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Vertigo in MS: Utility of positional and particle repositioning maneuvers

From the Departments of Neurology (Drs. E.M. Frohman, Zhang, Dewey, Hawker, Racke, and T.C. Frohman) and Ophthalmology (Dr. E.M. Frohman) and the Center for Immunology (Dr. Racke), University of Texas Southwestern Medical Center, Dallas.

Address correspondence and reprint requests to Dr. Elliot M. Frohman, Department of Neurology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75235; e-mail: efrohm{at}mednet.swmed.edu

A 4-year experience with new-onset vertigo in a university-based MS population was retrospectively reviewed. Of 1,153 patients with MS, 25 could be clinically evaluated during the vertiginous episode. Of these, 13 (52%) were diagnosed with benign paroxysmal positioning vertigo and eight (32%) had acute MS exacerbations with corresponding lesions within the brainstem. All patients diagnosed with benign paroxysmal positioning vertigo were treated successfully with particle repositioning maneuvers.–1568

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