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Cyclic vomiting syndrome associated with benign paroxysmal vertigo: a case report

  • Sylvain RedonEmail author
  • Maya Elzière
  • Isabelle Lambert
  • Anne Donnet
Letter to the Editor
  • 24 Downloads

Dear Editor,

In the last classification of International Headache Society (IHS), four episodic syndromes associated with migraine are mentioned: cyclical vomiting syndrome (CVS), abdominal migraine, benign paroxysmal vertigo (BPV) and benign paroxysmal torticollis (BPT) [1]. These syndromes are thought to be entities of the same migrainous spectrum. They are distinguished by clinical features, duration of attacks and age of onset [2]. However, there may be some overlap and some features could be common. For example, a typical onset of symptoms upon arousal is a common feature between CVS and BPV. We report an unusual presentation of an episodic syndrome with stereotypical and predictable episodes of both vomiting and intense vertigo. We discuss clinical features borrowed from CVS and BPV in this observation.

A 22-year-old women, with familial history of migraine (second and third degree) reported episodes of vomiting and vertigo since the age of 2 years and 4 months. The first episode...

Keywords

Cyclic vomiting syndrome Benign paroxysmal vertigo Episodic syndrome Vestibular migraine 

Abbreviations

IHS

International Headache Society

CVS

Cyclical vomiting syndrome

BPV

Benign paroxysmal vertigo

BPT

Benign paroxysmal torticollis

EEG

Electroencephalogram

VM

Vestibular migraine

Notes

Compliance with ethical standards

Conflict of interest

The authors have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained.

References

  1. 1.
    Headache Classification Committee of the International Headache Society (IHS) (2018) The international classification of headache disorders, 3rd edition. Cephalalgia 38:1–211Google Scholar
  2. 2.
    Gelfand AA (2015) Episodic syndromes that may be associated with migraine: A.K.A. “the childhood periodic syndromes”. Headache 55:1358–1364CrossRefGoogle Scholar
  3. 3.
    Redon S, Mareau C, Guedj E, Donnet A (2017) Cyclic vomiting syndrome in adults and children: a hypothesis. Headache 57:943–951CrossRefGoogle Scholar
  4. 4.
    Lobel D, Eviatar L (1998) Cyclic vertigo with predictable recurrence. Headache 38:540–546CrossRefGoogle Scholar
  5. 5.
    Donnet A, Redon S (2018) Cyclic vomiting syndrome in children. Curr Pain Headache Rep 22:30CrossRefGoogle Scholar

Copyright information

© Belgian Neurological Society 2019

Authors and Affiliations

  1. 1.Department of Evaluation and Treatment of Pain, Clinical Neuroscience FederationFHU INOVPAIN, CHU Timone, AP-HMMarseilleFrance
  2. 2.Vertigo CenterEuropean HospitalMarseilleFrance
  3. 3.Clinical NeurophysiologyCHU Timone, AP-HMMarseilleFrance
  4. 4.INSERM U-1107Clermont-FerrandFrance

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