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Severe hydrocephalus complicated with benign paroxysmal positional vertigo: one case report
Jian Jun Chen1, Wei Jin Cheng1, Jie Rao1
1Department of Neurology, Lishui Central Hospital, The Fifth Affiliated Hospital of Wenzhou Medical College Lishui 323000, Zhejiang, China.
International Journal of Clinical and Experimental Medicine
|February 18, 2016
Summary
Severe hydrocephalus complicated with benign paroxysmal positional vertigo (BPPV) requires prompt diagnosis using provocative tests. This case highlights successful Gufoni maneuver treatment and emphasizes physician collaboration for optimal patient outcomes.
Area of Science:
- Neurology
- Otolaryngology
- Neurosurgery
Background:
- Hydrocephalus, a condition of excess cerebrospinal fluid in the brain, can present with varied neurological symptoms.
- Benign paroxysmal positional vertigo (BPPV) is a common inner ear disorder causing brief, intense dizziness.
- The co-occurrence of severe hydrocephalus and BPPV presents a diagnostic and therapeutic challenge.
Observation:
- A female patient with severe hydrocephalus experienced progressive headache and dizziness.
- Diagnostic Dix-Hallpike and Roll tests were crucial in identifying BPPV.
- The patient's symptoms were successfully managed with the Gufoni maneuver.
Findings:
- The Gufoni maneuver provided a complete resolution of BPPV symptoms.
- No recurrence of BPPV was observed during a 6-month follow-up period.
- This case underscores the importance of specific diagnostic tests for positional vertigo in hydrocephalus patients.
Implications:
- Provocative tests for positional dizziness are essential before initiating hydrocephalus treatment.
- Collaboration between neurology and otolaryngology departments is vital for accurate diagnosis and management.
- Early identification and treatment of BPPV in hydrocephalus patients can prevent complications and improve quality of life.
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