Bilateral posterior canal Benign Paroxysmal Positional Vertigo co-existing with cranial nerves schwannoma and Meniere Disease: Case report

Benign Paroxysmal Positional Vertigo (BPPV) is a common peripheral vestibular problem with a right ear and posterior canal predisposition. BPPV afflicts older adults beyond the age of 50 with a high prevalence between 71 and 80 years of age. Although most cases of BPPV are unilateral, bilateral BPPV...

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Main Author: Kenneth Wei De Chua
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Otolaryngology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468548821000618
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author Kenneth Wei De Chua
author_facet Kenneth Wei De Chua
author_sort Kenneth Wei De Chua
collection DOAJ
description Benign Paroxysmal Positional Vertigo (BPPV) is a common peripheral vestibular problem with a right ear and posterior canal predisposition. BPPV afflicts older adults beyond the age of 50 with a high prevalence between 71 and 80 years of age. Although most cases of BPPV are unilateral, bilateral BPPV is not uncommonly seen in patients with a history of head trauma, ototoxicity, falls or vesitbulopathy. However, bilateral BPPV coexisting with bilateral vestibulopathy has not been reported. We describe a case of bilateral posterior canal BPPV with definite Menieres Disease (MD), schwannoma of the cochlea-vestibular nerves secondary to a schwannoma arising from the Jugular Foramen (JF) with mass effect and an incidental schwannoma of the right orbital optic nerve. Diagnosis and management was a challenging process, serving as a reminder for clinicians to have both conceptual and procedural knowledge in order to plan the most efficacious rehabilitation strategies.
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spelling doaj.art-c491f09e4f434b54ae8a4ff4fe05ae0b2022-12-21T19:58:05ZengElsevierOtolaryngology Case Reports2468-54882021-09-0120100321Bilateral posterior canal Benign Paroxysmal Positional Vertigo co-existing with cranial nerves schwannoma and Meniere Disease: Case reportKenneth Wei De Chua0Department of Otolaryngology, Audiology, Changi General Hospital (CGH), Singapore; The American Institute of Balance (AIB), Largo, FL, USA; 2 Simei, Street 3 529889. EHN 2B, Medical Center, Singapore.Benign Paroxysmal Positional Vertigo (BPPV) is a common peripheral vestibular problem with a right ear and posterior canal predisposition. BPPV afflicts older adults beyond the age of 50 with a high prevalence between 71 and 80 years of age. Although most cases of BPPV are unilateral, bilateral BPPV is not uncommonly seen in patients with a history of head trauma, ototoxicity, falls or vesitbulopathy. However, bilateral BPPV coexisting with bilateral vestibulopathy has not been reported. We describe a case of bilateral posterior canal BPPV with definite Menieres Disease (MD), schwannoma of the cochlea-vestibular nerves secondary to a schwannoma arising from the Jugular Foramen (JF) with mass effect and an incidental schwannoma of the right orbital optic nerve. Diagnosis and management was a challenging process, serving as a reminder for clinicians to have both conceptual and procedural knowledge in order to plan the most efficacious rehabilitation strategies.http://www.sciencedirect.com/science/article/pii/S2468548821000618Benign paroxysmal positional vertigo (BPPV)VestibulopathyCranial nerves schwannomaBilateral
spellingShingle Kenneth Wei De Chua
Bilateral posterior canal Benign Paroxysmal Positional Vertigo co-existing with cranial nerves schwannoma and Meniere Disease: Case report
Otolaryngology Case Reports
Benign paroxysmal positional vertigo (BPPV)
Vestibulopathy
Cranial nerves schwannoma
Bilateral
title Bilateral posterior canal Benign Paroxysmal Positional Vertigo co-existing with cranial nerves schwannoma and Meniere Disease: Case report
title_full Bilateral posterior canal Benign Paroxysmal Positional Vertigo co-existing with cranial nerves schwannoma and Meniere Disease: Case report
title_fullStr Bilateral posterior canal Benign Paroxysmal Positional Vertigo co-existing with cranial nerves schwannoma and Meniere Disease: Case report
title_full_unstemmed Bilateral posterior canal Benign Paroxysmal Positional Vertigo co-existing with cranial nerves schwannoma and Meniere Disease: Case report
title_short Bilateral posterior canal Benign Paroxysmal Positional Vertigo co-existing with cranial nerves schwannoma and Meniere Disease: Case report
title_sort bilateral posterior canal benign paroxysmal positional vertigo co existing with cranial nerves schwannoma and meniere disease case report
topic Benign paroxysmal positional vertigo (BPPV)
Vestibulopathy
Cranial nerves schwannoma
Bilateral
url http://www.sciencedirect.com/science/article/pii/S2468548821000618
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