Vestibular paroxysmia (VP): clinical features

Evidence-based neurology checklist on vestibular paroxysmia (vp): clinical features: Pathology This is the occurrence of brief attacks of vertigo It is caused by vestibulochochlear nerve compression The compression is at the nerve root entry zone It may affect just the vestibular component of the…

Pathology

  • This is the occurrence of brief attacks of vertigo
  • It is caused by vestibulochochlear nerve compression
  • The compression is at the nerve root entry zone
  • It may affect just the vestibular component of the nerve

Causes of nerve compression

Clinical features

Triggers

Associated features

Co-existing neurovascular disorders

Diagnostic criteria for definite VP

Diagnostic criteria for probable VP

References

  1. Ori M, Gambacorta V, Ricci G, Faralli M. Vestibular paroxysmia in vestibular neuritis: a case report. Audiol Res 2018; 8:206.
  2. Brandt T, Strupp M, Dieterich M. Vestibular paroxysmia: a treatable neurovascular cross-compression syndrome. J Neurol 2016; 263(Suppl 1):S90-S96.
  3. Hüfner K, Barresi D, Glaser M, et al. Vestibular paroxysmia: diagnostic features and medical treatment. Neurology 2008; 71:1006-1014. 
  4. Strupp M, Lopez-Escamez JA, Kim JS, et al. Vestibular paroxysmia: diagnostic criteria. J Vestib Res 2016; 26:409-415.
  5. Choi JW, Kim CH. Vestibular paroxysmia caused by contralateral tortuous vertebral artery: a case report. Medicine (Baltimore) 2021; 100:e27815.
  6. And 4 more. Subscribe to see the full list

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