Benign Paroxysmal Positional Vertigo After Nonotologic Surgery: Case Series

Kansu, Leyla; Aydın, Erdinç; Gülşahı, Kamran

doi:10.1007/s12663-012-0356-8

Cited by 17 publications

(14 citation statements)

References 10 publications

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“…The membranous structures of the inner ear, which are located in the bony chambers, are particularly vulnerable to the traumatic effects of the transmitted mechanical waves. The vibrations may dislodge otoliths, which then enter the canal and cause BPPV (8,9).…”

Section: Discussionmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo Following Electroconvulsive Therapy

Karasu¹

2019

Erciyes Med J

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Patients with severe major depression most commonly undergo electroconvulsive therapy (ECT). Although this procedure is usually safe and the complication rates are very low, some side-effects and medical complications are observed. The reported adverse effects are generally minor in severity, and vertigo is one of these complications. We presented a case of benign paroxysmal positional vertigo (BPPV) occurring after ECT and aimed to discuss the pathophysiological mechanism of this condition. To the best of our knowledge, there are no other case reports regarding the co-occurrence.

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Section: Discussionmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo Following Electroconvulsive Therapy

Karasu¹

2019

Erciyes Med J

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“…The etiology may be idiopathic (50%-70% of all cases) or secondary to infections, migraines, Meniere's disease, otologic, non-otologic surgery, prolonged bed rest, trauma, magnetic resonance imaging, vascular and metabolic pathologies, and hormonal changes (7,9,10).…”

Section: Discussionmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo Diagnosed in a Patient with Idiopathic Cervical Dystonia

Çoban¹,

Kansu²,

Aydın³

2018

Erciyes Med J

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Idiopathic cervical dystonia (CD) is a focal dystonia characterized by involuntary contraction of the muscles of the neck causing twisting movements and abnormal head and neck postures. Its etiology is unclear; however, intracerebral neuronal circuit pathologies are highly considered. On the contrary, benign paroxysmal positional vertigo (BPPV) is the most common peripheral vertigo diagnosed. We present a patient with CD suffering from severe vertigo who was diagnosed with BPPV. This is a very unique case representing the co-occurrence of a rare central nervous system pathology and a peripheral inner ear disease. The cause and effect relation between two pathologies is under scope. We present a 55-year-old woman with CD attended our clinic with severe vertigo and nausea. Left posterior semicircular canal BPPV (PSCC BPPV) was diagnosed. Involuntary head and neck muscle contractions caused by CD appear to have contributed to the development of BPPV in this case. However, increased neuronal activities causing CD could also have led to BPPV in the vestibular nuclear level. Further investigations are essential. Peripheral vestibular pathologies and their association with CD are not clearly determined in the literature so far. To our knowledge, there are no other cases reported regarding this co-occurrence.

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“…Secondary causes of BPPV refer to identifiable causes of otoconial dislodgement. These include otologic and nonotologic surgery, head trauma, or any means by which a sufficient mechanical force reaches the inner ear . Furthermore, the disease can develop via inner ear disorders which ultimately lead to the degradation and disassociation of otoconia from their native gelatinous substrate.…”

Section: Pathophysiologymentioning

confidence: 99%

“…These include otologic and nonotologic surgery, head trauma, or any means by which a sufficient mechanical force reaches the inner ear. 11,13,14 Furthermore, the disease can develop via inner ear disorders which ultimately lead to the degradation and disassociation of otoconia from their native gelatinous substrate. These include vestibular neuritis, Meniere's disease and sudden sensorineural hearing loss (SNHL).…”

Section: Pathophysiologymentioning

confidence: 99%

Benign paroxysmal positional vertigo

You

Instrum

Parnes

2018

Laryngoscope Investig Oto

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Objectives Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular end‐organ disease. This article aims to summarize research findings and key discoveries of BPPV. The pathophysiology, diagnosis, nonsurgical, and surgical management are discussed. Methods A comprehensive review of the literature regarding BPPV up through June 2018 was performed. Results BPPV is typified by sudden, brief episodes of vertigo precipitated by specific head movements. While often self‐limited, BPPV can have a considerable impact on quality of life. The diagnosis can be established with a Dix‐Hallpike maneuver for the posterior and anterior canals, or supine roll test for the horizontal canal, and typically does not require additional ancillary testing. Understanding the pathophysiology of both canalithiasis and cupulolithiasis has allowed for the development of various repositioning techniques. Of these, the particle repositioning maneuver is an effective way to treat posterior canal BPPV, the most common variant. Options for operative intervention are available for intractable cases or patients with severe and frequent recurrences. Conclusions A diagnosis of BPPV can be made through clinical history along with diagnostic maneuvers. BPPV is generally amenable to in‐office repositioning techniques. For a small subset of patients with intractable BPPV, canal occlusion can be considered. Level of Evidence N/A

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Benign Paroxysmal Positional Vertigo After Nonotologic Surgery: Case Series

Cited by 17 publications

References 10 publications

Benign Paroxysmal Positional Vertigo Following Electroconvulsive Therapy

Benign Paroxysmal Positional Vertigo Following Electroconvulsive Therapy

Benign Paroxysmal Positional Vertigo Diagnosed in a Patient with Idiopathic Cervical Dystonia

Benign paroxysmal positional vertigo

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