Simultaneous Presentation of Benign Paroxysmal Positional Vertigo and Meniere’s Disease – Case Report

Authors

  • Marina Davcheva-Chakar University Clinic of Ear, Nose and Throat, University Campus “St. Mother Theresa”, Skopje, Republic of Macedonia
  • Gabriela Kopacheva-Barsova University Clinic of Ear, Nose and Throat, University Campus “St. Mother Theresa”, Skopje, Republic of Macedonia
  • Nikola Nikolovski University Clinic of Ear, Nose and Throat, University Campus “St. Mother Theresa”, Skopje, Republic of Macedonia

DOI:

https://doi.org/10.3889/oamjms.2019.600

Keywords:

benign paroxysmal positional vertigo, Meniere's disease, Dix-Hallpike maneuver, Epley maneuver

Abstract

BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is one of the most common clinical entities, which develops spontaneously in most of the cases, but it can be secondary as a result of different conditions such as head injuries, viral neurolabyrinthitis, Meniere’s disease and vertebrobasilar ischemia. The aim of presenting this case is to point out to the need of taking a precise clinical history and performing Dix-Hallpike manoeuvre in all patients who complain about vertigo regardless of the previously diagnosed primary disease of the inner ear.

CASE PRESENTATION: A 63-year-old female patient presented with the classical triad of symptoms for Meniere’s disease (fluctuating sensorineural hearing loss in the right ear, tinnitus and fullness in the same ear and rotary vertigo), two years later complained of brief episodes of vertigo linked to changes in head position relative to gravity. Dix-Hallpike manoeuvre showed a classical response in the head-hanging right position. Benign paroxysmal positional vertigo (BPPV) in the same ear was diagnosed in this patient. After treatment with Epley’s canal repositioning manoeuvre for a few days, the symptoms of positional vertigo resolved.

CONCLUSION: The authors recommend complete audiological and otoneurological evaluation in all patients with vertigo for timely recognition/diagnosis of any inner ear associated pathology.

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Published

2019-10-14

How to Cite

1.
Davcheva-Chakar M, Kopacheva-Barsova G, Nikolovski N. Simultaneous Presentation of Benign Paroxysmal Positional Vertigo and Meniere’s Disease – Case Report. Open Access Maced J Med Sci [Internet]. 2019 Oct. 14 [cited 2024 Mar. 29];7(21):3626-9. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2019.600

Issue

Section

C- Case Reports