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recurrent spontaneous vertigo; benign recurrent vertigo; recurrent vestibular vertigo
Classification:
- presumably peripheral vertigo because of benign nature
Etiology:
- idiopathic
- regarded in past as a variant of Meniere's disease or vestibular migraine
- may include benign paroxysmal positional vertigo [2]
Clinical manifestations:
- vertigo
- interictal prolonged headshaking nystagmus
- headshaking for 15-20 seconds may induce nystagmus
- after headshaking, the nystagmus peaks quickly, then slowly subsides (primary phase)
- a weaker nystagmus may then develop, slowly building before slowly decreasing
- marked susceptibility to motion sickness
Management:
- nimodipine, betahistine, propranolol, flunarizine, baclofen, nortriptyline, & acetazolamide used in various combinations [1]
General
peripheral vertigo
References
- Anderson P
New Type of Treatable Vertigo Identified.
Medscape - May 23, 2018.
https://www.medscape.com/viewarticle/897123
- Lee SU, Choi JY, Kim HJ, Kim JS
Recurrent spontaneous vertigo with interictal headshaking
nystagmus.
Neurology. May 23, 2018.
PMID: 29792303
http://n.neurology.org/content/early/2018/05/23/WNL.0000000000005689
- Jeong SS, Simpson KN, Johnson JM et al
Assessment of the Cost Burden of Episodic Recurrent Vestibular Vertigo in the US.
JAMA Otolaryngol Head Neck Surg. 2022 Oct 13;e223247.
PMID: 36227614 PMCID: PMC9562102 (available on 2023-10-13)
https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2797389