Benign paroxysmal positional vertigo after radiologic scanning: a case series.
Identifieur interne : 000303 ( Main/Corpus ); précédent : 000302; suivant : 000304Benign paroxysmal positional vertigo after radiologic scanning: a case series.
Auteurs : Erdinc Aydin ; Kubra Akman ; Hasan Yerli ; Levent N. OzluogluSource :
- Journal of medical case reports [ 1752-1947 ] ; 2008.
Abstract
INTRODUCTION
Benign paroxysmal positional vertigo (BPPV) is the most common type of vertigo. It is frequently seen in elderly patients, and the course of the attack may easily mimic cerebrovascular disease. A BPPV attack after a radiologic examination has not been reported previously. We report the cases of two patients who had BPPV attacks after radiologic imaging.
CASE PRESENTATION
The first patient with headache and tremor was admitted to the radiology department for cranial computed tomography (CT) imaging. During scanning, she was asked to lie in the supine position with no other head movements for approximately 10 minutes. After the cranial CT imaging, she stood up rapidly, and suddenly experienced a vertigo attack and nausea. The second patient was admitted to the radiology department for evaluation of his renal arteries. During the renal magnetic resonance angiography, he was in the supine position for 20 minutes and asked not to move. After the examination, he stood up rapidly with the help of the technician and suddenly experienced a vertigo attack with nausea and vomiting. The results of standard laboratory analyses and their neurologic examinations were within normal limits and Dix-Hallpike tests showed rotatory nystagmus in both cases. An Epley maneuver was performed to the patients. The results of a control Dix-Hallpike tests after 1 Epley maneuver were negative in both patients.
CONCLUSION
Radiologists and clinicians must keep in mind that after radiologic imaging in which the patient is still for some time in the supine position and then helped to stand up rapidly, a BPPV attack may occur.
DOI: 10.1186/1752-1947-2-92
PubMed: 18371218
PubMed Central: PMC2324108
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<author><name sortKey="Aydin, Erdinc" sort="Aydin, Erdinc" uniqKey="Aydin E" first="Erdinc" last="Aydin">Erdinc Aydin</name>
<affiliation><nlm:affiliation>Baskent University Zubeyde Hanim Practice and Research Center, Department of Radiology, Izmir, Turkey. drerdincaydin@hotmail.com</nlm:affiliation>
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<author><name sortKey="Akman, Kubra" sort="Akman, Kubra" uniqKey="Akman K" first="Kubra" last="Akman">Kubra Akman</name>
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<author><name sortKey="Yerli, Hasan" sort="Yerli, Hasan" uniqKey="Yerli H" first="Hasan" last="Yerli">Hasan Yerli</name>
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<author><name sortKey="Ozluoglu, Levent N" sort="Ozluoglu, Levent N" uniqKey="Ozluoglu L" first="Levent N" last="Ozluoglu">Levent N. Ozluoglu</name>
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<front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b>
</p>
<p>Benign paroxysmal positional vertigo (BPPV) is the most common type of vertigo. It is frequently seen in elderly patients, and the course of the attack may easily mimic cerebrovascular disease. A BPPV attack after a radiologic examination has not been reported previously. We report the cases of two patients who had BPPV attacks after radiologic imaging.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CASE PRESENTATION</b>
</p>
<p>The first patient with headache and tremor was admitted to the radiology department for cranial computed tomography (CT) imaging. During scanning, she was asked to lie in the supine position with no other head movements for approximately 10 minutes. After the cranial CT imaging, she stood up rapidly, and suddenly experienced a vertigo attack and nausea. The second patient was admitted to the radiology department for evaluation of his renal arteries. During the renal magnetic resonance angiography, he was in the supine position for 20 minutes and asked not to move. After the examination, he stood up rapidly with the help of the technician and suddenly experienced a vertigo attack with nausea and vomiting. The results of standard laboratory analyses and their neurologic examinations were within normal limits and Dix-Hallpike tests showed rotatory nystagmus in both cases. An Epley maneuver was performed to the patients. The results of a control Dix-Hallpike tests after 1 Epley maneuver were negative in both patients.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Radiologists and clinicians must keep in mind that after radiologic imaging in which the patient is still for some time in the supine position and then helped to stand up rapidly, a BPPV attack may occur.</p>
</div>
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<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Benign paroxysmal positional vertigo (BPPV) is the most common type of vertigo. It is frequently seen in elderly patients, and the course of the attack may easily mimic cerebrovascular disease. A BPPV attack after a radiologic examination has not been reported previously. We report the cases of two patients who had BPPV attacks after radiologic imaging.</AbstractText>
<AbstractText Label="CASE PRESENTATION" NlmCategory="METHODS">The first patient with headache and tremor was admitted to the radiology department for cranial computed tomography (CT) imaging. During scanning, she was asked to lie in the supine position with no other head movements for approximately 10 minutes. After the cranial CT imaging, she stood up rapidly, and suddenly experienced a vertigo attack and nausea. The second patient was admitted to the radiology department for evaluation of his renal arteries. During the renal magnetic resonance angiography, he was in the supine position for 20 minutes and asked not to move. After the examination, he stood up rapidly with the help of the technician and suddenly experienced a vertigo attack with nausea and vomiting. The results of standard laboratory analyses and their neurologic examinations were within normal limits and Dix-Hallpike tests showed rotatory nystagmus in both cases. An Epley maneuver was performed to the patients. The results of a control Dix-Hallpike tests after 1 Epley maneuver were negative in both patients.</AbstractText>
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