Recurrent vestibulopathy: natural course and prognostic factors.

OBJECTIVE

To evaluate the natural course of recurrent vestibulopathy.

STUDY DESIGN

Retrospective analysis.

PATIENTS

One hundred and five adult patients with attacks of vertigo without auditory or neurological symptoms.

METHODS

A structured interview was conducted over the telephone, 12 to 62 months after the patient's first visit to the out-patient department.

RESULTS

Two-thirds of patients experienced spontaneous resolution of vertigo, while one-third continued to have symptoms. The diagnosis was subsequently changed to migraine in 2 per cent of patients and to Ménière's disease in 1 per cent.

CONCLUSION

The prognosis for patients with recurrent vestibulopathy is good. In a few cases, the diagnosis is provisional and will be subsequently changed to migraine or Ménière's disease.