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A Rare Case of Posttraumatic Bilateral BPPV Presentation.
Sinisa Maslovara1,2, Andro Kosec3, Ivana Pajic Matic4
1Department of Otorhinolaryngology, National Memorial Hospital Vukovar, Vukovar, Croatia.
Case Reports in Otolaryngology
|September 17, 2021
Summary
A rare case of bilateral benign paroxysmal positional vertigo (BPPV) after head trauma presented unique canalithiasis and cupulolithiasis. Diagnosis requires more than positioning for complex BPPV cases.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Benign paroxysmal positional vertigo (BPPV) can occur after head trauma.
- Bilateral presentations are known, but specific combinations are rare.
Observation:
- A 38-year-old female developed BPPV three weeks post-head trauma.
- The patient presented with bilateral posterior canal canalithiasis and right lateral canal cupulolithiasis.
Findings:
- This specific bilateral, multi-canal involvement (posterior and lateral canals) is a unique, unpublished case.
- The complex presentation highlights the need for comprehensive diagnostic approaches.
Implications:
- Accurate diagnosis of complex BPPV requires more than simple positioning tests.
- Understanding BPPV etiopathogenesis and pathophysiology is crucial for effective treatment.
- This case underscores the importance of considering advanced diagnostics for post-traumatic vertigo.
