Vestibularisparoxysmie: Häufige, kurze Schwindelattacken, wenig Begleitsymptome

Research output: Contribution to journalReview articleContributedpeer-review

Contributors

  • Katharina Hüfner - , Ludwig Maximilian University of Munich (Author)
  • K. Jahn - , Ludwig Maximilian University of Munich (Author)
  • J. Linn - , Hospital of the Ludwig-Maximilians-University (LMU) Munich (Author)
  • M. Strupp - , Ludwig Maximilian University of Munich (Author)
  • T. Brandt - , Ludwig Maximilian University of Munich (Author)

Abstract

Vestibular paroxysmia is a syndrome of neurovascular cross-compression of the eighth cranial nerve. It is assumed to have a pathogenesis analogous to that of trigeminal neuralgia or hemifacial spasm. The disease is clinically characterized by monosymptomatic attacks of vertigo which can occur up to hundreds of times a day. These can sometimes be associated with symptoms stemming from the auditory system (tinnitus, tingling sensation/light pressure in or around the ear, unilateral reduced hearing). The attacks often occur without provoking factors, but are sometimes triggered by certain head or body positions. The clinical-neurological examination in the attack-free interval usually gives normal results; sometimes there can be signs of a subtle vestibulo-cochlear deficit. These can also be documented with auxiliary tests such as electronystagmography, audiometry, or acoustic evoked potentials. A cranial MRI with the strongly T2-weighted "interference in steady-state" (CISS) sequence can be used to document neurovascular cross-compression and to exclude other pathologies. The therapy of choice is carbamazepine or oxcarbazepine. Operative decompression is reserved for exceptional cases.

Details

Translated title of the contribution
Vestibular paroxysmia
Frequent, short attacks of vertigo, few associated symptoms
Original languageGerman
Pages (from-to)26-30
Number of pages5
JournalNervenheilkunde
Volume28
Issue number1-2
Publication statusPublished - 2009
Peer-reviewedYes
Externally publishedYes

Keywords

ASJC Scopus subject areas

Keywords

  • Carbamazepine, Neurovascular cross-compression, Oxcarbamazepine, Vestibular paroxysmia