An unusual cause of benign paroxysmal positional vertigo

Andaz, Charusheela; Whittet, H. B.; Ludman, Harold

doi:10.1017/s0022215100125538

Cited by 24 publications

(14 citation statements)

References 5 publications

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“…Possible predisposing factors for BPPV, such as head trauma, ototoxic drugs, ear surgery or viral labyrinthitis, could be identified in some of our patients. Other factors include uneventful neurosurgery or prolonged bed rest (11,12).…”

Section: Discussionmentioning

confidence: 99%

Vertigo in Patients with Benign Paroxysmal Positional Vertigo

Kentala

Pyykkö²

2000

Acta Oto-Laryngologica

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Kentala E, Pyykkö I. Vertigo in patients with benign paroxysmal positional 6ertigo. Acta Otolaryngol 2000; Suppl 543: 20-22.We retrieved information on 59 patients, 19 men and 40 women, with benign paroxysmal positional vertigo (BPPV) from the database of the otoneurologic expert system (ONE). The original number of patients was greater, but we excluded all those with hearing loss of any origin. The patients filled in a questionnaire concerning their symptoms, earlier diseases, accidents and tobacco and alcohol use. This information was then integrated with results of audiometric, otoneurologic and imaging studies. The mean age at onset of symptoms was 44 years. Most patients had had vertiginous spells forB1 year. None of the patients had hearing loss. Tinnitus was experienced by 32% of patients, and these patients experienced more anxiety than the others [r(53) = 0.40, p B 0.01]. The mean duration of the vertigo attacks ranged from a few seconds to 5 min, and they were fairly mild (26%) or moderate (41%) in intensity. The attacks were perceived as more intense if vertigo was rotational [r(54)= 0.60, pB 0.01] or if it was accompanied by nausea [r(58) =0.42, p B 0.01]. Patients with headache had more intense attacks [r(58) = 0.36, pB 0.01]. The vertigo attacks occurred in spells; patients had several attacks a week (23%) or during the course of 1 day (52%). The vertigo was rotational in 80% of patients, and 47% experienced a floating sensation. The floating vertigo was most often provoked by pressure changes [r(54) = 0.41, p B0.01] or changes in visual surroundings [r(54) = 0.52, pB 0.01].

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Section: Discussionmentioning

confidence: 99%

Vertigo in Patients with Benign Paroxysmal Positional Vertigo

Kentala

Pyykkö²

2000

Acta Oto-Laryngologica

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“…Interestingly, bone surgery with a hammer and a chisel for removal of an occipital osteoma performed in 1 of our patients was previously reported as an unusual cause of BPPV. 18 There is a general agreement that t-BPPV accounts for 15% to 20% of all BPPV cases. 4,11,12 There may be several reasons why there was a lower frequency of t-BPPV in our series (8.5%).…”

Section: Commentmentioning

confidence: 97%

Is Posttraumatic Benign Paroxysmal Positional Vertigo Different From the Idiopathic Form?

Gordon¹,

Levite²,

Joffe³

et al. 2004

Arch Neurol

152

127

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“…8 This could explain why many of these patients suffer from bilateral BPPV. Secondary causes of BPPV include head trauma (7-17 per cent), vestibular neuritis (15 per cent) and Ménière's disease.…”

Section: Discussionmentioning

confidence: 99%