Hemorrhagic stroke after Epley maneuver: a case report
| Autor: | Trung Le, Paige Moore, Brian W. Blakley, Eric Meen, Jason Beiko |
|---|---|
| Přispěvatelé: | University of Manitoba |
| Rok vydání: | 2018 |
| Předmět: |
Intraparenchymal hemorrhage
Manipulation Spinal Risk medicine.medical_specialty Benign paroxysmal positional vertigo Vomiting Nausea medicine.medical_treatment lcsh:Surgery Case Report Hemorrhage Epley maneuver Patient Positioning Adverse outcome 03 medical and health sciences 0302 clinical medicine Vertigo otorhinolaryngologic diseases medicine Valsalva maneuver Humans 030223 otorhinolaryngology Stroke Aged biology business.industry General surgery lcsh:RD1-811 Emergency department BPPV medicine.disease biology.organism_classification Otorhinolaryngology Female Surgery sense organs medicine.symptom business Intracranial Hemorrhages 030217 neurology & neurosurgery |
| Zdroj: | Journal of Otolaryngology-Head and Neck Surgery, Vol 47, Iss 1, Pp 1-4 (2018) Journal of Otolaryngology-Head & Neck Surgery |
| ISSN: | 1916-0216 |
| Popis: | Background This is the first case to our knowledge of a serious adverse event following the Epley maneuver, which is the treatment of choice for benign paroxysmal positional vertigo (BPPV), the most common vestibular disorder in adults. Case presentation A 77 year old female presented for outpatient evaluation of vertigo at a tertiary otolaryngology clinic. She was found to have BPPV clinically, and elected to have a particle repositioning maneuver (Epley maneuver) performed in clinic. Immediately following Epley maneuver, she had severe nausea and vomiting, with evolving visual changes. A CT angiogram of the brain was performed urgently through the emergency department and demonstrated an acute intraparenchymal hemorrhage in the occipital lobe. After medical stabilization and rehabilitation, the patient continues to have a permanent visual field deficit. Conclusion The Epley maneuver is safe and effective, and there are no prior reports of serious adverse events associated with its use. This case, in which a patient experienced a hemorrhagic stroke after undergoing the Epley maneuver, is the first and sole case in the medical literature of an Epley-associated serious adverse event. The indirect causation and extreme rarity of this event do not warrant any change to patterns of practice. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink