Central positional vertigo as first initial multiple sclerosis symptom: A case report with systematic review

Meshref, Mostafa; Shaheen, Ahmed; Elmatboly, Abdelmagid M.; Hamdallah, Aboalmagd; Abdella, Walid Shaban; Amro, Yara; Khairat, Shiamaa M.; Swed, Sarya

doi:10.1002/ccr3.6154

Cited by 1 publication

(1 citation statement)

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“…Approximately, 20% of MS patients may experience vertigo which again may be a comorbid condition (i.e. the co-occurrence of benign positional paroxysmal vertigo (BPPV) with MS) or there may be a causal relationship [3]; in the case of causal of relationship, the vertigo may be the only presenting symptom [10]. In our case the Dix-Hallpike's test's result atypical of BPPV, lack of response to repositioning maneuvers, and also the presence of severe headache suggested a central etiology, which in our case was detected to be the demyelination in the cerebellum.…”

Section: Discussionmentioning

confidence: 99%

Migraine-Like Headache Accompanied by Vertigo as Presenting Symptoms of Multiple Sclerosis (MS): a Case Report from Iran

Abrishamchi

Rajabi

2023

Preprint

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Background: Multiple sclerosis (MS) may have atypical presentations, one of whom being migraine-like headaches. This could be explained as following: the demyelination process in MS may involve brain structures or signaling pathways involved in migraine physiopathology, and therefore, simulate migraine headaches. Case presentation: This case report is about a middle-aged male who developed a new-onset severe headache with migraine properties accompanied with vertigo, and was finally diagnosed with MS. Conclusions: MS may have atypical presentations like severe headaches accompanied by additional symptoms, indicating the involvement of various brain structures; when working up such headaches, MS should be kept in mind besides other etiologies like vascular, infectious, and neoplastic conditions, and even primary migraine.

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Section: Discussionmentioning

confidence: 99%