A 4-year experience with new-onset vertigo in a university-based MS populat
ion was retrospectively reviewed. Of 1,153 patients with MS, 25 could be cl
inically evaluated during the vertiginous episode. Of these, 13 (52%) were
diagnosed with benign paroxysmal positioning vertigo and eight (32%) had ac
ute MS exacerbations with corresponding lesions within the brainstem. All p
atients diagnosed with benign paroxysmal positioning vertigo were treated s
uccessfully with particle repositioning maneuvers.