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Keywords:

  • Vertigo;
  • recurrence;
  • follow-up study;
  • Level of Evidence: 2b

Abstract

Objectives/Hypothesis:

To investigate the clinical characteristics and the natural course of recurrent vestibulopathy (RV).

Study Design:

Retrospective study.

Methods:

During the period April 2002 to February 2008, we reviewed the clinical records of 98 patients diagnosed with RV. All patients were approached by telephone and using a questionnaire. The analysis included age, sex distribution, natural history, pure-tone audiometry, caloric response, age at onset, and the characteristics of vertigo.

Results:

Median follow-up was 63.1 months (range, 24–103 months). Patients had a mean age at onset of 39 years and a mean duration of 4.2 years. An obvious female predilection was found, and unilateral caloric paresis (≥25%) was seen in 35%. Of the 98 patients, symptoms resolved in 82% but were unchanged in 12%. RV developed to Ménière's disease in four patients and to migraine in two. No patient with RV developed a central nervous system disease or benign paroxysmal positional vertigo during follow-up.

Conclusions:

The study suggests that in the majority of cases, vertigo spontaneously resolves and that the risks of development to Ménière's disease or migraine are low. Laryngoscope, 2012