{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:55:23Z","timestamp":1760057723913,"version":"build-2065373602"},"reference-count":11,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T00:00:00Z","timestamp":1740009600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Audiology Research"],"abstract":"<jats:p>Introduction: This edition of the Audiology Research journal is dedicated to Dr. John Epley. For this reason, we would like to present a very unusual case involving the development of a bilateral abnormality of the otolith organs. The otoliths are the structures from which calcium particles detach to induce benign paroxysmal positional vertigo, the disorder for which Dr. Epley is famous for managing. Case report: This case report outlines an unusual presentation of vestibular pathology involving the otoliths. Discussion: We suggest that the atypical presentation may be related to a bilaterally asymmetrical insult to the otoliths. Conclusions: The central insult suffered by this patient resulted in bilateral peripheral otolithic pathology.<\/jats:p>","DOI":"10.3390\/audiolres15020018","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T04:03:17Z","timestamp":1740024197000},"page":"18","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Inadvertent Dural Puncture Causing Low Pressure Headache and Peripheral Vestibular Bilateral Damage"],"prefix":"10.3390","volume":"15","author":[{"given":"N. S.","family":"Longridge","sequence":"first","affiliation":[{"name":"Division of Otolaryngology, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4499-3476","authenticated-orcid":false,"given":"A. I.","family":"Mallinson","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. G.","family":"Robinson","sequence":"additional","affiliation":[{"name":"Division of Neurology, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1136\/pgmj.2006.044792","article-title":"Post lumbar puncture headache: Diagnosis management","volume":"82","author":"Ahmed","year":"2006","journal-title":"Postgrad. Med. J."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1046\/j.1468-2982.1998.1810697.x","article-title":"Pain location and associated symptoms in post-lumbar puncture headache","volume":"18","author":"Vilming","year":"1998","journal-title":"Cephalalgia"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1111\/j.1526-4637.2010.00995.x","article-title":"Epidural blood patch for postdural puncture positional vertigo","volume":"12","author":"Vazquez","year":"2011","journal-title":"Pain Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/SCS.0b013e3181c50e11","article-title":"Spontaneous intracranial hypotension syndrome accompanied by bilateral hearing loss and venous engorgement in the internal acoustic canal and positional change of audiography","volume":"21","author":"Isildak","year":"2010","journal-title":"J. Craniofac. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1046\/j.1035-6851.2001.00239.x","article-title":"Perils and pitfalls of lumbar puncture in the emergency department","volume":"13","author":"Holdgate","year":"2001","journal-title":"Emerg. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"72","DOI":"10.5152\/iao.2018.3841","article-title":"Optimum number of sweeps in clinical OVEMP recording; how many sweeps are necessary?","volume":"14","author":"Mallinson","year":"2018","journal-title":"J. Int. Adv. Otol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1007\/BF00919595","article-title":"Dizziness following head injury: A neuro-otological study","volume":"242","author":"Davies","year":"1995","journal-title":"J. Neur."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1080\/00016480600606673","article-title":"Gentamicin ototoxicity: Clinical features and the effect on the human vestibulo-ocular reflex","volume":"126","author":"Ishiyama","year":"2006","journal-title":"Acta Otolaryngol."},{"key":"ref_9","unstructured":"Mallinson, A.I. (2011). Visual Vestibular Mismatch: A Poorly Understood Presentation of Balance System Disease. [Ph.D. Thesis, University of Maastricht]."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1136\/practneurol-2017-001809","article-title":"Persistent postural-perceptual dizziness (PPPD): A common, characteristic and treatable cause of chronic dizziness","volume":"18","author":"Popkirov","year":"2018","journal-title":"Pract. Neurol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1017\/S002221511800172X","article-title":"Tone induced cervical and ocular vestibular-evoked myogenic potentials: Comparing abnormalities in traumatic and nontraumatic vestibular disease","volume":"132","author":"Longridge","year":"2018","journal-title":"J. Laryngol. Otol."}],"container-title":["Audiology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4349\/15\/2\/18\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:38:24Z","timestamp":1760027904000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4349\/15\/2\/18"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,20]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,4]]}},"alternative-id":["audiolres15020018"],"URL":"https:\/\/doi.org\/10.3390\/audiolres15020018","relation":{},"ISSN":["2039-4349"],"issn-type":[{"type":"electronic","value":"2039-4349"}],"subject":[],"published":{"date-parts":[[2025,2,20]]}}}