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Recurrent vestibulopathy: natural course and prognostic factors

Published online by Cambridge University Press:  24 September 2009

R B van Leeuwen*
Affiliation:
Department of Neurology, Gelre Hospital Apeldoorn, The Netherlands
T D Bruintjes
Affiliation:
Department of Otorhinolaryngology, Gelre Hospital Apeldoorn, The Netherlands
*
Address for correspondence: Dr R B van Leeuwen, Department of Otorhinolaryngology, Gelre Hospital Apeldoorn, Postbox 9014, 7300 DS Apeldoorn, The Netherlands. Fax: 0031555818234 E-mail: [email protected]

Abstract

Objective:

To evaluate the natural course of recurrent vestibulopathy.

Study design:

Retrospective analysis.

Patients:

One hundred and five adult patients with attacks of vertigo without auditory or neurological symptoms.

Methods:

A structured interview was conducted over the telephone, 12 to 62 months after the patient's first visit to the out-patient department.

Results:

Two-thirds of patients experienced spontaneous resolution of vertigo, while one-third continued to have symptoms. The diagnosis was subsequently changed to migraine in 2 per cent of patients and to Ménière's disease in 1 per cent.

Conclusion:

The prognosis for patients with recurrent vestibulopathy is good. In a few cases, the diagnosis is provisional and will be subsequently changed to migraine or Ménière's disease.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2009

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