2020