Abstract:
This paper describes a case study of a 56-year-old male patient with
a small cavernous hemangioma and concurrent peripheral vestibular
symptoms, initially thought to warrant neurosurgical intervention.
A structured, multidisciplinary approach involving audiology, ear,
nose and throat, and physiotherapy revealed that peripheral vestibular
dysfunction, rather than the central lesion, was the primary cause of
symptoms. The report illustrates the diagnostic utility of video head
impulse testing (vHIT), caloric testing, and vestibular evoked myogenic
potentials (VEMPs) in differentiating central and peripheral
vestibular dysfunction, leading to a nonsurgical treatment plan. The
case underscores the importance of multidisciplinary collaboration
in preventing unnecessary interventions and highlights an effective
clinical decision-making framework for similar cases.
