Benign paroxysmal positional vertigo in a female with arterial hypertension and meningioma
Bestuzheva, N.V.; Parfenov, V.A.; Zamergrad, M.V.
Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova 114(4): 100-104
2014
ISSN/ISBN: 1997-7298 PMID: 24874329 Document Number: 674012
Diagnosis of benign paroxysmal positional vertigo (BPPV) often causes difficulties, in particular, in elderly people with concomitant diseases. The article presents a case of a 77 year-old woman with BPPV. A patient's complaint on vertigo was mistakenly diagnosed as brain ischemia because the patient had long suffered from uncontrolled arterial hypertension. MRI-study revealed leucoaraiosis and one lacuna as well as a meningioma which was mistakenly linked to vertigo. The diagnosis of BPPV, use of Epley maneuver with the following vestibular exercises resulted in complete stopping of vertigo. Effective treatment of arterial hypertension with the normalization of arterial pressure, use of aspirin and statins reduced the risk of stroke. Exclusion of BPPV is needed in all cases of vertigo with unclear etiology.