Post-traumatic camel-related benign paroxysmal positional vertigo.
BACKGROUND
Benign paroxysmal positional vertigo (BPPV) is a common form of dizziness. The causes of BPPV are not yet known but a relationship between the onset of vertigo and head trauma has been found. Among the causes of head injury related to BPPV, dropping off a camel has not been reported in literature yet.


METHODS
We describe two cases of persons that fell off a camel during a safari in Middle East countries. After the fall they reported vertigo symptoms that were not interpreted as BPPV. When they returned to Italy, due to symptoms persistence, they were referred to our ENT practice: we found evidence of BPPV. In a case it was a bilateral BPPV (bBPPV).


CONCLUSIONS
Falling off a camel may be a relevant cause of BPPV. We suggest a correct evaluation of the labyrinth for BPPV with the appropriate diagnostic maneuvers and, if necessary, a treatment with repositioning maneuvers.
Ralli
Giovanni
G
Department of Otorhinolaryngology, Audiology and Phoniatrics "G. Ferreri", University of Rome "Sapienza", Rome, Italy. gralli@libero.it
Giovanni
Ralli
R
Atturo
Francesca
F
Francesca
Atturo
A
Lamberti
Antonio
A
Antonio
Lamberti
L
Nola
Giuseppe
G
Giuseppe
Nola
N
D000058:Accidental Falls; D000328:Adult; D000818:Animals; D002162:Camelus; D006259:Craniocerebral Trauma / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008877:Middle East; D014195:Travel; D014717:Vertigo / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology