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KMID : 1235520160150040141
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Research in Vestibular Science
2016 Volume.15 No. 4 p.141 ~ p.146
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Vestibular Paroxysmia Mimicking Benign Parxysmal Positional Vertigo
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Cho Hyuk-Ki
Lee Ye-Won
Park Soon-Hyung
Nam Sung-Il
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Abstract
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Vestibular paroxysmia is the name given to the syndrome caused by vascular compression of the vestibulocochlear nerve. The main symptoms of vestibular paroxysmia are recurrent, spontaneous, brief attacks of spinning, non-spinning vertigo or positional vertigo that generally last less than one minute, with or without ear symptoms (tinnitus and hypoacusis). Prior to attributing a patient’s symptoms to vestibular paroxysmia, however, clinicians must exclude common conditions like benign paroxysmal positional vertigo, Meniere’s disease, vestibular neuritis and vestibular migraine. This is usually possible with a thorough history and bedside vestibular/ocular motor examination. Herein, we describe a patient with vestibular paroxysmia that mimicked resolved BPPV with a literature review.
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KEYWORD
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Vestibular paroxysmia, Carbamazepine, Neurovascular compression, Benign paroxysmal positional vertigo
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