Research in Vestibular Science

Case Report

Vestibular Paroxysmia Mimicking Benign Parxysmal Positional Vertigo: Hyuk Ki Cho, Ye Won Lee, Soon Hyung Park, Sung Il Nam; Res Vestib Sci. 2016;15(4):141-146. Published online December 12, 2016; DOI: https://doi.org/10.21790/rvs.2016.15.4.141

Abstract PDF: 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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