Question Title: Benign Paroxysmal Vertigo

Forum: Neurology Forum
Topic: Movement

I have a 6 yr old son who was diagnosed with BPV 2 yrs ago. He has had dizzy spells and ringing in the ears since a very early age. He has been on Periactin for a year and a half. These spell only accur about every 2-3 months. However in the last 6 weeks they are occuring several time a week and lasting anywhere from 10 min. to 1 1/2 hrs. In the past week when one of these spell comes on he now has begun to twitch in his arms and legs and have what looks like spasam in this back. So now he has been diagnosed with a movement disorder. All test show no sign of seizure activity in the brain. However, he is being treated with Tegratol. Do BPV and movement disorders have any medical relation to each other? We have videoed these episodes for the Dr. and he has had one will having an EEG. I am very curious if these are two different things we are dealing with or if they can be one in the same. Thanks Dana

Dear Dana:

Sorry to hear that your son has BPV. I just wanted you to know that there is a special movement that a trained neurologist that can performed that will cure your son's BPV. It is called an Eply (sp) technique. There are only a handful of trained neurologist that can do this procedure. I have seen it work in patients here at the Cleveland Clinic. The technique was developed by a neurologist specializing in the inner ear. It is not medications but a corrective procedure. I know that neurologist at UCLA, Boston:Harvard, and here at the Cleveland Clinic perform this procedure. I know of no association between movement disorders and BPV. There is a condition where high levels of antihistamine can cause movement dystonia. But since your son has been on periactin for a long period of time I doubt that this could be the case. If you unsure, just stop the medication and see if it resolves. Although his BPV might return. Anyway, I do not think the two are related. Try and find a neurologist who knows about the Eply technique.

Sincerely,

CCF Neuro:Pediatrics MD, RPS

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