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Stefan C A Hegemann

Balance Clinic, Switzerland

Title: Otoconial loss a new important diagnosis - explanation for residual dizziness and chronic imbalance

Abstract

Subjective Visual Vertical and Horizontal (SVV/SVH), Binocular Cyclorotation (BCR) measured by fundus-photography and ocular Vestibular Evoked Potentials (oVEMPs) are available as simple tests to measure utricular function in ambulant settings. Often, these tests reveal contradictory results. There is no proven disease or lesion explaining these differences, but two hypotheses are around a) isolated hypofunction of utricular type 2 hair cells or otoconial loss. The arguments for both hypotheses will be discussed. It will be explained why otoconial loss seems the more reasonable explanation in most cases.

Biography

Stefan Hegemann passed his medical exam in 1990, his doctoral thesis in 1993. His board approved specialist for ENT since 1995 and board approved neurologist since 2002. He started his interest and specialization in diagnosis and treatment of vertigo and balance disorders in 1992, was a visiting scientist in 1997 at the Ocular Motor-Vestibular Testing and Research Laboratory (Prof. D.S. Zee). He became titular professor at the University of Zurich in 2026. He has over 60 peer reviewed publications cited more than 1000 times in over 1000 articles and his h-index is 20.