Drop attacks in older patients secondary to an otologic cause

The clinical features and treatment of seven patients with drop attacks att ributable to inner ear disease presenting after age 65 are described. A neu rologic or cardiovascular cause of drop attacks was initially suspected. Au diovestibular testing documented a unilateral inner ear disorder. The salie nt clinical features of these cases are discussed. The patients underwent a blative vestibular surgery, and all compensated well and were free of verti go and falls up to 10 years postoperatively.