Abstract:
Introduction: Benign Paroxysmal Positional Vertigo (BPPV) is a disorder of
peripheral vestibular system with a ratio of 2:1 in women to men [1].
The association between BPPV and pregnancy is not clear. We suspect
that hormonal changes can induce some types of BPPV.
Aim: To analyze the risk factors in BPPV in pregnancy.
Methods: We report a case of a pregnant 37-years old woman. BPPV were
diagnosed for the first time in the 12 weeks of gestational age.
Our patient was receiving Duphaston (Dydrogesterone) and bed
rest to prevent abortion before the onset of symptoms of BPPV.
From medical history: second gestation, first baby was born by
cesarean-section.
Results: In the Emergency Department she was diagnosed with first
attack of BPPV and Epley maneuver was performed. One
week ago she was diagnosed with imminent miscarriage with
retroplacental hematoma; Duphaston treatment was initiated.
Conclusion: We hypothesized that BPPV in pregnancy in our case is linked
with prolonged bed resting and hormonal changes. The treatment
of choice in BPPV in pregnancy is Epley maneuver.
