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[Non-benign paroxysmal positional vertigo].

E Hernández Montero1, J J Fraile Rodrigo, F De Miguel García

  • 1Servicio de Otorrinolaringología, Hospital Universitario Miguel Servet, Zaragoza.

Acta Otorrinolaringologica Espanola
|February 6, 2004
PubMed
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Positional vertigo, often benign paroxysmal positional vertigo (BPPV), can rarely signal serious intracranial tumors. Persistent symptoms despite repositioning maneuvers warrant suspicion of non-benign causes.

Area of Science:

  • Neurology
  • Otolaryngology
  • Neuro-otology

Background:

  • Positional vertigo is a common symptom with diverse causes.
  • Benign paroxysmal positional vertigo (BPPV) is the most frequent peripheral vertigo etiology.
  • Severe or difficult-to-diagnose positional vertigo can present challenges.

Observation:

  • Persistent symptoms despite repositioning maneuvers are noted.
  • Association with otological or neurological symptoms is observed.
  • Atypical nystagmus during the Dix-Hallpike maneuver is a key indicator.

Findings:

  • This case highlights positional vertigo caused by an intracranial tumor.
  • Clinical signs suggesting non-benign pathologies mimicking positional vertigo are reviewed.

Related Experiment Videos

  • Intracranial tumors can present as positional vertigo.

    • Implications:

    • Otolaryngologists must consider non-benign pathologies in challenging positional vertigo cases.
    • Early suspicion of serious underlying conditions is crucial for timely diagnosis.
    • Recognizing atypical presentations can prevent misdiagnosis of positional vertigo.