69 results match your criteria Vertigo Posttraumatic

Exploring Vestibular Assessment in Patients with Headache and Dizziness.

Otolaryngol Clin North Am 2022 Jun 27;55(3):549-558. Epub 2022 Apr 27.

Keck School of Medicine of the University of Southern California, 1975 Zonal Avenue, Los Angeles, CA 90033, USA.

Patients often report symptoms of headache and dizziness concomitantly. Symptoms of dizziness can be explored with a comprehensive vestibular assessment, allowing for the investigation of central and peripheral vestibular system contributions to symptoms of dizziness. Patients who report both symptoms of headache and dizziness demonstrate abnormalities of the vestibular system which can be measured quantitatively. Read More

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A Rare Case of Posttraumatic Bilateral BPPV Presentation.

Case Rep Otolaryngol 2021 6;2021:8636676. Epub 2021 Sep 6.

Department of Otorhinolaryngology and Head and Neck Surgery, Clinical Hospital Centre Osijek, Osijek, Croatia.

A rare case of a 38-year-old female patient who developed benign paroxysmal positional vertigo (BPPV) three weeks after head trauma is presented. The disease manifested bilaterally, which is not uncommon posttraumatically, but in this case, it manifested itself as canalithiasis of the posterior canal on both sides and cupulolithiasis of the right lateral canal, which to our knowledge is a unique and, until now, unpublished case. The aim of this review is to point out the fact that, in such a complex multicanal and bilateral clinical presentation of BPPV, it is not sufficient to perform only positioning but also additional laboratory tests. Read More

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September 2021

Early management for traumatic benign paroxysmal positional vertigo in traumatically injured patients.

Injury 2022 Jan 31;53(1):198-203. Epub 2021 Jul 31.

Department of Otolaryngology, Ajou University School of Medicine, Suwon, Republic of Korea; Department of Medical Sciences, Ajou University Graduate School of Medicine, Suwon, Republic of Korea. Electronic address:

Objectives: The purpose of this study was to identify the clinical features of posttraumatic benign paroxysmal positional vertigo (t-BPPV) in traumatically injured patients, investigating the effectiveness of the early diagnosis and management including canalith repositioning procedures (CRPs).

Patients And Methods: The subjects of the present study were 74 patients who were hospitalized in the Trauma Center, Ajou University Hospital. We investigated the relationship between injury mechanisms and t-BPPV. Read More

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January 2022

Posttraumatic Dizziness: Navigating the Maze Towards Accurate Vestibular Diagnosis and Treatment.

Otol Neurotol 2021 06;42(5):e573-e578

Division of Otology/Neurotology-Skull Base Surgery, Department of Otolaryngology/Head and Neck Surgery, Michigan Medicine, The University of Michigan, Ann Arbor, Michigan.

Objective: Highlight the importance of establishing a differential diagnosis to identify and treat multiple origins of dizziness in a patient following traumatic brain injury (TBI).

Patient: 73-year-old man with TBI and temporal bone fracture developed posttraumatic bilateral multiple canal benign paroxysmal positional vertigo (BPPV).

Intervention: Multi-disciplinary diagnostic evaluation and vestibular rehabilitation (VR) treatment focused on canalith repositioning maneuvers (CRMs) and central adaptation. Read More

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Virtual Reality App for Treating Eating Behavior in Eating Disorders: Development and Usability Study.

JMIR Serious Games 2021 04 13;9(2):e24998. Epub 2021 Apr 13.

Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Background: Anorexia nervosa is one of the more severe eating disorders, which is characterized by reduced food intake, leading to emaciation and psychological maladjustment. Treatment outcomes are often discouraging, with most interventions displaying a recovery rate below 50%, a dropout rate from 20% to 50%, and a high risk of relapse. Patients with anorexia nervosa often display anxiety and aversive behaviors toward food. Read More

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[Benign paroxysmal positional vertigo associated with trauma, middle and inner ear diseases].

Vestn Otorinolaringol 2020 ;85(5):12-17

Pirogov Russian National Research Medical University, Moscow, Russia.

Objective: The aim of the study is to compare clinical symptoms and treatment of posttraumatic benign paroxysmal positional vertigo (BPPV), BPPV associated with middle and inner ear diseases and idiopathic BPPV (iBPPV).

