Journal of Neurology

, Volume 265, Issue 7, pp 1711–1713 | Cite as

The nystagmus of vestibular paroxysmia

  • Seo-Young Choi
  • Jae-Hwan Choi
  • Kwang-Dong ChoiEmail author
Letter to the Editors

Dear Sirs,

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.

Supplementary material

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)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Neurology, College of Medicine, Pusan National University HospitalPusan National University School of Medicine and Biomedical Research InstituteBusanSouth Korea
  2. 2.Department of Neurology, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan HospitalPusan National University School of MedicineBusanSouth Korea

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