Vestibulocochlear dysfunction progressive familial

Vestibulocochlear dysfunction progressive familial, known also as familial progressive vestibulocochlear dysfunction is an autosomal dominant disease that results in sensorineural hearing loss and vestibular areflexia. Patients report feelings of vague dissiness, blurred vision, dysequilibrium in the dark, and progressive hearing impairment.[1]

Vestibulocochlear dysfunction progressive familial
Other namesFamilial progressive vestibulocochlear dysfunction
Autosomal dominant is the inheritance pattern of this disorder

Symptoms and signs

Reported symptoms include:[1]

Cause

The disease is an inherited autosomal dominant disease, but the physiological cause of the dysfunction is still unclear. An acidophyllic mucopolysaccharide-containing substance was discovered, especially in cochleas, maculas, and crista ampullaris of patients with DFNA9 (a chromosome locus), as well as severe degeneration of vestibular and cochlear sensory axons and dendrites. It is suggested that the mucopolysaccharide deposit could cause strangulation of nerve endings.[1]

The maculas and crista ampullaris are what allow for non-visual sensation of head movements. The crista ampullaris resides in the semicircular canals of the inner ear and detects angular acceleration, while the maculas are housed within the vestibule of the inner ear and detect linear acceleration. When affected, these organs can lead to vertigo and nausea because the body would always feel off-balance.[2]

Diagnosis
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References
  1. Verhagen, Wim I. M.; Bom, Steven J. H.; Huygen, Patrick L. M.; Fransen, Erik; Van Camp, Guy; Cremers, Cor W. R. J. (2000). "Familial Progressive Vestibulocochlear Dysfunction Caused by a COCH Mutation (DFNA9)". Archives of Neurology. 57 (7): 1045. doi:10.1001/archneur.57.7.1045. ISSN 0003-9942.
  2. Saladin, Kenneth (2012). Anatomy and Physiology: The Unity of Form and Function. New York, NY: McGraw-Hill. pp. 596–609. ISBN 978-0-07-337825-1.
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