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Images in Neurology
May 4, 2020

Tumarkin Drop Attack Recorded by Video Surveillance

Author Affiliations
  • 1Department of Otorhinolaryngology–Head and Neck Surgery, Second Affiliated Hospital of Xi'an Jiaotong University School of Medicine, Shannxi Province, China
  • 2Department of Otorhinolaryngology–Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
JAMA Neurol. 2020;77(7):897-898. doi:10.1001/jamaneurol.2020.0884

A 47-year-old man received a diagnosis of Meniere disease (MD) because of recurrent vertigo, fluctuating hearing loss, and tinnitus in his left ear for more than 7 years.1 The patient’s frequent vertigo attacks had caused more than 10 Tumarkin drop attacks, which frightened him. However, he did not develop any other neurological disease, such as epilepsy or ataxia.

One of the patient's typical drop attacks occurred while he was standing inside the business he owns and happened to be recorded by video surveillance (Video). He did not lose consciousness and vomited throughout the episode. He did not have nausea or foaming at the mouth. Each attack was less than 1 minute in duration. He was able to stand on his own after falling. This sort of drop attack occurred 1 or 2 additional times during the week.

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1 Comment for this article
Epilepsy Monitoring Unit
Hassan Alayafi, FRCPC | KAMC-Riyadh
It would be very interesting if this patient could be admitted to an epilepsy monitoring unit to record these interesting drop attacks, not to challenge the diagnosis but to give more credibility to it.