The nystagmus of vestibular paroxysmia
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Vestibular paroxysmia is a rare vestibular disorder characterized by brief attacks of spinning or non-spinning vertigo which lasts from a second up to a few minutes, and occurs with or without ear symptoms [1, 4, 6]. A neurovascular cross-compression of the eighth cranial nerve is assumed to be the cause of short episodes of vertigo in vestibular paroxysmia that was recently documented in a patient who underwent a successful operation [1, 2, 4, 6, 7]. The frequency of attacks of vertigo in vestibular paroxysmia greatly varies among patients from 30 attacks per day to a few attacks per year. We report a patient with vestibular paroxysmia which presented periodic vertigo with paroxysmal nystagmus.
A 59-year-old man, a professional conductor of classical music first developed vertigo attacks about 5 years ago. Each attack would last only about 10 s but he would have 2–3 attacks every day. He sought our medical attention but was too busy to undergo investigation. He now...
The authors would like to thank Dr. GM Halmagyi for his linguistic correction and comprehensive comments on our manuscript.
Compliance with ethical standards
Conflicts of interest
We have no disclosure of any competing interest.
Ethical approval for research involving human participants and/or animals
All experiments followed the tenets of the Declaration of Helsinki, and this study was approved by the Institutional Review Board.
Video. The patient with right vestibular paroxysmia shows spontaneous left-beating nystagmus without fixation which is intervened by paroxysmal right-beating nystagmus immediately after a feeling of rotational vertigo (when putting his right hand up) (WMV 13857 KB)
- 2.Brandt T, Strupp M, Dieterich M (2016) Vestibular paroxysmia: a treatable neurovascular cross-compression syndrome. J Neurol 263(Suppl 1):S90-96Google Scholar