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Three Dimensional Vestibular Ocular Reflex Testing Using a Six Degrees of Freedom Motion Platform
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Simultaneous acute superior nerve neurolabyrinthitis and benign paroxysmal positional vertigo
David A Zapala1, Shane A Shapiro, Larry B Lundy
1Department of Otolaryngology-Head and Neck Surgery/Audiology, Mayo Clinic, Jacksonville, Florida 32224, USA. zapala.david@mayo.edu
Journal of the American Academy of Audiology
|August 25, 2006
Summary
A patient with acute neurolabyrinthitis also had benign paroxysmal positional vertigo (BPPV). Prompt diagnosis and treatment of BPPV led to rapid symptom relief, highlighting the importance of considering concurrent conditions.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Acute vertigo is a common emergency department presentation.
- Neurolabyrinthitis and benign paroxysmal positional vertigo (BPPV) are distinct vestibular disorders that can cause vertigo.
Observation:
- A 47-year-old woman presented with acute vertigo due to simultaneous left neurolabyrinthitis and left posterior canal BPPV.
- Gaze nystagmus associated with neurolabyrinthitis obscured the diagnosis of BPPV.
Findings:
- Once the BPPV was identified, it was successfully treated.
- The patient experienced rapid improvement in subjective vertigo following BPPV treatment.
Implications:
- Concurrent BPPV can complicate the diagnosis of acute neurolabyrinthitis.
- Emergency department clinicians should consider and rule out BPPV in patients with acute neurolabyrinthitis.
- Timely diagnosis and management of BPPV can significantly improve patient outcomes in cases of combined vestibular disorders.
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