Patients And Methods: 640 patients with BPPV of various canals were enrolled in the study. 455 (71. Read More

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November 2020

Benign Paroxysmal Positional Vertigo and Occult Subarachnoid Hemorrhage Complicated after Head Trauma.

Case Rep Med 2020 30;2020:8507383. Epub 2020 Mar 30.

Department of Neurology, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, 2800 Gongwei Road, Shanghai, China.

Benign paroxysmal positional vertigo (BPPV) is the most prevalent form of peripheral vertigo and is common in posttraumatic patients. Sometimes, posttraumatic BPPV and subarachnoid hemorrhage (SAH) exist together. How to effectively recognize SAH especially concealed bleeding before maneuver treatment for BPPV is worth paying attention by every clinician. Read More

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Otoconial loss or lack of otoconia - An overlooked or ignored diagnosis of balance deficits.

Med Hypotheses 2019 Jul 2;128:17-20. Epub 2019 May 2.

University Hospital Zurich, Switzerland.

Hypothesis: Lack of otoconia or otoconial loss may be the major reason for increasing imbalance with age, posttraumatic dizziness and residual dizziness as well as other so far unexplained imbalance affecting probably millions of people.

Background: It is written in every textbook that we need sensation of gravity for stable gait and stance, especially on two legs. Lack of otoconia is known to cause lifelong balance problems in animals. Read More

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Bilateral Posterior Canal Benign Paroxysmal Positional Vertigo Tends to Reoccur.

Otol Neurotol 2019 08;40(7):946-950

The Faculty of Health Public, Ben Gurion University of the Negev, Beer Sheva, Israel.

Objective: We analyzed the clinical characteristics of quite a large cohort of patients with bilateral posterior canal benign paroxysmal positional vertigo (bil-BPPV) with respect to the rate and types of recurrence.

Study Design: Retrospective case review.

Setting: Outpatient dizziness clinic. Read More

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Neuropsychiatric Outcomes in UK Military Veterans With Mild Traumatic Brain Injury and Vestibular Dysfunction.

J Head Trauma Rehabil 2020 Jan/Feb;35(1):57-65

School of Psychology, University of Kent, Canterbury, United Kingdom (Ms Denby and Dr Wilkinson); Combat Stress, Tyrwhitt House, Leatherhead, United Kingdom (Dr Murphy and Mr Busuttil); King's Centre for Military Health Research, King's College, London, United Kingdom (Dr Murphy); and East Kent Neuro-Rehabilitation Service, East Kent Hospitals University, NHS Foundation Trust Canterbury, United Kingdom (Mr Sakel).

Objective: To estimate the frequency of vestibular dysfunction following blunt, blast, and combined blunt and blast mild traumatic brain injury (mTBI) and thereon assess the long-term impact of vestibular dysfunction on neurobehavioral function and disability independently of comorbid psychiatric symptoms.

Setting: Combat Stress residential and Veterans' Outreach drop-in centers for psychological support.

Participants: One hundred sixty-two help-seeking UK military veterans. Read More

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Postconcussion syndrome.

Handb Clin Neurol 2018 ;158:163-178

Department of Neurology, Boston University School of Medicine, Boston, MA, United States. Electronic address:

Postconcussion syndrome (PCS) is a heterogeneous condition comprised of a set of signs and symptoms in somatic, cognitive, and emotional domains. PCS is a controversial concept because of differing consensus criteria, variability in presentation, and lack of specificity to concussion. Whereas symptoms of concussion resolve in most individuals over days to weeks, a minority of individuals experience symptoms persisting months to years. Read More

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Dizziness, Vertigo, and Mental Health Comorbidity in Gulf War Veterans.

J Am Acad Audiol 2019 10 14;30(9):764-771. Epub 2018 Nov 14.

War Related Illness and Injury Study Center, New Jersey Health Care System, East Orange, NJ.

Background: Gulf War Illness (GWI) is a chronic condition involving symptoms across multiple body systems. Previous research has implicated the vestibular system as a potential underlying factor in the symptoms experienced by veterans with GWI, due in part to exposure to potentially ototoxic chemicals and events.

