Vestibular paroxysmia caused by contralateral tortuous vertebral artery

Choi, Jin Woo; Kim, Chang-Hee

doi:10.1097/md.0000000000027815

Cited by 3 publications

(2 citation statements)

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“…The AICA (75%) is the most common causative vessel, although the PICA (5%), vein (10%), and VA (10%) can also be implicated (Best et al, 2013 ). We only found three cases of VP patients in which the type of vessel anomaly was described: the tortuous vertebral artery in a 61-year-old patient (Choi and Kim, 2021 ), vertebrobasilar dolichectasia in a 66-year-old patient (Han et al, 2018 ), and PICA elongation in a 37-year-old patient (Silva-Hernández et al, 2019 ) (summarized in Supplementary Table 1 ). Childhood VP has been reported, and the main cause is neurovascular cross-compression, but there was no detailed description of vascular malformation (Lehnen et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

Vestibular paroxysmia associated with congenital vascular malformation: A case report

Liu

Zhang²,

Wan³

et al. 2023

Front. Neurosci.

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Vestibular paroxysmia (VP) is an uncommon paroxysmal disease, characterized by vertigo, tinnitus, and postural unsteadiness. The main reason of VP is neurovascular cross compression, while few cases of VP accompanied with congenital vascular malformation were reported. Here, we describe a 22-year-old patient with VP caused by congenital anterior inferior cerebellar artery (AICA) malformation who completely recovered after taking oral medicine. This report shows that VP caused by congenital vascular malformation can occur in adults and that oral medication is effective.

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Section: Discussionmentioning

confidence: 99%

Vestibular paroxysmia associated with congenital vascular malformation: A case report

Liu

Zhang²,

Wan³

et al. 2023

Front. Neurosci.

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“…VP most often involves compression of the vestibulocochlear nerve (CN VIII) by the anterior inferior cerebellar artery (AICA) in 95% of the cases (Figure 1) [24], less frequently (5%) by the posterior inferior cerebellar artery (PICA) [25]. One case of compression by the vertebral artery has also been described [26].…”

Section: Introductionmentioning

confidence: 99%

Literature review and two study cases of vestibular paroxysmia from an otorhinolaryngology centre

Jankowska,

Pietrzak,

Rosiak

et al. 2023

J Hear Sci

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IntroductionVestibular paroxysmia is a rare disorder of the balance system manifested by recurrent attacks of vertigo, the etiology of which is associated with compression of a blood vessel on the vestibulocochlear nerve. The exact mechanism for triggering the symptoms is not fully understood. The condition occurs in all age groups and without gender predilection. The purpose of the study was to review the literature on vestibular paroxysmia, discuss criteria for the diagnosis of the disease, diagnostic management, proposed therapy, and present clinical cases from the authors’ own practice.Material and methodsA review of the scientific literature was conducted via the PubMed database using the keywords “vestibular paroxysmia,” “neurovascular conflict cochlear nerve,” and “neurovascular conflict vestibular nerve”. PRISMA guidelines for systematic reviews were applied.ResultsThere were 146 publications found; after analysis of titles and abstracts, 56 were included in the review; another 10 manuscripts were identified during reference review. Among them, 11 studies were devoted to diagnostic imaging, 19 described the clinical course of the condition based on retrospective studies, 15 were case reports, and 11 other reports and reviews. Following evaluation of this literature, two clinical cases of vestibular paroxysm from the authors’ own practice are described. These cases are presented along with their diagnosis and therapy.ConclusionsImaging studies are of significant value in diagnosing many vascular–neural conflicts, but for vestibular paroxysmia the diagnosis is made on the basis of clinical symptoms and according to the division proposed by the Bárány Society in 2016. Pharmacological therapy is recommended, and response to therapy is one of the criteria for diagnosing the condition. Surgical treatment is reserved for the most severe cases.

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