Vestibular paroxysmia (VP): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Vestibular paroxysmia (VP): clinical features. This is the occurrence of brief attacks of vertigo. Fully referenced neurology checklist.

Pathology

  • This is the occurrence of brief attacks of vertigo
  • It is caused by vestibulochochlear nerve compression
  • The compression is at the nerve root entry zone
  • It may affect just the vestibular component of the nerve

Causes of nerve compression

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Clinical features

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Triggers

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Associated features

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Co-existing neurovascular disorders

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Diagnostic criteria for definite VP

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Diagnostic criteria for probable VP

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References

  1. Ori M, Gambacorta V, Ricci G, Faralli M. Vestibular paroxysmia in vestibular neuritis: a case report. Audiol Res 2018; 8:206.
  2. Brandt T, Strupp M, Dieterich M. Vestibular paroxysmia: a treatable neurovascular cross-compression syndrome. J Neurol 2016; 263(Suppl 1):S90-S96.
  3. Hüfner K, Barresi D, Glaser M, et al. Vestibular paroxysmia: diagnostic features and medical treatment. Neurology 2008; 71:1006-1014. 
  4. Strupp M, Lopez-Escamez JA, Kim JS, et al. Vestibular paroxysmia: diagnostic criteria. J Vestib Res 2016; 26:409-415.
  5. Choi JW, Kim CH. Vestibular paroxysmia caused by contralateral tortuous vertebral artery: a case report. Medicine (Baltimore) 2021; 100:e27815.
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