Details

Autor(en) / Beteiligte

• Fleming, Flavia P
• Levy, Roger A

Titel

Vertigo and the antiphospholipid syndrome: how are they connected?/ Vertigem e sindrome antifosfolipideo: como estao ligados?/ Vertigo y sindrome del anticuerpo antifosfolipido: ?como estan relacionados?

Ist Teil von

• Revista Hospital Universitário Pedro Ernesto, 2015-01, Vol.14 (1), p.47

Ort / Verlag

Universidade do Estado do Rio de Janeiro- Uerj

Erscheinungsjahr

2015

Quelle

EZB Free E-Journals

Beschreibungen/Notizen

• The objective of this review is to describe the association between vertigo and the antiphospholipid syndrome (APS), talking about clinical and laboratory findings, based on scientific literature. It has been seen in clinical practice and recognized by scientific community that there is an association between the antiphospholipid syndrome and vertigo. Its main clinical presentation is Meniere's syndrome, with vertigo, sensorineural hearing loss, aural fullness and tinnitus. In addition to this presentation, audiovestibular symptoms may be presented in the most various ways in patients with APS. We should always have in mind that vertigo can be of central origin, especially in a patient whose disease can generate thrombosis in any blood vessel, either vein or artery. Vertebrobasilar stroke can mimic a peripheral vestibular syndrome. In APS patients with vestibular symptoms we should pay close attention to the case history, because it can help us to differentiate peripheral and central disorders. A complete ENT and neurologic exam is very important. Thus, the alterations seen in APS that cause vestibular symptoms can be peripheral or central, this last one always has to be rolled out for its severity, risks of complication and sequela. These patients should have a multidisciplinary assessment and be closely monitored.