Conservative management of Tumarkin's otolithic crisis.

Tumarkin's otolithic crisis (TOC), characterized by a sudden drop attack without accompanying loss of consciousness, vertigo or autonomic signs, is a rare phenomenon thought to be of peripheral origin and associated with late-stage Meniere's disease. The purpose of this paper is to describe the clinical course of TOC in our series; to discuss the relationship between TOC and the onset and symptomatology of pre-existent Meniere's disease, and to determine the management of patients with TOC.