Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-27T12:11:27.698Z Has data issue: false hasContentIssue false

Recurrent vestibulopathy: natural course and prognostic factors

Published online by Cambridge University Press:  24 September 2009

R B van Leeuwen*
Affiliation:
Department of Neurology, Gelre Hospital Apeldoorn, The Netherlands
T D Bruintjes
Affiliation:
Department of Otorhinolaryngology, Gelre Hospital Apeldoorn, The Netherlands
*
Address for correspondence: Dr R B van Leeuwen, Department of Otorhinolaryngology, Gelre Hospital Apeldoorn, Postbox 9014, 7300 DS Apeldoorn, The Netherlands. Fax: 0031555818234 E-mail: [email protected]

Abstract

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.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Leliever, WC, Barber, HO. Recurrent vestibulopathy. Laryngoscope 1981;91:16CrossRefGoogle ScholarPubMed
2 Slater, R. Benign recurrent vertigo. J Neurol Neurosurg Psych 1979;42:363–7CrossRefGoogle ScholarPubMed
3 Dieterich, M, Brandt, T. Episodic vertigo related to migraine (90 cases): vestibular migraine? J Neurol 1999;246:883–92Google Scholar
4 Longridge, NS. Recurrent vestibulopathy: support for a viral etiology. J Otolaryngol 1989;18:99100Google ScholarPubMed
5 Paparella, MM, Mancini, F. Vestibular Ménière's disease. Otolaryngol Head Neck Surg 1985;93:148–51CrossRefGoogle ScholarPubMed
6 Rutka, JA, Barber, HO. Recurrent vestibulopathy: third review. J Otolaryngol 1986;15:105–7Google Scholar
7 Headache Classification Committee of the International Headache Society. The international classification of headache disorders. Cephalalgia 2004;24:1160Google Scholar
8 Committee on Hearing and Equilibrium guidelines for the diagnosis and evaluation of therapy in Ménière's disease. American Academy of Otolaryngology-Head and Neck Surgery. Head Neck Surg 1995;113:181–5Google Scholar
9 Kentala, E, Pyykkö, I. Benign recurrent vertigo – true or false diagnosis? Acta Otolaryngol Suppl 1997;529:101–3Google Scholar
10 Neuhauser, H, Lempert, T. Vertigo and dizziness related to migraine: a diagnostic challenge. Cephalalgia 2004;24:8391Google Scholar
11 Brandt, T. A chameleon among the episodic vertigo syndromes: ‘migrainous vertigo’ or ‘vestibular migraine’. Cephalalgia 2004;24:81–2Google Scholar
12 Olesen, J. Vertigo and dizziness related to migraine: a diagnostic challenge. Cephalalgia 2005;25:761–3CrossRefGoogle ScholarPubMed
13 Bigal, ME, Liberman, JN, Lipton, RB. Age-dependent prevalence and clinical features of migraine. Neurology 2006;67:246–55CrossRefGoogle ScholarPubMed
14 Grad, A, Baloh, RW. Vertigo of vascular origin. Arch Neurol 1989;46:281–4Google Scholar
15 Furman, JM, Cass, SP. Vestibular disorders. A Case Study Approach. Oxford: Oxford University Press, 2005Google Scholar
16 El-Kashlan, HK, Telian, SA. Diagnosis and initiating treatment for peripheral system disorders. Otolaryngol Clin North Am 2000;33:563–76CrossRefGoogle ScholarPubMed