Imbalance following a severe neck injury. Longitudinal temporal bone fracture Oblique temporal bone fracture 6. Temporal bone fracture . Severe dizziness after the injury, with skull or temporal bone CT scan indicating a fracture. Either a conductive or sensorineural hearing loss may be present.
Vestibular deficits are also common, especially in the oblique variety.
Bilateral vestibular problems are exceedingly rare. Treatment is conservative. Prophylactic antibiotics are given, usually for 4 weeks. Round window fistula. Perilymph fistula .