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Benign positional vertigo and endolymphatic hydrops: what is the connection?

  • A F Jahn (a1)
Abstract
Abstract Background:

Although benign paroxysmal positional vertigo and endolymphatic hydrops are considered to be distinct diagnoses, a minority of vertiginous patients exhibit features of both conditions. This coincidence has been reported previously in the literature, and is reviewed here in terms of possible aetiology.

Results and conclusion:

A new hypothesis to account for both conditions is offered, implicating free-floating degenerating debris from the otolithic apparatus. It is postulated that the gelatinous/proteinaceous component may account for an osmotically induced hydrops, while the calcified fragments may induce positional vertigo.

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Corresponding author
Address for correspondence: Dr A F Jahn, Department of Otolaryngology, Mt Sinai West Hospital, 1000 10th Ave, New York, NY 10019, USA E-mail: afjahn@aol.com
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Presented at the 7th Asia Pacific Otology Neurotology Conference, 11–13 May 2016, Tehran, Iran.

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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

2 EM Gross , BD Ress , ES Viirre , JR Nelson , JP. Harris Intractable benign positional vertigo in patients with Meniere's disease. Laryngoscope 2000;110:655–9

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5 RR. Gacek Evidence for a viral neuropathy in recurrent vertigo. ORL J Otorhinolaryngol Relat Spec 2008;70:614

7 H. Schuknecht Cupulolithiasis. Arch Otolaryngol 1969;90:765–78

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9 LS Parnes , JA. McClure Free-floating endolymph particles: a new operative finding during posterior semicircular canal occlusion. Laryngoscope 1992;102:988–92

10 DB Welling , LS Parnes , B O'Brien , LO Bakaletz , DE Brackmann , R. Hinojosa Particulate matter in the posterior semicircular canal. Laryngoscope 1997;107:90–4

11 WT Kao , LS Parnes , RA. Chole Otoconia and otolithic membrane fragments within the posterior semicircular canal in benign paroxysmal positional vertigo. Laryngoscope 2017;127:709–14

13 JG Waltner , S. Raymond On the chemical composition of perilymph and endolymph. Laryngoscope 1950;60:912–18

17 JS Phillips , PR. Prinsley A unified hypothesis for vestibular dysfunction? Otolaryngol Head Neck Surg 2009;140:477–9

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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