Int Arch Otorhinolaryngol 2014; 18 - a2321
DOI: 10.1055/s-0034-1388796

Benign Paroxysmal Positional Vertigo: A Case Report in a Young Male

Bárbara das Neves Linhares 1, Diderot Rodrigues Parreira 1
  • 1Universidade Católica de Brasília

Introduction: Benign paroxysmal positional vertigo occurs due to displacement of utricular statocone debris in a disorganized fashion towards the semicircular canal, which remains floating in the endolymph. This process is triggered by changes in the head position, which usually occurs when get out or turning over in bed, triggering sudden episodes of dizziness. The prevalence is higher in females and in patients older than 40 years.

Objective: The article aimed to report a case of benign paroxysmal positional vertigo in a young 26-year-old male patient.

Resumed Report: A 26-year-old male patient, previously healthy, and had a family history of labyrinthitis presented the following case. Around 7 days ago, he woke up complaining of an intense vertigo associated with nausea and frontal headache, with significant worsening throughout the day. He reported a subsidence of symptoms by maintaining the position of the head relative to the body and worsening of symptoms with sound and movement of the head relative to the body. He did not use medication for the same. He visited the otorhinolaryngology clinic to get his clinical condition investigated, where he was prescribed antiemetic and antivertigo medications. He reported progressive improvement in his health and a negative Dix-Hallpike maneuver test result after 7 days of starting the medication.

Conclusion: Indeed, benign paroxysmal positional vertigo is a benign pathology. Nonetheless, there are probably many undiagnosed cases due to the low occurrence of this disease in young patients and males, significantly affecting the quality of life of patients in this age group, especially, if there is recurrence of episodes. So, it is essential to make a detailed history for the correct diagnosis and treatment.