Skip to main content
    • Aa
    • Aa

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

  • A F Jahn (a1)
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.

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:
Hide All

Presented at the 7th Asia Pacific Otology Neurotology Conference, 11–13 May 2016, Tehran, Iran.

Linked references
Hide All

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

3 A Ernst , D Basta , R Seidl , I Todt , H Scherer , A. Clarke Management of posttraumatic vertigo. Otolaryngol Head Neck Surg 2005;132:554–8

4 ME Hoffer , KR Gottshall , R Moore , BJ Balough , D. Wester Characterizing and treating dizziness after mild head trauma. Otol Neurotol 2004;25:135–8

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

8 B Moriarty , J Rutka , M. Hawke The incidence and distribution of cupular deposits in the labyrinth. Laryngoscope 1992;102:56–9

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

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *



Altmetric attention score

Full text views

Total number of HTML views: 2
Total number of PDF views: 34 *
Loading metrics...

Abstract views

Total abstract views: 152 *
Loading metrics...

* Views captured on Cambridge Core between 20th June 2017 - 19th August 2017. This data will be updated every 24 hours.