An unusual case of giant cell arteritis

2021 ◽  
pp. practneurol-2020-002912
Author(s):  
Mathilde Pauls ◽  
Mantegh Singh ◽  
Peter Martin
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Unusual Case ◽  
Benign Paroxysmal Positional Vertigo ◽  
Visual Disturbance ◽  
General Malaise ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

A 73-year-old man presented with unsteadiness and general malaise and later had problems with cognition. This was initially diagnosed as benign paroxysmal positional vertigo, but he was later found to have giant cell arteritis. Neurologists and physicians should be aware that giant cell arteritis can present with encephalopathy rather than the more typical features of headache, jaw pain and visual disturbance.

Giant Cell Arteritis: A New Association with Benign Paroxysmal Positional Vertigo

2004 ◽  
Vol 114 (8) ◽  
pp. 1420-1425 ◽  
Author(s):  
Juan C. Amor-Dorado ◽  
Javier Llorca ◽  
Carmen Costa-Ribas ◽  
Carlos Garcia-Porrua ◽  
Miguel A. Gonzalez-Gay
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Benign Paroxysmal Positional Vertigo ◽  
Positional Vertigo ◽  
New Association ◽  
Paroxysmal Positional Vertigo

Carbon monoxide poisoning: an unusual cause of dizziness

2010 ◽  
Vol 124 (10) ◽  
pp. 1103-1105 ◽  
Author(s):  
R Lakhani ◽  
N Bleach
Keyword(s):  
Carbon Monoxide ◽  
Case Report ◽  
Unusual Case ◽  
Benign Paroxysmal Positional Vertigo ◽  
Carbon Monoxide Poisoning ◽  
Hot Water ◽  
Positional Vertigo ◽  
Common Causes ◽  
Specific Symptoms ◽  
Paroxysmal Positional Vertigo

AbstractObjective:We report an unusual case of dizziness caused by carbon monoxide poisoning.Case report:A 55-year-old man was referred to an ENT surgeon with dizziness. The patient described vague, non-specific symptoms not consistent with a diagnosis of benign paroxysmal positional vertigo, labyrinthitis or Ménière's disease. It emerged later that the patient had been suffering from carbon monoxide poisoning from a leaky gas hot water boiler in his house. After having the boiler fixed, the patient's symptoms completely resolved.Conclusion:When the more common causes of dizziness cannot be found, less common but important differential diagnoses, such as carbon monoxide poisoning, should be considered.

Prolonged Positional Downbeat Nystagmus in Benign Paroxysmal Positional Vertigo: A Case Report and Literature Review

2021 ◽  
pp. 1-6
Author(s):  
Hyun-Jin Lee ◽  
Seong Ki Ahn ◽  
Chae Dong Yim ◽  
Seong Dong Kim ◽  
Dong Gu Hur
Keyword(s):  
Medical Records ◽  
Unusual Case ◽  
Benign Paroxysmal Positional Vertigo ◽  
Clinical Manifestations ◽  
Careful Consideration ◽  
Downbeat Nystagmus ◽  
Positional Vertigo ◽  
Torsional Component ◽  
Anterior Canal ◽  
Paroxysmal Positional Vertigo

Purpose This study aimed to report an unusual case of benign paroxysmal positional vertigo (BPPV), who showed prolonged positional downbeat nystagmus without latency and was diagnosed with cupulolithiasis of the anterior canal (AC). We compared this case with one of typical AC-BPPV, and possible mechanisms underlying the atypical characteristics were discussed. Method Two patients diagnosed with AC-BPPV were reported. Positional testing using video-oculography goggles was performed, and outcomes were measured via medical records and analysis of videos of the nystagmus. Results Downbeat nystagmus was observed in the contralateral Dix–Hallpike test in both cases. The torsional component was subtle or absent, but motion was induced toward the affected ear. The two cases differed in latency and duration of vertigo, as well as habituation. The patient with atypical nystagmus showed little or no latency and longer duration. Moreover, there was no habituation on repeated tests. The nystagmus showed several differences from that of typical AC-BPPV. Conclusions Based on our case, AC-BPPV may induce various unusual clinical manifestations of nystagmus. Accurate diagnosis requires careful consideration of the patient's symptoms and the characteristics of the nystagmus. Supplemental Material https://doi.org/10.23641/asha.14265356

