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Bacterial Meningitis Initially Presenting as Labyrinthitis
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Bon Min Koo, Sung Il Nam, Soon Hyung Park
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Res Vestib Sci. 2017;16(2):69-72. Published online June 15, 2017
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DOI: https://doi.org/10.21790/rvs.2017.16.2.69
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 Abstract
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- Labyrinthitis causes damage to inner ear structure, and in turn hearing loss and vertigo. Labyrinthitis is classified as otogenic labyrinthitis and meningogenic labyrinthitis. Otogenic labyrinthitis can be diagnosed early through otoscopic examination. However, when there are no characteristic neurologic symptoms in patients with meningogenic labyrinthitis, clinicians can overlook the underlying meningitis and this may lead to the peripheral vertigo. We encountered an unusual case of meningogenic labyrinthitis that is misdiagnosed as peripheral dizziness.
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Vestibular Paroxysmia Mimicking Benign Parxysmal Positional Vertigo
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Hyuk Ki Cho, Ye Won Lee, Soon Hyung Park, Sung Il Nam
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Res Vestib Sci. 2016;15(4):141-146. Published online December 12, 2016
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DOI: https://doi.org/10.21790/rvs.2016.15.4.141
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Abstract
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- Vestibular paroxysmia is the name given to the syndrome caused by vascular compression of the vestibulocochlear nerve. The main symptoms of vestibular paroxysmia are recurrent, spontaneous, brief attacks of spinning, non-spinning vertigo or positional vertigo that generally last less than one minute, with or without ear symptoms (tinnitus and hypoacusis). Prior to attributing a patient’s symptoms to vestibular paroxysmia, however, clinicians must exclude common conditions like benign paroxysmal positional vertigo, Menière’s disease, vestibular neuritis and vestibular migraine. This is usually possible with a thorough history and bedside vestibular/ocular motor examination. Herein, we describe a patient with vestibular paroxysmia that mimicked resolved BPPV with a literature review.
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