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Self-Limited Idiopathic Vertigo (Epidemic Vertigo)

Self-Limited Idiopathic Vertigo (Epidemic Vertigo) Abstract IT IS THE purpose of this report to discuss the mysterious symptom complex referred to most commonly as "epidemic vertigo." Clinical experiences with 24 cases seen between August 1962 and June 1964, will be discussed and results of a preliminary investigation of possible etiology presented. The syndrome was probably first described by Barré and Reys,1 who referred to it as "vestibular epidemic vertigo." Since then the syndrome has been variously termed "epidemic vertigo,"2 "neurolabyrinthitis epidemica"3"nevraxite vertigineuse,"4 and "acute labyrinthitis." 5,6 In my experience, the syndrome has consisted of acute, usually severe vertigo, associated at times with nausea and vomiting. The absence of other symptoms is often striking, although upper respiratory symptoms are common.7,8 The patient maintains normal hearing and caloric examinations are almost always normal. Headache, fever, and other constitutional symptoms have not been part of the picture. Physical examination has been unremarkable except References 1. Barre', J. A., and Reys, L.: L'encephalite epidemique a straskourg sa forme labyrinthique , Bull Med 35:256-261, 1921. 2. Dalsgaard-Nielsen T.: Further Clinical Studies on Epidemic Vertigo, "Nevraxite Vertig ineuse," Acta Psychiat Neurol 28:263-267, 1953.Crossref 3. Meulengracht, E.: Correspondence , Brit Med J 2:1493 ( (Dec 30) ) 1950.Crossref 4. Winther, K.: Vertigo Epidemica (S. Neuraxitis Vertiginosa) , Ugreskr Laeg 114:1368-1375 ( (Feb 10) ) 1952. 5. Burrowes, W. L.: Acute Labyrinthitis , Brit Med J 2:1182-1183 ( (Nov 29) ) 1952.Crossref 6. Burrowes, W. L.: Acute Labyrinthitis , Brit Med J 2:408 ( (Nov 29) ) 1952.Crossref 7. Pedersen, E.: Epidemic Vertigo, Clinical Picture and Relation to Encephalitis , Brain 82:566-580, 1959.Crossref 8. Pedersen, E.: Epidemic Vertigo in Denmark , World Neurol 2:212-219 ( (March) ) 1961. 9. Hallpike, C. S.: Fourth International Congress of Oto-Rhino-Laryngology, White Plains, NY: A. J. Phiebig, 1954, vol 2, p 514. 10. Dix, M. R., and Hallpike, C. S.: Pathology, Symptomatology and Diagnosis of Certain Common Disorders of Vestibular System , Proc Roy Soc Med 45:341-354 ( (June) ) 1952. 