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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
Objective:
To evaluate the natural course of recurrent vestibulopathy.
Study Design:
Retrospective analysis.
Patients:
One hundred and five adult patients with attacks of vertigo without auditory or neurological symptoms.
Methods:
A structured interview was conducted over the telephone, 12 to 62 months after the patient's first visit to the out-patient department.
Results:
Two-thirds of patients experienced spontaneous resolution of vertigo, while one-third continued to have symptoms. The diagnosis was subsequently changed to migraine in 2 per cent of patients and to Ménière's disease in 1 per cent.
Conclusion:
The prognosis for patients with recurrent vestibulopathy is good. In a few cases, the diagnosis is provisional and will be subsequently changed to migraine or Ménière's disease.
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