Purpose: To characterize the presence of vertigo and dizziness symptoms in a sample of veterans with GWI using validated self-report instruments, accounting for mental health comorbidities. Read More

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October 2019

Youth With Psychogenic Non-Syncopal Collapse Have More Somatic and Psychiatric Symptoms and Lower Perceptions of Peer Relationships Than Youth With Syncope.

Geoffrey L Heyer

Pediatr Neurol 2018 02 20;79:34-39. Epub 2017 Nov 20.

Division of Pediatric Neurology, Nationwide Children's Hospital and Departments of Pediatrics and Neurology, The Ohio State University, Columbus, Ohio. Electronic address:

Background: Little is known about somatic and psychiatric symptoms and perceived peer relationships of patients with psychogenic nonsyncopal collapse.

Objective: This study aimed to compare somatic and psychiatric symptoms and other elements potentially related to functional neurological symptom disorders between youth with psychogenic nonsyncopal collapse and those with neurally mediated syncope.

Methods: Before testing, patients completed a structured interview and questionnaire addressing current symptoms, previous psychiatric diagnoses, referrals, diagnostic testing, prescribed medications, and patient self-ratings of anxiety, depression, and perceived peer relationships. Read More

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February 2018

Symptoms Associated with Vestibular Impairment in Veterans with Posttraumatic Stress Disorder.

PLoS One 2016 29;11(12):e0168803. Epub 2016 Dec 29.

Department of Pharmacology, Physiology and Neuroscience, Rutgers Biomedical Health Sciences, Newark, New Jersey, United States of America.

Posttraumatic stress disorder (PTSD) is a chronic and disabling, anxiety disorder resulting from exposure to life threatening events such as a serious accident, abuse or combat (DSM IV definition). Among veterans with PTSD, a common complaint is dizziness, disorientation and/or postural imbalance in environments such as grocery stores and shopping malls. The etiology of these symptoms in PTSD is poorly understood and some attribute them to anxiety or traumatic brain injury. Read More

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Vertigo and dizziness in children.

K Jahn

Handb Clin Neurol 2016 ;137:353-63

Schön Klinik Bad Aibling and German Center for Vertigo and Balance Disorders, Ludwig-Maximilians University of Munich, Munich, Germany. Electronic address:

Vertigo and dizziness of at least moderate severity occur in >5% of school-aged children and cause considerable restrictions in participation in school and leisure activity. More than 50% of dizzy children also have headache. Vestibular migraine and benign paroxysmal vertigo as a migraine precursor are the most common diagnoses in dizziness clinics for children and adolescents. Read More

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February 2017

Posttraumatic dizziness and vertigo.

Handb Clin Neurol 2016 ;137:295-300

Departments of Otolaryngology, Neurobiology, Communication Sciences and Disorders, and Bioengineering, University of Pittsburgh, Pittsburgh, PA, USA.

Traumatic brain injury is an increasingly common public health issue, with the mild variant most clinically relevant for this chapter. Common causes of mild traumatic brain injury (mTBI) include motor vehicle accidents, athletics, and military training/deployment. Despite a range of clinically available testing platforms, diagnosis of mTBI remains challenging. Read More

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February 2017

Treating Benign Paroxysmal Positional Vertigo in the Patient With Traumatic Brain Injury: Effectiveness of the Canalith Repositioning Procedure.

J Neurosci Nurs 2016 Apr;48(2):90-9; quiz E1

Questions or comments about this article may be directed to Donna Ouchterlony, MD CCFP, at She is the Clinical Director, Head Injury Clinic, Trauma and Neurosurgery Program, St. Michael's Hospital, Toronto, and Assistant Professor, Family & Community Medicine, University of Toronto, Ontario, Canada. Cheryl Masanic, MD, is a Psychiatrist, Head Injury Clinic, Trauma and Neurosurgery Program, St. Michael's Hospital, Toronto, Ontario, Canada. Alicja Michalak, MScP MSN, is a Registered Nurse and the Head Injury Case Manager, Head Injury Clinic, Trauma and Neurosurgery Program, St. Michael's Hospital, Toronto, Ontario, Canada. Jane Topolovec-Vranic, PhD, is a Clinical Researcher, Trauma and Neurosurgery Program, Associate Scientist, and Li Ka Shing Knowledge Institute Assistant Professor, Department of Occupational Science and Occupational Therapy, University of Toronto; and an Associate Member, Rehabilitation Sciences Institute, University of Toronto, Ontario, Canada. John A. Rutka, MD FRCSC, is a Clinical Neurotologist, Head Injury Clinic, Trauma and Neurosurgery Program, St. Michael's Hospital, Toronto, Ontario, Canada. We certify that no party having a direct interest in the results of the research supporting this article has or will confer a benefit on us or on any organization with which we are associated.

