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A novel use of intratympanic dexamethasone for intractable posterior canal benign paroxysmal positional vertigo: report of two cases

Published online by Cambridge University Press:  29 November 2018

A Kelkar  and
I Johnson
A Kelkar*
Affiliation:
Department of ENT, Newcastle upon Tyne Hospitals NHS Foundation Trust, UK
I Johnson
Affiliation:
Department of ENT, Newcastle upon Tyne Hospitals NHS Foundation Trust, UK
*
Author for correspondence: Mr Ajinkya Kelkar, Department of ENT, Freeman Hospital, Newcastle upon Tyne NE7 7DN, UK E-mail: ajinkya@doctors.net.uk Fax: +44 (0)191 223 1246
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Abstract

Background

Benign paroxysmal positional vertigo is a common inner-ear pathology, characterised by episodic vertigo lasting for a few seconds that is associated with sudden change in the head position. Benign paroxysmal positional vertigo is treated with canalolith repositioning manoeuvres. Intractable vertigo describes a small group of patients who either do not improve with canalolith repositioning manoeuvres (persistent cases) or who relapse after improvement of initial symptoms (recurrent cases). These cases are difficult to treat and may have to be treated surgically.

Case reports

This paper reports two cases of intractable posterior canal benign paroxysmal positional vertigo that were treated with intratympanic dexamethasone injections on an interval basis.

Results

Both patients showed good control of their vertiginous symptoms, with negative Dix–Hallpike test findings following the intervention.

Conclusion

The findings support an underlying inflammatory pathology in intractable benign paroxysmal positional vertigo; intratympanic steroids should be considered as an intermediate option before proceeding to a definitive surgical intervention.

Keywords

Benign Paroxysmal Positional VertigoSteroidsDexamethasoneInjectionsMiddle Ear
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 12 , December 2018 , pp. 1147 - 1149
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Mr A Kelkar takes responsibility for the integrity of the content of the paper

References

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