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Three Dimensional Vestibular Ocular Reflex Testing Using a Six Degrees of Freedom Motion Platform

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Post-traumatic camel-related benign paroxysmal positional vertigo.

Giovanni Ralli¹, Ralli Giovanni, Francesca Atturo

¹Department of Otorhinolaryngology, Audiology and Phoniatrics "G. Ferreri", University of Rome "Sapienza", Rome, Italy. gralli@libero.it

Travel Medicine and Infectious Disease

|October 26, 2010

Summary

Falling off a camel can cause benign paroxysmal positional vertigo (BPPV), a common dizziness. This case report highlights a novel cause of BPPV, emphasizing the need for proper diagnosis after such incidents.

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Area of Science:

Neurology
Otolaryngology
Trauma Research

Background:

Benign paroxysmal positional vertigo (BPPV) is a prevalent cause of dizziness with largely unknown etiologies.
A link between head trauma and BPPV onset is established, though specific injury mechanisms remain underreported.
The association between camel-related falls and BPPV has not been previously documented in medical literature.

Observation:

Two cases are presented involving individuals who experienced vertigo after falling from a camel during Middle Eastern safaris.
Initial vertigo symptoms were not recognized as BPPV by the affected individuals.
Persistent symptoms led to referral to an ENT specialist upon return to Italy, where BPPV was diagnosed.

Findings:

The diagnostic evaluation confirmed BPPV in both individuals who fell from camels.
One case involved bilateral BPPV (bBPPV), indicating a potentially significant vestibular disturbance.
Camel falls are identified as a potential, previously unreported cause of BPPV.

Implications:

Camel riding, particularly in safari contexts, should be considered a potential risk factor for developing BPPV.
Clinicians should maintain a high index of suspicion for BPPV in patients reporting dizziness after falls, including those from unusual mechanisms like camel falls.
Prompt diagnostic maneuvers and appropriate repositioning treatments are crucial for managing BPPV, regardless of the inciting event.