11. Alcock, N. S.: Letters to Editor , Lancet 1:467 ( (March 1) ) 1952.Crossref 12. Philipszoon, A. J.: Nystagmus and Bell's Palsy , Pract Otorhinolaryng 24:233-238, 1962. 13. Harrison, M. S.: "Epidemic Vertigo"—"Vestibular Neuronitis": Clinical Study , Brain 85:613-620, 1963.Crossref 14. Pfaltz, C. R.: Diagnose und therapie der Vestibullaren Neuronitis , Pract Otorhinolaryng 17:454-461, 1955. 15. Walford, P. A.: Correspondence , Brit Med J 1:821-822 ( (May 7) ) 1949.Crossref 16. Walford, P. A.: Lancet 1:415 ( (Feb 23) ) 1952. 17. Franklin, C. B., and Jones, I.: Lancet 1:415 ( (Feb 23) ) 1952. 18. Rogers, S. C.: Correspondence , Brit Med J 1:1391 ( (June 16) ) 1951.Crossref 19. Till, A. S.: Lancet 1:415 ( (Feb 23) ) 1952. 20. Leishman, A. W. D.: Epidemic Vertigo With Oculomotor Complications , Lancet 1:228-230 ( (Jan 29) ) 1955.Crossref 21. Kuensskerg, E. V.: Letters to Editor , Lancet 1:407-408 ( (Feb 19) ) 1955.Crossref 22. Gorpe, A.; Dincoz, M.; Kuyumcuyan, K.: Bir Vertige Epidemic Vak'asi Munasebetiyle , Turk Tip Cem Mec 26:387-390 ( (Aug) ) 1960. 23. Mackiewicz, J.: Vertigo Epidemica , Pol Tyg Lek 18:48-50 ( (Jan 7) ) 1963. 24. Williams, S.: Epidemic Vertigo in Children , Med J Aust 2:660-661 ( (Oct 19) ) 1963. 25. Charters, A. D.: Epidemic Vertigo in Kenya , E Afr Med J 34:7-14 ( (Jan) ) 1957. 26. Citron, L., and Hallpike, C.: Observations Upon Mechanism of Positional Nystagmus of So-Called "benign paroxysmal type," Journal of Laryng 70:253-259 ( (May) ) 1956.Crossref 27. Reger, S., and Kos, C.: Clinical Measurements and Implications of Recruitment , Ann Otol 61:810-823 ( (Sept) ) 1952. 28. Jerger, J.: Bekesy Audiometry in Analysis of Auditory Disorders , J Speech Hearing Res 3:275-287 ( (Sept) ) 1960. 29. Shambaugh, G. E., Jr.: Diplacusis: Localizing Symptom of Disease of Organ of Corti , Arch Otolaryng 31:160-184, 1940.Crossref 30. Fitzgerald, G., and Hallpike, C. S.: Studies in Human Vestibular Function: Pt I , Brain 65:115-137 ( (June) ) 1942.Crossref 31. Podrebersek, S.: Zur Atiologie der Isolierjen, Einseitigen Vestibularisstorung , Pract Otorhinolaryng 21:363-366, 1959. 32. Merifield, D.: Hemorrhage Bullous Myringitis: Its Relation to Perceptive Deafness , Ann Otol 71:124-133 ( (March) ) 1962. 33. Herberts, G.: Post-Infections Meningo-Encephalitis as Etiological Factor in Certain Cases of Vertigo , Acta Otolaryng 118:109-113, 1954.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Self-Limited Idiopathic Vertigo (Epidemic Vertigo)

