Publicaciones científicas

A Paradoxical Clinical Coincidence: Benign Paroxysmal Positional Vertigo and Bilateral Vestibulopathy

11-may-2023 | Revista: Journal of Clinical Medicine

Nicolás Pérez-Fernández  1   2 , Sara Saez Coronado  3 , Cristina Zulueta-Santos  1 , Fernando Neria Serrano  4 , Jorge Rey-Martinez  5 , Melisa Blanco  1 , Raquel Manrique-Huarte  2


Benign paroxysmal positional vertigo (BPPV) and bilateral vestibulopathy (BVL) are two completely different forms of vestibular disorder that occasionally occur in the same patient.

We conducted a retrospective review searching for that coincidence in our database of the patients seen over a 15-year period and found this disorder in 23 patients, that is 0.4%. More frequently they occurred sequentially (10/23) and BPPV was diagnosed first. Simultaneous presentation occurred in 9/23 patients.

It was subsequently studied, but in a prospective manner, in patients with BPPV on all of whom a video head impulse test was performed to search for bilateral vestibular loss; we found it was slightly more frequent (6/405).

Both disorders were treated accordingly, and it was found that the results follow the general trend in patients with only one of those disorders.

CITA DEL ARTÍCULO  J Clin Med. 2023 May 11;12(10):3413. doi: 10.3390/jcm12103413