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Paroxysmal vertigo

MedGen UID:
99296
Concept ID:
C0522357
Finding; Sign or Symptom
Synonyms: Paroxysmal Vertigo; Paroxysmal Vertigos; Vertigo, Paroxysmal; Vertigos, Paroxysmal
SNOMED CT: Paroxysmal vertigo (103290003)
 
HPO: HP:0010532

Definition

Paroxysmal episodes of vertigo. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVParoxysmal vertigo

Conditions with this feature

Epilepsy, idiopathic generalized, susceptibility to, 9
MedGen UID:
413424
Concept ID:
C2750887
Finding
For a general phenotypic description and a discussion of genetic heterogeneity of idiopathic generalized epilepsy, see 600669. Juvenile myoclonic epilepsy is a subtype of idiopathic generalized epilepsy; see 254770 for a general phenotypic description and a discussion of genetic heterogeneity of JME.
Episodic ataxia, type 9
MedGen UID:
1714171
Concept ID:
C5394520
Disease or Syndrome
Episodic ataxia type 9 (EA9) is a neurologic disorder characterized by onset of ataxic episodes in the first years of life. Features may include difficulty walking, dizziness, slurred speech, headache, vomiting, and pain. The ataxic episodes vary in frequency and duration; most tend to occur every few weeks or months and last minutes to hours. Prior to the EA, most patients have neonatal- or infantile-onset tonic or generalized tonic-clonic (GTC) seizures that may be severe and refractory to medication, but remit later in infancy or early childhood, either spontaneously or concurrently with medication. Some patients have mildly delayed development with speech delay and/or autistic features or mildly impaired intellectual development. However, others show normal psychomotor development. Treatment of the ataxic episodes with acetazolamide is effective in about 50% of patients (summary by Schwarz et al., 2019). For a phenotypic description and discussion of genetic heterogeneity of episodic ataxia, see EA1 (160120).

Professional guidelines

PubMed

van de Berg R, Widdershoven J, Bisdorff A, Evers S, Wiener-Vacher S, Cushing SL, Mack KJ, Kim JS, Jahn K, Strupp M, Lempert T
J Vestib Res 2021;31(1):1-9. doi: 10.3233/VES-200003. PMID: 33386837Free PMC Article
Lagman-Bartolome AM, Lay C
Curr Neurol Neurosci Rep 2015 Jun;15(6):34. doi: 10.1007/s11910-015-0551-3. PMID: 25903296
Morrell MJ
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Recent clinical studies

Etiology

Galluzzi F, Garavello W
J Int Adv Otol 2022 Mar;18(2):177-182. doi: 10.5152/iao.2022.20087. PMID: 35418367Free PMC Article
Langhagen T, Landgraf MN, Huppert D, Heinen F, Jahn K
Curr Pain Headache Rep 2016 Dec;20(12):67. doi: 10.1007/s11916-016-0600-x. PMID: 27873123
Russo A, Bruno A, Trojsi F, Tessitore A, Tedeschi G
Curr Pain Headache Rep 2016 Feb;20(2):9. doi: 10.1007/s11916-016-0539-y. PMID: 26757711
Teixeira KC, Montenegro MA, Guerreiro MM
J Child Neurol 2014 Oct;29(10):1366-9. Epub 2013 Oct 3 doi: 10.1177/0883073813504459. PMID: 24092892
Cass SP, Furman JM, Ankerstjerne K, Balaban C, Yetiser S, Aydogan B
Ann Otol Rhinol Laryngol 1997 Mar;106(3):182-9. doi: 10.1177/000348949710600302. PMID: 9078929

Diagnosis

Gurberg J, Tomczak KK, Brodsky JR
Handb Clin Neurol 2023;198:229-240. doi: 10.1016/B978-0-12-823356-6.00004-4. PMID: 38043965
Abu-Arafeh I, Gelfand AA
Nat Rev Neurol 2021 Jul;17(7):449-458. Epub 2021 May 26 doi: 10.1038/s41582-021-00497-6. PMID: 34040231
van de Berg R, Widdershoven J, Bisdorff A, Evers S, Wiener-Vacher S, Cushing SL, Mack KJ, Kim JS, Jahn K, Strupp M, Lempert T
J Vestib Res 2021;31(1):1-9. doi: 10.3233/VES-200003. PMID: 33386837Free PMC Article
Strupp M, Dlugaiczyk J, Ertl-Wagner BB, Rujescu D, Westhofen M, Dieterich M
Dtsch Arztebl Int 2020 Apr 24;117(17):300-310. doi: 10.3238/arztebl.2020.0300. PMID: 32530417Free PMC Article
Straumann D
Handb Clin Neurol 2016;137:91-101. doi: 10.1016/B978-0-444-63437-5.00007-8. PMID: 27638065

