Naslov
Iznenadni napadaj vestibularne migrene kompliciran s BPPV i Mal de Debarquement sindromom – Dijagnostička dilema
(Sudden Onset of Vestibular Migraine Complicated with BPPV and Mal de Debarquement Syndrome – a Diagnostic Dilemma)

Autori
Perkoviс, R. ; Maslovara, S. ; Kovaсeviс′ Stranski, K. ; Buljan, K. ; Tomiс′, S. ; Juriс′, S.

Izvornik
Neurology, Neuropsychiatry, Psychosomatics (2310-1342) 13 (2021), 6; 139-141

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
vestibularna migrena ; BPPV ; Mal de Debarquement sindrom
(vestibular migraine ; BPPV ; Mal de Debarquement syndrome)

Sažetak
Vestibular migraine is combination of migraine and vestibular symptoms. In clinical examination it can be replaced with benign paroxysmal positional vertigo (BPPV) cupulolithiasis, but also BPPV is common comorbidity in migraine patients. There is also high association between vestibular migraine and Mal de Debarquement syndrome. Patient came to hospital with vertigo that was diagnosed as left PC-BPPV canalolithi- asis. After first Epley's maneuver symptoms didn't resolved. Week after, at second Epley's maneuver performed patient developed left PC-BPPV cupulolithiasis. Month after, at third Epley's maneuver BPPV resolved but patient developed Mal de Debarquement syndrome. Laboratory test- ing showed hyperhomocisteinemia and homozygous MTHFR C677T and PAI, with low vitamin D. After reviewing the vestibular symptoms in the first attack which was misdiagnosed as BPPV canalolithiasis, and history of migraine, patient was diagnosed with vestibular migraine. Patient well responded to migraine diet and supplementation with B complex. Vestibular disorders are similar to each other and they can over- lap. More attention to taking detailed medical history should be given to patients with vertigo or dizziness.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA