Intractable Benign Paroxysmal Positional Vertigo in Patients With Meniere's Disease
Article first published online: 14 MAY 2009
Copyright © 2000 The Triological Society
Volume 110, Issue 4, pages 655–659, April 2000
How to Cite
Gross, E. M., Ress, B. D., Viirre, E. S., Nelson, J. R. and Harris, J. P. (2000), Intractable Benign Paroxysmal Positional Vertigo in Patients With Meniere's Disease. The Laryngoscope, 110: 655–659. doi: 10.1097/00005537-200004000-00022
- Issue published online: 14 MAY 2009
- Article first published online: 14 MAY 2009
- Manuscript Accepted: 25 JAN 2000
- Benign paroxysmal positional vertigo;
- Meniere's disease;
- endolymphatic hydrops;
- canalith repositioning procedure.
Objective To provide a detailed description of the coexistence of benign paroxysmal positional vertigo (BPPV) and Meniere's disease in individuals and to offer a possible mechanism that explains the findings in these patients.
Study Design Retrospective.
Methods Chart review.
Results Of 162 patients diagnosed with Meniere's disease between January 1998 and January 1999, 9 were found to have both “definite” Meniere's disease and “certain” BPPV. Meniere's symptoms preceded the onset of BPPV in all of our patients. Seven of the 9 patients were female. Except for one patient who experienced BPPV bilaterally, BPPV was limited to the same ear as the Meniere's disease. All patients presented with intractable BPPV that did not respond completely to otolith repositioning procedures. A detailed description of five patients is presented.
Conclusion Our data, in conjunction with that of others, suggest that Meniere's disease may predispose patients to intractable BPPV. Hydropically induced damage to the maculae of the utricle and saccule or partial obstruction of the membranous labyrinth may be possible mechanisms that explain the coexistence of Meniere's disease and BPPV.