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Published on: August 30, 2019
Recurrent vestibulopathy: natural course and prognostic factors
R B van Leeuwen1, T D Bruintjes
1Department of Neurology, Gelre Hospital Apeldoorn, Apeldoorn, The Netherlands. r.b.van.leeuwen@gelre.nl
The Journal of Laryngology and Otology
|September 25, 2009
Summary
Recurrent vestibulopathy often resolves naturally. While most patients with vertigo attacks recover, a small percentage may be rediagnosed with migraine or Ménière
Area of Science:
- Neurology
- Otolaryngology
Background:
- Recurrent vestibulopathy is characterized by episodic vertigo attacks.
- Understanding the natural course of this condition is crucial for diagnosis and management.
Purpose of the Study:
- To evaluate the natural course of recurrent vestibulopathy.
- To assess the long-term outcomes and diagnostic stability in patients presenting with vertigo.
Main Methods:
- Retrospective analysis of 105 adult patients diagnosed with recurrent vestibulopathy.
- Patients experienced vertigo attacks without auditory or neurological symptoms.
- Structured telephone interviews were conducted 12-62 months post-initial visit.
Main Results:
- Two-thirds of patients achieved spontaneous resolution of vertigo symptoms.
- One-third of patients continued to experience symptoms.
- A small percentage (2% and 1%) were later rediagnosed with migraine or Ménière's disease, respectively.
Conclusions:
- The prognosis for recurrent vestibulopathy is generally good, with a high rate of spontaneous recovery.
- A provisional diagnosis should be considered, as some cases may evolve into migraine or Ménière's disease.
- This highlights the importance of long-term follow-up for accurate diagnosis.
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