Simultaneous Presentation of Benign Paroxysmal Positional Vertigo and Meniere’s Disease – Case Report
| Autor: | Marina Davcheva-Chakar, Gabriela Kopacheva-Barsova, Nikola Nikolovski |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Pediatrics
medicine.medical_specialty Benign paroxysmal positional vertigo medicine.medical_treatment lcsh:Medicine 030209 endocrinology & metabolism Epley maneuver Case Report 03 medical and health sciences 0302 clinical medicine Vertigo medicine otorhinolaryngologic diseases Inner ear 030212 general & internal medicine Dix-Hallpike manoeuvre Meniere’s disease Epley manoeuvre biology business.industry lcsh:R General Medicine Meniere's disease medicine.disease biology.organism_classification medicine.anatomical_structure Dix-Hallpike maneuver Sensorineural hearing loss sense organs medicine.symptom Presentation (obstetrics) business Tinnitus |
| Zdroj: | Open Access Macedonian Journal of Medical Sciences Open Access Macedonian Journal of Medical Sciences, Vol 7, Iss 21 (2019) Open Access Macedonian Journal of Medical Sciences; Vol. 7 No. 21 (2019): Nov 15 (OAMJMS); 3626-3629 |
| ISSN: | 1857-9655 |
| Popis: | BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is one of the most common clinical entities, which develops spontaneously in most of the cases, but it can be secondary as a result of different conditions such as head injuries, viral neurolabyrinthitis, Meniere’s disease and vertebrobasilar ischemia. The aim of presenting this case is to point out to the need of taking a precise clinical history and performing Dix-Hallpike manoeuvre in all patients who complain about vertigo regardless of the previously diagnosed primary disease of the inner ear. CASE PRESENTATION: A 63-year-old female patient presented with the classical triad of symptoms for Meniere’s disease (fluctuating sensorineural hearing loss in the right ear, tinnitus and fullness in the same ear and rotary vertigo), two years later complained of brief episodes of vertigo linked to changes in head position relative to gravity. Dix-Hallpike manoeuvre showed a classical response in the head-hanging right position. Benign paroxysmal positional vertigo (BPPV) in the same ear was diagnosed in this patient. After treatment with Epley’s canal repositioning manoeuvre for a few days, the symptoms of positional vertigo resolved. CONCLUSION: The authors recommend complete audiological and otoneurological evaluation in all patients with vertigo for timely recognition/diagnosis of any inner ear associated pathology. |
| Databáze: | OpenAIRE |
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