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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">nnp</journal-id><journal-title-group><journal-title xml:lang="en">Neurology, Neuropsychiatry, Psychosomatics</journal-title><trans-title-group xml:lang="ru"><trans-title>Неврология, нейропсихиатрия, психосоматика</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2074-2711</issn><issn pub-type="epub">2310-1342</issn><publisher><publisher-name>"IMA-Press", LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/2074-2711-2021-6-139-141</article-id><article-id custom-type="elpub" pub-id-type="custom">nnp-1719</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL OBSERVATIONS</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯ</subject></subj-group></article-categories><title-group><article-title>Sudden Onset of Vestibular Migraine Complicated with BPPV and Mal de Debarquement Syndrome – a Diagnostic Dilemma</article-title><trans-title-group xml:lang="ru"><trans-title>Sudden Onset of Vestibular Migraine Complicated with BPPV and Mal de Debarquement Syndrome – a Diagnostic Dilemma</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Perkoviс</surname><given-names>R.</given-names></name><name name-style="western" xml:lang="en"><surname>Perkoviс</surname><given-names>R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Trg Svetog Trojstva 3, 31000, Osijek, Croatia </p></bio><bio xml:lang="en"><p> Trg Svetog Trojstva 3, 31000, Osijek, Croatia </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Maslovara</surname><given-names>S.</given-names></name><name name-style="western" xml:lang="en"><surname>Maslovara</surname><given-names>S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Zupanijska 35, 32000, Vukovar, Croatia</p><p>Trg Svetog Trojstva 3, 31000, Osijek, Croatia </p></bio><bio xml:lang="en"><p> Zupanijska 35, 32000, Vukovar, Croatia </p><p> Trg Svetog Trojstva 3, 31000, Osijek, Croatia </p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Kovaсeviс′ Stranski</surname><given-names>K.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovaсeviс′ Stranski</surname><given-names>K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Trg Svetog Trojstva 3, 31000, Osijek, Croatia</p></bio><bio xml:lang="en"><p> Trg Svetog Trojstva 3, 31000, Osijek, Croatia </p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Buljan</surname><given-names>K.</given-names></name><name name-style="western" xml:lang="en"><surname>Buljan</surname><given-names>K.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Trg Svetog Trojstva 3, 31000, Osijek, Croatia</p></bio><bio xml:lang="en"><p> Trg Svetog Trojstva 3, 31000, Osijek, Croatia </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Tomiс′</surname><given-names>S.</given-names></name><name name-style="western" xml:lang="en"><surname>Tomiс′</surname><given-names>S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Trg Svetog Trojstva 3, 31000, Osijek, Croatia</p></bio><bio xml:lang="en"><p> Trg Svetog Trojstva 3, 31000, Osijek, Croatia </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Juriс′</surname><given-names>S.</given-names></name><name name-style="western" xml:lang="en"><surname>Juriс′</surname><given-names>S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Trg Svetog Trojstva 3, 31000, Osijek, Croatia</p></bio><bio xml:lang="en"><p> Trg Svetog Trojstva 3, 31000, Osijek, Croatia </p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Department of Neurology, J.J. Strossmayer University, Osijek University Hospital Centre</institution><country>Хорватия</country></aff><aff xml:lang="en"><institution>Department of Neurology, J.J. Strossmayer University, Osijek University Hospital Centre</institution><country>Croatia</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Department of Otorhinolaryngology, Vukovar County General Hospital;&#13;
Department of Otorhinolaryngology and Maxillofacial Surgery, Medical Faculty, J.J. Strossmayer University</institution><country>Хорватия</country></aff><aff xml:lang="en"><institution>Department of Otorhinolaryngology, Vukovar County General Hospital;&#13;
Department of Otorhinolaryngology and Maxillofacial Surgery, Medical Faculty, J.J. Strossmayer University</institution><country>Croatia</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Department of Rheumatology, Imunology and Allergology, J.J. Strossmayer University, Osijek University Hospital Centre</institution><country>Хорватия</country></aff><aff xml:lang="en"><institution>Department of Rheumatology, Imunology and Allergology, J.J. Strossmayer University, Osijek University Hospital Centre</institution><country>Croatia</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>16</day><month>12</month><year>2021</year></pub-date><volume>13</volume><issue>6</issue><fpage>139</fpage><lpage>141</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Perkoviс R., Maslovara S., Kovaсeviс′ Stranski K., Buljan K., Tomiс′ S., Juriс′ S., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Perkoviс R., Maslovara S., Kovaсeviс′ Stranski K., Buljan K., Tomiс′ S., Juriс′ S.</copyright-holder><copyright-holder xml:lang="en">Perkoviс R., Maslovara S., Kovaсeviс′ Stranski K., Buljan K., Tomiс′ S., Juriс′ S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://nnp.ima-press.net/nnp/article/view/1719">https://nnp.ima-press.net/nnp/article/view/1719</self-uri><abstract><p>Vestibular migraine is combination of migraine and vestibular symptoms. In clinical examination it can be replaced with benign paroxysmal positional vertigo (BPPV) cupulolithiasis, but also BPPV is common comorbidity in migraine patients. There is also high association between vestibular migraine and Mal de Debarquement syndrome. Patient came to hospital with vertigo that was diagnosed as left PC-BPPV canalolithiasis. After first Epley's maneuver symptoms didn't resolved. Week after, at second Epley's maneuver performed patient developed left PC-BPPV cupulolithiasis. Month after, at third Epley's maneuver BPPV resolved but patient developed Mal de Debarquement syndrome. Laboratory testing showed hyperhomocisteinemia and homozygous MTHFR C677T and PAI, with low vitamin D. After reviewing the vestibular symptoms in the first attack which was misdiagnosed as BPPV canalolithiasis, and history of migraine, patient was diagnosed with vestibular migraine. Patient well responded to migraine diet and supplementation with B complex. Vestibular disorders are similar to each other and they can overlap. More attention in taking detailed medical history should be given to patients with vertigo or dizziness.</p></abstract><trans-abstract xml:lang="ru"><p>Vestibular migraine is combination of migraine and vestibular symptoms. In clinical examination it can be replaced with benign paroxysmal positional vertigo (BPPV) cupulolithiasis, but also BPPV is common comorbidity in migraine patients. There is also high association between vestibular migraine and Mal de Debarquement syndrome. Patient came to hospital with vertigo that was diagnosed as left PC-BPPV canalolithiasis. After first Epley's maneuver symptoms didn't resolved. Week after, at second Epley's maneuver performed patient developed left PC-BPPV cupulolithiasis. Month after, at third Epley's maneuver BPPV resolved but patient developed Mal de Debarquement syndrome. Laboratory testing showed hyperhomocisteinemia and homozygous MTHFR C677T and PAI, with low vitamin D. After reviewing the vestibular symptoms in the first attack which was misdiagnosed as BPPV canalolithiasis, and history of migraine, patient was diagnosed with vestibular migraine. Patient well responded to migraine diet and supplementation with B complex. Vestibular disorders are similar to each other and they can overlap. More attention in taking detailed medical history should be given to patients with vertigo or dizziness.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>vestibular migraine</kwd><kwd>BPPV</kwd><kwd>Mal de Debarquement syndrome</kwd></kwd-group><kwd-group xml:lang="en"><kwd>vestibular migraine</kwd><kwd>BPPV</kwd><kwd>Mal de Debarquement syndrome</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Dieterich M, Brandt T. 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