Archives of Otolaryngology , Volume 81 (4) – Apr 1, 1965

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References (22)

Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1965.00750050366008
Publisher site
See Article on Publisher Site

Abstract

Abstract IT IS THE purpose of this report to discuss the mysterious symptom complex referred to most commonly as "epidemic vertigo." Clinical experiences with 24 cases seen between August 1962 and June 1964, will be discussed and results of a preliminary investigation of possible etiology presented. The syndrome was probably first described by Barré and Reys,1 who referred to it as "vestibular epidemic vertigo." Since then the syndrome has been variously termed "epidemic vertigo,"2 "neurolabyrinthitis epidemica"3"nevraxite vertigineuse,"4 and "acute labyrinthitis." 5,6 In my experience, the syndrome has consisted of acute, usually severe vertigo, associated at times with nausea and vomiting. The absence of other symptoms is often striking, although upper respiratory symptoms are common.7,8 The patient maintains normal hearing and caloric examinations are almost always normal. Headache, fever, and other constitutional symptoms have not been part of the picture. Physical examination has been unremarkable except References 1. Barre', J. A., and Reys, L.: L'encephalite epidemique a straskourg sa forme labyrinthique , Bull Med 35:256-261, 1921. 2. Dalsgaard-Nielsen T.: Further Clinical Studies on Epidemic Vertigo, "Nevraxite Vertig ineuse," Acta Psychiat Neurol 28:263-267, 1953.Crossref 3. Meulengracht, E.: Correspondence , Brit Med J 2:1493 ( (Dec 30) ) 1950.Crossref 4. Winther, K.: Vertigo Epidemica (S. Neuraxitis Vertiginosa) , Ugreskr Laeg 114:1368-1375 ( (Feb 10) ) 1952. 5. Burrowes, W. L.: Acute Labyrinthitis , Brit Med J 2:1182-1183 ( (Nov 29) ) 1952.Crossref 6. Burrowes, W. L.: Acute Labyrinthitis , Brit Med J 2:408 ( (Nov 29) ) 1952.Crossref 7. Pedersen, E.: Epidemic Vertigo, Clinical Picture and Relation to Encephalitis , Brain 82:566-580, 1959.Crossref 8. Pedersen, E.: Epidemic Vertigo in Denmark , World Neurol 2:212-219 ( (March) ) 1961. 9. Hallpike, C. S.: Fourth International Congress of Oto-Rhino-Laryngology, White Plains, NY: A. J. Phiebig, 1954, vol 2, p 514. 10. Dix, M. R., and Hallpike, C. S.: Pathology, Symptomatology and Diagnosis of Certain Common Disorders of Vestibular System , Proc Roy Soc Med 45:341-354 ( (June) ) 1952. 11. Alcock, N. S.: Letters to Editor , Lancet 1:467 ( (March 1) ) 1952.Crossref 12. Philipszoon, A. J.: Nystagmus and Bell's Palsy , Pract Otorhinolaryng 24:233-238, 1962. 13. Harrison, M. S.: "Epidemic Vertigo"—"Vestibular Neuronitis": Clinical Study , Brain 85:613-620, 1963.Crossref 14. Pfaltz, C. R.: Diagnose und therapie der Vestibullaren Neuronitis , Pract Otorhinolaryng 17:454-461, 1955. 15. Walford, P. A.: Correspondence , Brit Med J 1:821-822 ( (May 7) ) 1949.Crossref 16. Walford, P. A.: Lancet 1:415 ( (Feb 23) ) 1952. 17. Franklin, C. B., and Jones, I.: Lancet 1:415 ( (Feb 23) ) 1952. 18. Rogers, S. C.: Correspondence , Brit Med J 1:1391 ( (June 16) ) 1951.Crossref 19. Till, A. S.: Lancet 1:415 ( (Feb 23) ) 1952. 20. Leishman, A. W. D.: Epidemic Vertigo With Oculomotor Complications , Lancet 1:228-230 ( (Jan 29) ) 1955.Crossref 21. Kuensskerg, E. V.: Letters to Editor , Lancet 1:407-408 ( (Feb 19) ) 1955.Crossref 22. Gorpe, A.; Dincoz, M.; Kuyumcuyan, K.: Bir Vertige Epidemic Vak'asi Munasebetiyle , Turk Tip Cem Mec 26:387-390 ( (Aug) ) 1960. 23. Mackiewicz, J.: Vertigo Epidemica , Pol Tyg Lek 18:48-50 ( (Jan 7) ) 1963. 24. Williams, S.: Epidemic Vertigo in Children , Med J Aust 2:660-661 ( (Oct 19) ) 1963. 25. Charters, A. D.: Epidemic Vertigo in Kenya , E Afr Med J 34:7-14 ( (Jan) ) 1957. 26. Citron, L., and Hallpike, C.: Observations Upon Mechanism of Positional Nystagmus of So-Called "benign paroxysmal type," Journal of Laryng 70:253-259 ( (May) ) 1956.Crossref 27. Reger, S., and Kos, C.: Clinical Measurements and Implications of Recruitment , Ann Otol 61:810-823 ( (Sept) ) 1952. 28. Jerger, J.: Bekesy Audiometry in Analysis of Auditory Disorders , J Speech Hearing Res 3:275-287 ( (Sept) ) 1960. 29. Shambaugh, G. E., Jr.: Diplacusis: Localizing Symptom of Disease of Organ of Corti , Arch Otolaryng 31:160-184, 1940.Crossref 30. Fitzgerald, G., and Hallpike, C. S.: Studies in Human Vestibular Function: Pt I , Brain 65:115-137 ( (June) ) 1942.Crossref 31. Podrebersek, S.: Zur Atiologie der Isolierjen, Einseitigen Vestibularisstorung , Pract Otorhinolaryng 21:363-366, 1959. 32. Merifield, D.: Hemorrhage Bullous Myringitis: Its Relation to Perceptive Deafness , Ann Otol 71:124-133 ( (March) ) 1962. 33. Herberts, G.: Post-Infections Meningo-Encephalitis as Etiological Factor in Certain Cases of Vertigo , Acta Otolaryng 118:109-113, 1954.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Apr 1, 1965

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