Therapy

Strupp M, Dlugaiczyk J, Ertl-Wagner BB, Rujescu D, Westhofen M, Dieterich M
Dtsch Arztebl Int 2020 Apr 24;117(17):300-310. doi: 10.3238/arztebl.2020.0300. PMID: 32530417Free PMC Article
Russo A, Bruno A, Trojsi F, Tessitore A, Tedeschi G
Curr Pain Headache Rep 2016 Feb;20(2):9. doi: 10.1007/s11916-016-0539-y. PMID: 26757711
Gelfand AA
Curr Opin Neurol 2013 Jun;26(3):262-8. doi: 10.1097/WCO.0b013e32836085c7. PMID: 23549418
Osiro S, Zurada A, Gielecki J, Shoja MM, Tubbs RS, Loukas M
Med Sci Monit 2012 May;18(5):RA57-63. doi: 10.12659/msm.882721. PMID: 22534720Free PMC Article
Strupp M, Versino M, Brandt T
Handb Clin Neurol 2010;97:755-71. doi: 10.1016/S0072-9752(10)97062-0. PMID: 20816468

Prognosis

Hung CY, Young YH
Acta Otolaryngol 2022 Jul-Aug;142(7-8):562-567. Epub 2022 Aug 22 doi: 10.1080/00016489.2022.2106381. PMID: 35994630
Danielsson A, Anderlid BM, Stödberg T, Lagerstedt-Robinson K, Klackenberg Arrhenius E, Tedroff K
Dev Med Child Neurol 2018 Dec;60(12):1251-1255. Epub 2018 Jun 28 doi: 10.1111/dmcn.13939. PMID: 29956301
Brodsky JR, Lipson S, Wilber J, Zhou G
Otol Neurotol 2018 Mar;39(3):344-350. doi: 10.1097/MAO.0000000000001673. PMID: 29287036
Gioacchini FM, Alicandri-Ciufelli M, Kaleci S, Magliulo G, Re M
Int J Pediatr Otorhinolaryngol 2014 May;78(5):718-24. Epub 2014 Feb 15 doi: 10.1016/j.ijporl.2014.02.009. PMID: 24612555
Teixeira KC, Montenegro MA, Guerreiro MM
J Child Neurol 2014 Oct;29(10):1366-9. Epub 2013 Oct 3 doi: 10.1177/0883073813504459. PMID: 24092892

Clinical prediction guides

Çetin YS, Çağaç A, Düzenli U, Bozan N, Elasan S
ORL J Otorhinolaryngol Relat Spec 2022;84(2):122-129. Epub 2021 Jul 8 doi: 10.1159/000516961. PMID: 34237746
Humbertclaude V, Riant F, Krams B, Zimmermann V, Nagot N, Annequin D, Echenne B, Tournier-Lasserve E, Roubertie A; Episodic Syndrome Consortium
Dev Med Child Neurol 2020 Mar;62(3):330-337. Epub 2019 May 21 doi: 10.1111/dmcn.14261. PMID: 31115040
Brodsky JR, Lipson S, Wilber J, Zhou G
Otol Neurotol 2018 Mar;39(3):344-350. doi: 10.1097/MAO.0000000000001673. PMID: 29287036
Okumura T, Imai T, Higashi-Shingai K, Ohta Y, Morihana T, Sato T, Okazaki S, Iwamoto Y, Hanada Y, Ozono Y, Imai R, Ohata K, Inohara H
Int J Pediatr Otorhinolaryngol 2016 Sep;88:89-93. Epub 2016 Jun 30 doi: 10.1016/j.ijporl.2016.06.046. PMID: 27497392
Gioacchini FM, Alicandri-Ciufelli M, Kaleci S, Magliulo G, Re M
Int J Pediatr Otorhinolaryngol 2014 May;78(5):718-24. Epub 2014 Feb 15 doi: 10.1016/j.ijporl.2014.02.009. PMID: 24612555

Recent systematic reviews

Davitt M, Delvecchio MT, Aronoff SC
Pediatr Emerg Care 2020 Aug;36(8):368-371. doi: 10.1097/PEC.0000000000001281. PMID: 29095392
AlGarni MA, Mirza AA, Althobaiti AA, Al-Nemari HH, Bakhsh LS
Eur Arch Otorhinolaryngol 2018 Nov;275(11):2705-2711. Epub 2018 Oct 9 doi: 10.1007/s00405-018-5146-6. PMID: 30302575
Teixeira LJ, Machado JN
Braz J Otorhinolaryngol 2006 Jan-Feb;72(1):130-9. doi: 10.1016/s1808-8694(15)30046-x. PMID: 16917565Free PMC Article

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