Objective: The aim of this study was to determine the effectiveness of the canalith repositioning procedure (CRP) in the treatment of benign paroxysmal positional vertigo (BPPV) among patients after mild-to-moderate traumatic brain injury.

Methods: An unblinded, nonrandomized, case comparison interventional study with repeated measures (1, 5, 9, and 12 weeks postenrollment) of three groups of patients with traumatic brain injury (BPPV, n = 21; nonspecific dizziness, n = 23; no dizziness, n = 12) was conducted. Patients in the BPPV group received the CRP at baseline and repeatedly until a negative Dix-Hallpike Maneuver was observed. Read More

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A cohort study examining headaches among veterans of Iraq and Afghanistan wars: Associations with traumatic brain injury, PTSD, and depression.

Headache 2016 Mar 21;56(3):528-39. Epub 2015 Dec 21.

South Texas Veterans Health Care System, San Antonio, TX, USA.

Objectives: To describe the prevalence and persistence of headache and associated conditions in an inception cohort of U.S. veterans of Iraq and Afghanistan wars. Read More

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Wallenberg Syndrome: An Exceptional Cause of Acute Vertigo in Children.

Neuropediatrics 2016 Jan 16;47(1):61-3. Epub 2015 Nov 16.

Pediatric Neurology, Pediatric Subspecialties Service, Geneva Children's Hospital, Geneva, Switzerland.

The assessment of acute vertigo in childhood is often challenging, but fortunately a central cause is rarely identified. We present the case of a 7-year-old boy who developed, after a mild head trauma, a rotary vertigo associated with nausea and vomiting. A posttraumatic peripheral vestibular dysfunction was first suspected but not confirmed by an otoneurological evaluation. Read More

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January 2016

Medical and Nonstroke Neurologic Causes of Acute, Continuous Vestibular Symptoms.

Neurol Clin 2015 Aug;33(3):699-716, xi

Departments of Neurology, Otolaryngology, and Epidemiology, The Johns Hopkins University School of Medicine & Bloomberg School of Public Health, The Johns Hopkins Hospital, CRB-II, Room 2M-03 North, 1550 Orleans Street, Baltimore, MD 21231, USA.

Most patients with the acute vestibular syndrome (AVS) have vestibular neuritis or stroke or, in the setting of trauma, a posttraumatic vestibular cause. Some medical and nonstroke causes of the AVS must also be considered. Multiple sclerosis is the most common diagnosis in this group. Read More

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Symptom Resolution Rates of Posttraumatic versus Nontraumatic Benign Paroxysmal Positional Vertigo: A Systematic Review.

Otolaryngol Head Neck Surg 2015 Nov 16;153(5):721-30. Epub 2015 Jul 16.

BC Rotary Hearing and Balance Centre, Otolaryngology-Head and Neck Surgery, University of British Columbia, British Columbia, Canada

Objective: To determine the rate of symptom resolution in patients with posttraumatic benign paroxysmal positional vertigo (BPPV) and to determine if it differs from resolution rates in patients with BPPV and without a history of head trauma.

Data Sources: Systematic review of the literature was performed using Medline, EMBASE, and Cochrane databases. English and French articles meeting inclusion criteria and published between 1946 and October 2014 were included. Read More

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November 2015

Psychological traumatization and adverse life events in patients with organic and functional vestibular symptoms.

J Psychosom Res 2015 Aug 16;79(2):123-9. Epub 2015 May 16.

Department of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technische Universitaet, Munich, Germany; German Centre for Vertigo and Balance Disorders, University Hospital Munich, Campus Großhadern, Ludwig-Maximilians-Universitaet, Munich, Germany. Electronic address:

Objective: . A relationship has frequently been found between a history of traumatization and the existence of somatoform symptoms. The objective of this study was to examine whether this relationship is also observed for functional, i. Read More

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Persistent vertigo and dizziness after mild traumatic brain injury.

