Re: Publicist says Janet Jackson is hospitalized
What I posted on the KOP board...I am personally glad that Janet is better - but I'd like to know the underlying reason WHY she has vertigo....maybe she IS exhausted? Or has an inner or middle ear infection? Those things will make you get vertigo - unless it is BPV - benign positional vertigo? She should get a tilt table test done - this will help to diagnose why she is getting this. It could be a structural problem, an infection or a neuronal one (one that involves her nerve endings in her ear). If it is neuronal, she should go see a neurologist. They do fantastic things for this
From:
http://www.medhelp.org/forums/neuro/archive/13410.html
Twice in the past year my husband has gone to the ER with what was dx'd as BPPV. I've read the symptomolgy and feel that the sx my husband has are more severe than what I have read. This is what my husband's sx were, exactly both times. Early in the morning (0545) he'll wake up and have a spinning sensation that causes a severe nausea. He'll make it to the bathroom then once there it becomes extremely severe. His vision becomes affected (unable to focus), he loses his sense of perception (he'll grab for an object and miss it), and then he begins to have emesis. With my help we make it back to the bed, and then he keeps asking if I'm still there, when I haven't moved. 911 was called both times, in the ER anti-emetics and Antivert were given, but the emesis continued till about 9-10 am. At 1100 he was finally able to take the Antivert po and by 1300 we were home. There was no suggestion of any follow-up.
My husband is 30y/o and avid runner (avg of 30 miles per week), very physically fit, and no significant medical hx. There aren't any sx that precede this at all. My concern is that these sx are more than "benign" and I just needed an opinion. I feel that there should be a neuro consult or ENT. Anyway your input would be greatly appreciated!! Thanks
Dear Karen:
Sorry to hear about your husband. I guess as a neurologist, we always try to exam the patient and by our examination diagnosis the problem, then using tests confirm the diagnosis. Without the examination it is difficult to diagnosis. The symptoms sound like BPV (benign positional vertigo), however there are some other things we always rule out. Is there a family history of early stroke? Has he had any problems with deep vein thrombosis in the past? Since he is in good shape I imagaine his cholesterol and triglycerides are not out of wack. Did they do any imaging of the brain (CT, MRI)? If the answer to these are no, and the imaging didn't show anything then posterior fossa tumor or basal vertebral insufficiency is unlikely. Is there a family history of migraine headaches? Does your husband have migraine headaches? If the answer to these questions is no, then likely this isn't basilar migraine
headaches. Did your husband have an ear infection or upper respiratory illness preceding the events? If no then it is unlikely that there was an infectious entity causing his vertigo and nausea/vomiting. Since the medication helped (when he could keep it down), then the most likely diagnosis is BPV. Did the doctors do a test called Dix-Hillpike? This is where from a sitting position and rapidly sit him back and turn his head? If so, was it positive? This would clinch the diagnosis. There is a technique that we perform here at the clinic that will reverse the condition without medications. One of our doctors, neurologist is specially trained to do this technique. Since it is curative, I would suggest it. They also do this procedure at UCLA and Harvard. If your close to Cleveland, you can call 1-800-CCF-CARE for information about making an appointment. I hope this resolves.
Sincerely,
CCF Neuro[P] MD, RPS