The Lyndsay-Hemenway Syndrome: Two Case Reports. Review and Comments

The syndrome of Lindsay and Hemenway i.e. vestibular neuritis with Benign Paroxysmal Positional Vertigo (BPPV) as a clinical sequel is believed to be not frequent. However the careful observation of the patient in the course of several months reveals a higher incidence in reality. Aim of the study is the presentation of two case reports of patients with different clinical occurrences of the same syndrome. In the first case the initial vestibular neuritis occurs a few months before the occurrence of BPPV and BPPV is resistant to treatment with repositioning maneuvers. In the second case BPPV occurs as an immediate sequel of vestibular neuritis and responds to treatment. The syndrome of Lindsay and Hemenway is an interesting clinical entity the existence of which the clinician should be aware of, in order to be able to combine repositioning maneuvers for the treatment of BPPV with vestibular rehabilitation targeting the treatment of a defective central compensation due to unilateral labyrinthine paresis.