Benign paroxysmal positional vertigo after decompression sickness: a first case report and review of the literature

Abstract Benign paroxysmal positional vertigo is a common cause of vertigo. We describe a previously unreported case of this clinical entity in a young, fit recreational water diver, having experienced decompression illness. Full recovery occurred after hyperbaric recompression therapy, and he remai...

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Bibliographic Details
Published in:American journal of otolaryngology 2010-11, Vol.31 (6), p.476-478
Main Authors: Dan-Goor, Eric, MB, BS, DCH, MRCGP, Eden, Julian C.P., MB, BS, BSc, MRCGP, Wilson, Simon J., LST, Dangoor, Joseph, MB, BS prov, Wilson, Benjamin R., LST
Format: Article
Language:English
Subjects:
Adult
Benign Paroxysmal Positional Vertigo
Biological and medical sciences
Bubbles
Compression therapy
Decompression Sickness - complications
Decompression Sickness - therapy
Diving - adverse effects
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Free radicals
Hearing loss
Humans
Hyperbaric Oxygenation
Male
Medical sciences
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Nitrogen
Non tumoral diseases
Otolaryngology
Otorhinolaryngology. Stomatology
Semicircular Canals
Surgery
Vertigo
Vertigo - etiology
Vertigo - therapy
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Summary:Abstract Benign paroxysmal positional vertigo is a common cause of vertigo. We describe a previously unreported case of this clinical entity in a young, fit recreational water diver, having experienced decompression illness. Full recovery occurred after hyperbaric recompression therapy, and he remained symptom free on 6-week follow-up. We review the literature and discuss the pathogenesis of benign paroxysmal positional vertigo, proposing that semicircular canal nitrogen bubble formation could have been the primary etiological event leading to this condition.
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2009.07.001