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Position Independent Recurrent Vertigo

Meniere Disease – Vestibular Migraine – Acute Vestibular Syndrome – Vestibular Paroxysmia – Perilymphatic Fistula and Superior Canal Dehiscence

Position Independent Recurrent Vertigo

Attacks of vertigo may last from minutes to days. There are multiple disorders in this group. Some of them are beyond the scope of neurology field. Neurologist, however, is usually the first specialist who is consulted on the patients experiencing any type of vertigo.

The most common reason for recurrent position-independent vertigo is vestibular migraine. Migraine attacks are commonly associated with dizzy sensation and sense imperfect balance. Sometimes this sensation goes to extreme. Migraine attack may be associated with a severe spinning sensation. Occasionally, vertigo attacks occur without simultaneous headache but other associated symptoms of hypersensitivity and nausea are universal.

Meniere disease is a disorder of the labyrinth. Classical attack in Meniere disease is a combination of ear fullness, temporarily decreased hearing, and a strong spinning sensation. Incomplete hearing loss inevitably develops in this disease over years.

Vestibular paroxysmia is a rear form of recurrent vertigo due to unknown cause. There are brief unprovoked attacks of strong spinning sensation. Vestibular paroxysmia attacks are commonly triggered by hyperventilation.

Loss of integrity of the labyrinth wall may lead to two distinct syndromes of presenting with episodic vertigo: Perilymphatic Fistula and Superior Canal Dehiscence.

An acute nonrecurring attack of vertigo may be caused by a stroke or a viral infection of the labyrinth or vestibular nerve.

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