To the Editor In the study of 21 US government personnel who experienced a suspected sonic weapon attack in Cuba,1 the patients’ symptoms could be explained by unilateral or bilateral peripheral labyrinthine injury, and further investigation is warranted. Our differential diagnosis includes (1) labyrinthine concussion, (2) delayed endolymphatic hydrops, (3) benign paroxysmal positional vertigo, (4) perilymphatic fistula, (5) new onset of symptoms from bony labyrinthine dehiscence, (6) malingering, and (7) neuropsychological abnormalities secondary to vestibulopathy. Unfortunately, testing to identify these entities was not reported.
Gianoli GJ, Soileau JS, Wackym PA. Neurological Symptoms in US Government Personnel in Cuba. JAMA. 2018;320(6):603–604. doi:https://doi.org/10.1001/jama.2018.8713
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: