Post-COVID-19 Benign Paroxysmal Positional Vertigo

Background. COVID-19 is a disease caused by a new strain of coronavirus (SARS-COVID-19). The WHO first learned about this new virus on December 31, 2019, following a report on a group of cases of “viral pneumonia” in Wuhan, People’s Republic of China, and declared a pandemic in March 2020. The disea...

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Main Authors: Siniša Maslovara, Andro Košec
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2021/9967555
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author Siniša Maslovara
Andro Košec
author_facet Siniša Maslovara
Andro Košec
author_sort Siniša Maslovara
collection DOAJ
description Background. COVID-19 is a disease caused by a new strain of coronavirus (SARS-COVID-19). The WHO first learned about this new virus on December 31, 2019, following a report on a group of cases of “viral pneumonia” in Wuhan, People’s Republic of China, and declared a pandemic in March 2020. The disease was an almost complete unknown at the outset, but knowledge of its pathophysiology, clinical picture, and treatment options grew and developed rapidly. Objective. Dizziness is a very common symptom that patients report in routine clinical practice and one of the significant clinical manifestations of COVID-19. This short report investigated a possible connection between COVID-19 and benign paroxysmal positional vertigo (BPPV). Methods. We present two cases of benign paroxysmal positional vertigo (BPPV), which developed within two weeks of SARS-COVID-19 infection, manifesting with mild disease severity in early November 2020. Results. In both cases, the disease manifested by severe, short-lived attacks of vertigo, objective-circular type, with accompanying nausea and vomiting. The symptoms occurred when lying in bed and turning to the right and assuming an upright position. The diagnosis of posterior semicircular canal BPPV (PC-BPPV) was made based on a subjectively and objectively positive right-sided Dix–Hallpike test. Conclusions. The pathophysiology of post-COVID BPPV is probably similar to that of other viral infections, with some of its specificities such as inducing hypercoagulation and microthrombus formation, which can cause significant circulatory disorders possibly affecting its pathogenesis.
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spelling doaj-art-17444265ccc547cb9eeaf68f427b310b2025-08-20T03:54:33ZengWileyCase Reports in Medicine1687-96271687-96352021-01-01202110.1155/2021/99675559967555Post-COVID-19 Benign Paroxysmal Positional VertigoSiniša Maslovara0Andro Košec1Department of Otorhinolaryngology and Neurosurgery, Faculty of Dental Medicine and Health, University of Osijek, Osijek, CroatiaDepartment of Otorhinolaryngology and Head and Neck Surgery, Zagreb School of Medicine, University Hospital Center “Sestre Milosrdnice”, Zagreb, CroatiaBackground. COVID-19 is a disease caused by a new strain of coronavirus (SARS-COVID-19). The WHO first learned about this new virus on December 31, 2019, following a report on a group of cases of “viral pneumonia” in Wuhan, People’s Republic of China, and declared a pandemic in March 2020. The disease was an almost complete unknown at the outset, but knowledge of its pathophysiology, clinical picture, and treatment options grew and developed rapidly. Objective. Dizziness is a very common symptom that patients report in routine clinical practice and one of the significant clinical manifestations of COVID-19. This short report investigated a possible connection between COVID-19 and benign paroxysmal positional vertigo (BPPV). Methods. We present two cases of benign paroxysmal positional vertigo (BPPV), which developed within two weeks of SARS-COVID-19 infection, manifesting with mild disease severity in early November 2020. Results. In both cases, the disease manifested by severe, short-lived attacks of vertigo, objective-circular type, with accompanying nausea and vomiting. The symptoms occurred when lying in bed and turning to the right and assuming an upright position. The diagnosis of posterior semicircular canal BPPV (PC-BPPV) was made based on a subjectively and objectively positive right-sided Dix–Hallpike test. Conclusions. The pathophysiology of post-COVID BPPV is probably similar to that of other viral infections, with some of its specificities such as inducing hypercoagulation and microthrombus formation, which can cause significant circulatory disorders possibly affecting its pathogenesis.http://dx.doi.org/10.1155/2021/9967555
spellingShingle Siniša Maslovara
Andro Košec
Post-COVID-19 Benign Paroxysmal Positional Vertigo
Case Reports in Medicine
title Post-COVID-19 Benign Paroxysmal Positional Vertigo
title_full Post-COVID-19 Benign Paroxysmal Positional Vertigo
title_fullStr Post-COVID-19 Benign Paroxysmal Positional Vertigo
title_full_unstemmed Post-COVID-19 Benign Paroxysmal Positional Vertigo
title_short Post-COVID-19 Benign Paroxysmal Positional Vertigo
title_sort post covid 19 benign paroxysmal positional vertigo
url http://dx.doi.org/10.1155/2021/9967555
work_keys_str_mv AT sinisamaslovara postcovid19benignparoxysmalpositionalvertigo
AT androkosec postcovid19benignparoxysmalpositionalvertigo