Ann N Y Acad Sci 2015 Apr 26;1343:97-105. Epub 2015 Feb 26.

Barrow Neurological Institute, Phoenix, Arizona; Department of Neurology, University of Arizona College of Medicine, Phoenix, Arizona.

Vertigo, dizziness, and disequilibrium are common symptoms following concussion or mild traumatic brain injury (mTBI). Dizziness and vertigo may be the result of trauma to the peripheral vestibular system or the central nervous system, or, in some cases, may be due to anxiety, depression, or posttraumatic stress disorder; these mechanisms are not mutually exclusive. While most peripheral vestibular disorders can be identified by testing and examination, those without inner-ear causes that have persisting complaints of dizziness and motion sickness are more difficult to understand and to manage. Read More

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A lightning strike causing a cholesteatoma: a unique form of otologic blast injury.

Otol Neurotol 2014 Dec;35(10):e298-300

*Otolaryngology, and †Otology and Neurotology, Brooke Army Medical Center, San Antonio, Texas, U.S.A.

Objective: We present a case of a middle-aged male struck by lightning while walking in a parking lot. Assessment of the patient's injuries demonstrated common sequelae of an otologic blast injury. Review of this case should prepare the otolaryngologist to identify and manage otologic blast injuries regardless of their etiology. Read More

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December 2014

A cross-sectional survey assessing sources of movement-related fear among people with fibromyalgia syndrome.

Clin Rheumatol 2015 Jun 31;34(6):1109-19. Epub 2014 Jan 31.

Physical Therapy Department, Clarkson University, Potsdam, NY, 13699-5880, USA,

Fear of movement may contribute to functional limitations and loss of well-being among individuals with fibromyalgia (FM). The objectives of this study were to assess factors contributing to movement-related fear and to explore relationships among these factors, function and wellness, in a widespread population of people with FM. This was an internet survey of individuals with FM. Read More

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Posttraumatic vertigo and dizziness.

Semin Neurol 2013 Jul 21;33(3):238-43. Epub 2013 Sep 21.

Barrow Neurological Institute, Phoenix, Arizona.

Dizziness and vertigo are common symptoms following minor head trauma. Although these symptoms resolve within a few weeks in many patients, in some the symptoms may last much longer and impede ability to return to work and full functioning. Causes of persisting or recurrent dizziness may include benign paroxysmal positional vertigo, so-called labyrinthine concussion, unilateral vestibular nerve injury or damage to the utricle or saccule, perilymphatic fistula, or less commonly traumatic endolymphatic hydrops. Read More

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Postconcussion syndrome and mild head injury: the role of early diagnosis using neuropsychological tests and functional magnetic resonance/spectroscopy.

World Neurosurg 2014 Nov 18;82(5):828-35. Epub 2013 Sep 18.

Departamento De Neurociencias, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México.

Objective: Postconcussion syndrome (PCS) is usually underestimated in cases of mild head injury (MHI). It is one of the most common causes of physical, cognitive, and psychomotor disturbances that affect the quality of life, work, and social reintegration of individuals. Until now, we did not have evidence of structural abnormalities shown by traditional imaging methods. Read More

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November 2014

Multiple fusiform cerebral aneurysms - case report.

Pol J Radiol 2012 Jan;77(1):50-3

Department of Medical Radiology and Diagnostic Imaging, 4 Military Clinical Hospital with the Polyclinic in Wrocław, Wrocław, Poland.

Background: A true aneurysym is a dilation of arterial lumen as a consequence of congenital or acquired abnormalities leading to a reduction of mechanical resistance of vascular wall, most commonly caused by its defected structure in the form of absence or weakening of the muscular and/or elastic layer. From the pathophysiological point of view, cerebral aneurysms can be classified as 'saccular' - most commonly occurring, and 'other types', including fusiform/dolichoectatic, dissecting, serpentine, posttraumatic, mycotic and giant aneurysms with or without intra-aneurysmal thrombosis.

Case Report: We present a rare case of a patient with multiple fusiform dilations of cerebral vessels and giant fusiform aneurysm in supraclinoid segment of the internal carotid artery. Read More

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January 2012