International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Open Access | Fully Refereed | Peer Reviewed

ISSN: 2319-7064


Downloads: 115

Case Studies | Medicine Science | Indonesia | Volume 6 Issue 9, September 2017


Acute Vestibular Syndrome as Manifestation of an Acute Attack Chronic Tophaceous Gouty Arthritis in Obese Man: A Case Report and Literature Review

Made Edwin Sridana, Ni Wayan Kertiasih, I Komang Arimbawa


Abstract: Acute Vestibular Syndrome (AVS) is a clinical condition characterized by vertigo or dizziness that develops acutely (over seconds, minutes, or hours) is accompanied by nausea/vomiting, gait instability, nystagmus, and head-motion intolerance, and persists for a day or more. It was estimated affect 2 % of the population. Gouty arthritis is a metabolic disease on joint due to crystal uric acid deposition. AVS as the initial symptom of an acute attack of gouty arthritis is a rare case. Here, we are presenting a 38 years old man, obese came with sudden onset of vertigo with nausea, vomiting, tinnitus, sweating and also pain his great toe. Physical examination findings were normal, except for a head tilt, down beating rotatory nystagmus and also inflammation and tophy in metatarsal digiti I pedis dextra et sinistra. Blood test showed remarkable hyperuricemia. Patient was diagnosed with AVS and gouty arthritis and given intravenous fluid ringer lactate 20 drips per minute, betahistine mesylate 12 mg every 8 hours, flunarizine 5 mg every 12 hours, intravenous ranitidine 50 mg every 12 hours and intravenous ondansetron 8 mg every 12 hours and meloxicam 15 mg once a daily. The association between AVS and gouty arthritis remain unclear, but it is suggested through inflammation and oxidative stress which induced by monosodium urate level.


Keywords: Acute Vestibular Syndrome, gout, obesity, vertigo, oxidative stress


Edition: Volume 6 Issue 9, September 2017,


Pages: 2009 - 2014


How to Cite this Article?

Made Edwin Sridana, Ni Wayan Kertiasih, I Komang Arimbawa, "Acute Vestibular Syndrome as Manifestation of an Acute Attack Chronic Tophaceous Gouty Arthritis in Obese Man: A Case Report and Literature Review", International Journal of Science and Research (IJSR), https://www.ijsr.net/get_abstract.php?paper_id=ART20176989, Volume 6 Issue 9, September 2017, 2009 - 2014

How to Share this Article?

Enter Your Email Address


Similar Articles with Keyword 'gout'

Downloads: 97

Research Paper, Medicine Science, Pakistan, Volume 3 Issue 5, May 2014

Pages: 46 - 52

Combination of Allopurinol and Sustained Release Diclofenac Sodium for Treatment of Gout

Yasir Mehmood

Share this Article

Downloads: 124

Research Paper, Medicine Science, India, Volume 5 Issue 12, December 2016

Pages: 884 - 885

Cutaneous Manifestations of Obesity in Adolescent Age Group: A Clinical Study

Dr. Yogitha HR, Dr. Mangala HC, Dr. S B Murugesh

Share this Article

Similar Articles with Keyword 'obesity'

Downloads: 37

Research Paper, Medicine Science, Saudi Arabia, Volume 6 Issue 1, January 2017

Pages: 2450 - 2458

Awareness on Diabetes Complications and Protective Measures in Makkah Region among Known Diabetic Patients: A Cross-Sectional Survey

Anoud R. Omer; Abdullah A. Alghamdi; Rakan A. AlYamani; Salman H. Alqurash; Abdulaziz A. Alshikh; Roa'a A. Alshaik; Mohamed E. Salih; Anees A Sindi

Share this Article

Downloads: 104

Research Paper, Medicine Science, India, Volume 4 Issue 9, September 2015

Pages: 1744 - 1747

Study of Insulin Secretory Response after Oral Glucose Load in Hypertensive Subjects

Anuradha K., Dr. Ranjana Mathur, Dr. Sadhna Sood, Rohitash K

Share this Article

Similar Articles with Keyword 'vertigo'

Downloads: 107

Case Studies, Medicine Science, India, Volume 4 Issue 6, June 2015

Pages: 3090 - 3092

Hyperextension of Neck: An Uncommon Presentation of Dissecting Aneurysm of the Intracranial Vertebral Artery

Harish Kumar, Veer Bahadur Singh

Share this Article

Downloads: 119

Research Paper, Medicine Science, India, Volume 2 Issue 6, June 2013

Pages: 24 - 28

Effectiveness of Vestibular Rehabilitation Therapy in Patients Suffering from B.P.P.V

Rajamani Santhosh Kumar, I Radha Srinivasan

Share this Article

Similar Articles with Keyword 'oxidative stress'

Downloads: 88

Review Papers, Medicine Science, Bulgaria, Volume 4 Issue 5, May 2015

Pages: 3061 - 3064

Oxidative Stress in Parkinsons Disease

Mancheva-Ganeva Velina; Manchev Lachezar; Ganev Iordan; Manchev Ivan

Share this Article

Downloads: 101

Research Paper, Medicine Science, Iraq, Volume 4 Issue 11, November 2015

Pages: 2262 - 2264

Evaluate the Effect of Coenzymeq10 Supplementation on Reducing Oxidative Stress in Patients with Relapsing Remitting Multiple Sclerosis

Mariam Omran Waheed, Haider Al- Tukmagi, Ali Kadhim Kareem

Share this Article

Similar Articles with Keyword 'Acute'

Downloads: 113

Case Studies, Medicine Science, India, Volume 4 Issue 5, May 2015

Pages: 3187 - 3190

Marchiafava - Bignami Disease - A Case Report and a Brief Review of Literature

Dr. Vajed Mogal, Dr. Sarfaraz Mohammad, Dr. Amit Rathi, Dr. Kulin Seth

Share this Article

Downloads: 1

Research Paper, Medicine Science, Albania, Volume 4 Issue 3, March 2015

Pages: 2210 - 2212

Risk Factors in Heart Attack

Edi Smajlaj, Sabit Brokaj

Share this Article

Similar Articles with Keyword 'Syndrome'

Downloads: 86

Informative Article, Medicine Science, Albania, Volume 3 Issue 6, June 2014

Pages: 1827 - 1830

Albanian Doctors Extended Knowledge and Restricted Resources in Management of Breast Cancers High Risk Women

Albana SHAHINI PhD, Erinda KOSTURI MD

Share this Article

Downloads: 96 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1

Case Studies, Medicine Science, India, Volume 7 Issue 1, January 2018

Pages: 1707 - 1708

A Case of Unusual Presentation of Takayasus Arteritis with Rheumatic Heart Disease

Dr. Viral Patel, Dr Kamal Pathak, Dr AlpeshVadher

Share this Article
Top