A case in which vestibular dysfunction as well as hearing loss was caused by acoustic trauma was reported. The patient was a 22 year old woman that developed hearing loss and dysequilibrium at a rock concert after 20 minutes exposure. She was a college student and in order to prepare the term examination, she did not sleep or take any food for 24 hours prior to the onset of these symptoms. This extreme fatigue condition seemed to be closely related to the appearance of the vestibular symptoms in addition to the hearing loss. The generation mechanism of the acoustic trauma was discussed in the light of the available literature and the importance of good physical condition was stressed.
