Stefan C A Hegemann
Balance Clinic, SwitzerlandTitle: 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.