Benign paroxysmal positional vertigo
in patients after mild traumatic brain injury

Józefowicz-Korczyńska, Magdalena; Pajor, Anna; Skóra, Wojciech

doi:10.17219/acem/69708

Cited by 18 publications

(21 citation statements)

References 19 publications

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“…This is in accordance with Ahn et al and Davies et al who have reported an incidence of 23% and 25% respectively [5]However, others have documented a lower incidence varying from 8.5% to 17% [7,10,12,13]. The commonest age group affected was 31-50 years group(44.4%) which is in agreement with Jozefowicz Korczynska et al and Haripriya et al [14,13].Males predominated in our cohort(55.6%). Similar observations have been made by others [14,13].…”

Section: Discussionsupporting

confidence: 93%

Incidence of Benign Paroxysmal Positional Vertigo in Head Injury Patients

X¹,

Rameshwar²

2021

JPRI

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Background: Traumatic brain injury is a common secondary cause of Benign Paroxysmal Positional Vertigo(BPPV). Objective: To determine the incidence and clinical profile of patients with BPPV in mild and moderate head injury. Materials and Methods: A prospective observational study done in patients admitted with mild and moderate head injury who developed BPPV from January 2020 to March 2020 in a tertiary care hospital of South India. Demographic and clinical parameters were noted and were treated with canalith repositioning procedures. Results: Among 42 patients admitted with mild and moderate head injury, 9(21.4%) were diagnosed with BPPV in the follow up. The male female ratio was 2.5:1. The mean age was 44 ±21.4years.Two wheeler accidents contributed to nearly half of (55.6%) traumatic BPPV. Posterior canal was commonly involved in 7(77.8%) followed by horizontal in 2 (22.2%).The type of head injury was mild in 7 (77.8%) and moderate in 2 (22.2%) in traumatic BPPV patients. 5 (55.6%) patients with BPPV had abnormal findings in neuroimaging. 4 (44.4%) patients developed recurrent BPPV in our cohort. Conclusion: The incidence of traumatic BPPV was 21.4% in our study. Road traffic accidents due to two wheeler accidents were the common mode of head trauma. Posterior canal was commonly involved in three fourth of cases. Recurrence of vertigo was documented in 4 (44.4%).

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Section: Discussionsupporting

confidence: 93%

Incidence of Benign Paroxysmal Positional Vertigo in Head Injury Patients

X¹,

Rameshwar²

2021

JPRI

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“…Thus, these results again indicate a very large variation in the population of patients studied. In addition, Fife and Kalra [28], however, emphasize that the absence of disturbances detected in VNG test does not exclude the peripheral cause of ailments that may be related to abnormalities of the utricle and sacculus in patients after brain injury, which was presented in another publication [9]. In the present study, the compensation and normalization of the VNG records occurred in almost 40% of the patients after 6 months, while the central disorders were significantly more frequently identified in the remaining patients.…”

Section: Discussionmentioning

confidence: 99%

“…'Post-traumatic dizziness/vertigo' is a term that indicates a common etiology for a very heterogeneous presentation of peripheral and central vestibular system dysfunction. Patients with benign positional paroxysmal vertigo (BBPV) as a result of a traumatic event constitute a different diagnostic and treatment group [9][10][11]. In literature, there are quite divergent data on the incidence of imbalance and dizziness after head traumas.…”

Section: Introductionmentioning

confidence: 99%

Vestibular system dysfunction in patients after mild traumatic brain injury

Skóra¹,

Stańczyk

Pajor

et al. 2018

Ann Agric Environ Med.

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Introduction. In the literature there are some discrepancies concerning the occurrence of vertigo and disequilibrium, as well as the type of vestibular dysfunction in patients after mild traumatic brain injury (MTBI). Objective. The aim of the study was to assess the type of vestibular system dysfunction in MTBI patients after injury at baseline and 6-month follow-up. Materials and method. From a group of 188 patients with vertigo/dizziness and balance instability after MTBI, prospective analysis in 50 patients with abnormal videonystagmography (VNG) were conducted. Anamnesis, otoneurological examination, self-assessed Dizziness Handicap Inventory (DHI) and VNG test were carried in each patient twice-at baseline and after 6 months. Results. A significant improvement in the DHI total score (9.8 points, p<0.001) and in the subscales was found after 6 months. At baseline, VNG test showed the peripheral vestibular system dysfunction in 19 cases (38%), central vestibular dysfunction in 20 patients (40%) and mixed vestibular dysfunction in 11 cases (44%). After 6 months, the VNG records normalization was observed in 19 patients (38%), an improvement was significantly more frequently related to peripheral disorders, compared to central ones (p<0.001). Conclusions. In patients after mild traumatic brain injury, about one-fourth of them had vestibular system dysfunction with the same frequency of peripheral, central and mixed lesions in videonystagmography. Subjective post-traumatic symptoms and vestibular system dysfunction in patients after MTBI decrease after 6-month follow-up. However, more than half of patients still have abnormal VNG results, which indicate dysfunction of the central vestibular system.

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“…It is important first to evaluate if no concern related to cervical spine is present, before the administration. It is also termed the "headhanging positioning maneuver" [35].…”

Section: Dix-hallpike Maneuvermentioning

confidence: 99%

“…The patient's head is held in this position and the clinician verify the eyes to detect or not the presence of nystagmus. To complete the maneuver, the patient is returned to the seated position and they eyes are observed to detect presence of reversal nystagmus [35,36].…”

Section: Dix-hallpike Maneuvermentioning

confidence: 99%

Concussion and Balance in Sports

Felipe¹

2021

Contemporary Advances in Sports Science

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Balance, spatial orientation and stable vision are imperative factors for sports or any other physical activity. It is achieved and maintained by a complex integration set of sensorimotor control systems that include sensory input from vision, proprioception or somatosensory and the vestibular system. A Sport-Related Concussion (SRC) is an individualized injury that presents a range of clinical signs and symptoms (cognitive, physical, emotional, somatic, and sleep-related). For this reason, SPR is a meaningful public health issue that involves a multidisciplinary team to properly manage it. In the sports medicine filed, Sports-Related Concussion assessment and management has become an argumentative issue. Presently, the consensus includes a combination of subjective examination, combined by multifactorial evaluation batteries that allowed to verify several components of brain function. Athletes frequently complain of dizziness and imbalance subsequent a concussion, and these symptoms can expect increased period to recover and return to play. Balance assessment is an important component of the concussion evaluation, as it can contribute with an awareness about the function of the sensorimotor systems.

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Benign paroxysmal positional vertigo in patients after mild traumatic brain injury

Abstract: Benign paroxysmal positional vertigo should be diagnosed and treated successfully in patients after head trauma.

Cited by 18 publications

References 19 publications

Incidence of Benign Paroxysmal Positional Vertigo in Head Injury Patients

Incidence of Benign Paroxysmal Positional Vertigo in Head Injury Patients

Vestibular system dysfunction in patients after mild traumatic brain injury

Concussion and Balance in Sports

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