<- Home <- Arhive <- Vol. 27, Issue 1, March 2019



Rom J Leg Med27(1)47-51(2019)
DOI:10.4323/rjlm.2019.47
© Romanian Society of Legal Medicine


The assessment of the patient simulating a vestibular disorder

G. C. Musat, O. Musat


Abstract: Malingering a vestibular disorder is not a frequent situation, so there is relatively poor literature regarding this subject. There might be medico-legal implications in evaluating a patient pretending to feel vertigo, dizziness or imbalance in the case of the patients victims of accidents that resulted in whiplash injury and now seek material compensation or in case of work related injuries. Evaluating a vestibular disorder is a difficult task in itself, but evaluating a malingering patient is even more challenging. An experienced examiner might detect malingering in the anamnesis or in the clinical examination phase of the diagnosis, but the most reliable results are provided by the laboratory examination of the patient. Video/electronystagmography is a suitable method to evaluate vestibular disorders in general but there are not standardized tests to detect simulation. Computerized posturography is a well established method of detecting malingering and psychiatric disorders. There are authors who elaborated mathematical formulas able to discriminate malingering with a big rate of success or developed protocols capable to detect aphysiologic performance.
Keywords: malingering, non-organic vestibular disorder, video/electro-nystagmography, computerized dynamic posturography, aphysiologic performance.



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