Bilateral benign paroxysmal positional vertigo following a tooth implantation

2003 ◽  
Vol 117 (4) ◽  
pp. 312-313 ◽  
Author(s):  
Daniel M. Kaplan ◽  
Uriel Attal ◽  
Mordechai Kraus
Keyword(s):  
Unusual Case ◽  
Benign Paroxysmal Positional Vertigo ◽  
Medical Literature ◽  
Common Cause ◽  
Bilateral Involvement ◽  
Dental Implantation ◽  
Positional Vertigo ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo and may occur following recent head trauma. Bilateral involvement in BPPV is considered rare and has received little attention in the medical literature. We describe an unusual case of bilateral BPPV in a middle-aged woman that presented during a dental implantation, performed with the use of osteotomes. We discuss the diagnostic and therapeutic challenge of this entity.

scholarly journals MANIFESTASI KLINIS DAN DIAGNOSIS MIGREN VESTIBULAR

2018 ◽  
Vol 35 (2) ◽  
Author(s):  
Freddy Sitorus ◽  
Ni Nengah Rida Ariarini ◽  
Dyah Tunjungsari
Keyword(s):  
Differential Diagnosis ◽  
Clinical Manifestation ◽  
Benign Paroxysmal Positional Vertigo ◽  
International Headache Society ◽  
Visual Disturbance ◽  
Migraine Treatment ◽  
Common Cause ◽  
Positional Vertigo ◽  
Ischemic Attack ◽  
Paroxysmal Positional Vertigo

CLINICAL MANIFESTATION AND DIAGNOSIS OF VESTIBULAR MIGRAINEABSTRACTVestibular migraine (VM) is the most common cause of recurrent spontaneous vertigo on outpatient dizziness clinics. Clinical manifestation of VM is highly variable. Patient may present symptoms like vertigo, dizziness, tinnitus, visual disturbance, phonophobia, photophobia, aural fullness, paresthesia, nausea, and vomiting. Most VM patients have normal physical examination between attacks. Diagnostic criteria of this disease based on joint consensus of the International Headache Society (IHS) together the Barany Society published in 2012. The Differential diagnosis of this disease are benign paroxysmal positional vertigo (BPPV), Meniere’s disease, and acute ischemic attack. Moreover, vestibular migraine treatment is almost the same as for migraine.Keywords: Clinical manifestation, diagnosis, vestibular migraineABSTRAKMigren vestibular (MV) merupakan penyebab tersering vertigo spontan berulang pada pasien di poliklinik spesialis yang menangani rasa goyang. Manifestasi klinis dari migren vestibular sangat bervariasi. Pasien dapat mengeluhkan gejala seperti vertigo, pusing, tinitus, gangguan penglihatan, fonofobia, fotofobia, aural fullness, parestesi, mual, dan muntah. Pemeriksaan fisik pada pasien MV biasanya normal di antara serangan. Penegakan diagnosis penyakit ini berdasarkan konsensus bersama antara International Headache Society (IHS) dan Barany Society pada tahun 2012. Diagnosis diferensial penyakit ini adalah benign paroxysmal positional vertigo (BPPV), penyakit Meniere, dan serangan iskemik akut. Sampai saat ini, terapi untuk migren vestibular hampir sama dengan terapi migren pada umumnya.Kata kunci: Diagnosis, manifestasi klinis, migren vestibular

Clinical Implications of the Center of Balance for a Veteran with Traumatic Brain Injury

2015 ◽  
pp. 280-289
Keyword(s):  
Traumatic Brain Injury ◽  
Case Report ◽  
Brain Injury ◽  
Benign Paroxysmal Positional Vertigo ◽  
Medical Center ◽  
Treatment Plan ◽  
Successful Outcome ◽  
Model Case ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Background: It is known that traumatic brain injury (TBI), even of the mild variety, can cause diffuse multisystem neurological damage. Coordination of sensory input from the visual, vestibular and somatosensory pathways is important to obtain proper balance and stabilization in the visual environment. This coordination of systems is potentially disrupted in TBI leading to visual symptoms and complaints of dizziness and imbalance. The Center of Balance (COB) at the Northport Veterans Affairs Medical Center (VAMC) is an interprofessional clinic specifically designed for patients with such complaints. An evaluation entails examination by an optometrist, audiologist and physical therapist and is concluded with a comprehensive rehabilitative treatment plan. The clinical construct will be described and a case report will be presented to demonstrate this unique model. Case Report: A combat veteran with a history of a gunshot wound to the skull, blunt force head trauma and exposure to multiple explosions presented with complaints of difficulty reading and recent onset dizziness. After thorough evaluation in the COB, the patient was diagnosed with and treated for severe oculomotor dysfunction and benign paroxysmal positional vertigo. Conclusion: Vision therapy was able to provide a successful outcome via improvement of oculomotor efficiency and control. Physical therapy intervention was able to address the benign paroxysmal positional vertigo. The specific evaluation and management as pertains to the aforementioned diagnoses, as well as the importance of an interprofessional rehabilitative approach, will be outlined.

Sign in / Sign up

Export Citation Format

Share Document