Abstract
Vestibular paroxysmia (VP) is as frequent cause for short spells of vertigo in adults. It is diagnosed in 5% of the patient presenting to a tertiary care dizziness center. The disorder is caused by a pathologic neurovascular compression of the vestibulocochlear nerve, mostly due to a loop of the anterior inferior cerebellar artery (AICA). VP has clear diagnostic criteria and responds excellently to treatment with low-doses of substances that block usedependent sodium channels (i.e., carbamazepine). In children, this disease has been described just anecdotally.
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