Benign Paroxysmal Positional Vertigo – A Review of 101 Cases

Silva, Clara; Amorim, Ana Margarida; Paiva, António

doi:10.1016/j.otoeng.2014.09.003

Cited by 16 publications

(21 citation statements)

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“…In this study, age/sex subgroup analyses showed that the risk of ischemic stroke was higher in the subgroup of women with BPPV. The higher prevalence of BPPV in women might affect the statistical likelihood of a higher risk of ischemic stroke in these patients with BPPV [34]. Additionally, other risk factors associated with ischemic stroke, such as smoking habits and alcohol consumption, are more commonly associated with men than women.…”

Section: Discussionmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo and the Increased Risk of Ischemic Stroke: A Nested Case-Control Study Using a National Cohort Sample

Choi

Kim

2021

BioMed Research International

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A recent population cohort study reported that benign paroxysmal positional vertigo (BPPV) was a risk factor for ischemic stroke. This study investigated the risk of ischemic and hemorrhagic strokes in patients with BPPV. A nested case-control study used the data from the Korean National Health Insurance Service-National Sample Cohort between 2002 and 2013. We used data of patients aged ≥50 years obtained from the Korean National Health Insurance Service-National Sample Cohort between 2002 and 2013. A total of 15,610 patients with ischemic stroke and 4,923 patients with hemorrhagic stroke were matched for age, sex, income, residential location, hypertension, diabetes, and dyslipidemia with 62,440 and 19,692 controls, respectively. History of BPPV was evaluated in the stroke and control groups. Crude and adjusted odds ratios (ORs) for stroke in patients with BPPV were analyzed using stratified logistic regression analysis. Subgroup analyses were performed for age and sex. Notably, 3.7% (572/15,610) of patients with ischemic stroke and 2.7% (1,702/62,440) of the control subjects reported a history of BPPV ( P < 0.001 ). The adjusted OR for BPPV in patients with ischemic stroke was 1.35 (95% confidence interval (CI) 1.22–1.49, P < 0.001 ). Patients with ischemic stroke showed higher ORs for BPPV in the subgroup of women. Patients with hemorrhagic stroke did not show a high OR for BPPV. Ischemic stroke patients demonstrated the increased OR for BPPV in subjects aged ≥50 years old.

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Section: Discussionmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo and the Increased Risk of Ischemic Stroke: A Nested Case-Control Study Using a National Cohort Sample

Choi

Kim

2021

BioMed Research International

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“…It is documented that one year prevalence is 0.5% in 18-39 years of age and 3.4% among people over 60 years of age. [26] In case of BPPV, without any treatment, the symptoms gradually disappear over a period of two to four weeks.However, if the symptom persists, a repositioning maneuver is advocated. Drugs like vestibular suppressant are not effective as a definitive treatment for BPPV.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Benign Paroxysmal Positional Vertigo: Our experiences at a tertiary care hospital of India

Swain¹,

Behera

Sahu

2018

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

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Introduction:Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo.BPPV is often overlooked by general physician and treated with anti-vertigo drugs. Objective: To evaluate the prevalence, incidence,clinical presentation of benign paroxysmal positional vertigo (BPPV). Also assessing the age,gender and site of the lesion,association with other vestibular disorders, progression, and recurrence in these patients. Materials and methods:A retrospective study of total of 172patients those attended in vertigo clinic for giddiness diagnosed as BPPV. Data analyzed from medical records since last 3 years. Out of total 685 vertigo patients in our Vertigo Clinic, 172were found to suffer from BPPV.The age of the patients ranged from 23 years to 76 years with mean of 41.4 year. Results: Out of 685 patients with vertigo,172 were diagnosed as BPPV. Among them, 102 female and 70 male patients. The posterior canal was affected in 81.97 %, the lateral in 10.46 %, the anterior in 5.23 % and multiple canals in 2.32 %.The treatment maneuver used most was Epley'smaneuver. Recurrence was observed in 10.37 % of the cases. It was idiopathic in 73.83% of cases. Conclusion: BPPV is a common peripheral vestibular disorder causing significant morbidity, psychosocial impact and medical costs. Epley's maneuver provides rapid relief of symptoms of BPPV. In addition daily Brandt-Daroff exercises decrease the chances of recurrence rate.

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“…It is the most common cause of vertigo in adults, affecting women twice as much and constituting in most cases of the idiopathic BPPV. [4][5][6] Low levels of vitamin D have been associated with the development and recurrence of BPPV, with a possible level of disturbance attributed to vestibular endolymph Ca 2þ , which results in the formation of abnormal otoconia. Calcium is the main component of these otoconia that are generated by the same mechanism of calcium absorption that occurs in bones, which, in turn, has many important biological functions, including the regulation of homeostasis of calcium.…”

Section: Introductionmentioning

confidence: 99%

Hypovitaminosis D, Low Bone Mineral Density, and Diabetes Mellitus as Probable Risk Factors for Benign Paroxysmal Positional Vertigo in the Elderly

Bazoni

Ciquinato

Marquez

et al. 2019

Int Arch Otorhinolaryngol

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Introduction Studies have found that elderly patients with benign paroxysmal positional vertigo (BPPV) may present low levels of vitamin D (25 (OH) D), changes in bone mineral density, and diabetes mellitus (DM). Objective: To investigate the possible association between BPPV, bone mineral density, hypovitaminosis D, 25 (OH) D and DM. Methods The sample consisted of 109 elderly subjects. The BPPV was verified by a standardized questionnaire and the Dix-Hallpike maneuver. Blood samples were collected for the investigation of 25 (OH) D serum levels. The bone mineral density was evaluated by means of a densitometer. Diabetes mellitus verification was performed using a self-reported questionnaire. Results Of the 109 participants, 17 had BPPV. There was a statistically significant difference between BPPV and gender (p = 0.027, phi = 0.222), with female representing 88.2% of those with BPPV. In the group with BPPV, there was a statistically significant difference for the amount of vitamin D found (p = 0.001) and for age (p = 0.001). In the elderly group with DM and BPPV, a difference was found for the standard deviation of the femur (p = 0.022) with posthoc Dunn, identifying the difference between diabetics with and without BPPV (p = 0.047). Conclusion Although no association was found (25 (OH) D levels) with BPPV in the general population of this study, it was observed that there was an association with bone mineral density in the elderly group with DM and BPPV, and, in the group with BPPV, there was an association between the amount of vitamin D and age.

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Benign Paroxysmal Positional Vertigo – A Review of 101 Cases

Cited by 16 publications

References 16 publications

Benign Paroxysmal Positional Vertigo and the Increased Risk of Ischemic Stroke: A Nested Case-Control Study Using a National Cohort Sample

Benign Paroxysmal Positional Vertigo and the Increased Risk of Ischemic Stroke: A Nested Case-Control Study Using a National Cohort Sample

Prevalence of Benign Paroxysmal Positional Vertigo: Our experiences at a tertiary care hospital of India

Hypovitaminosis D, Low Bone Mineral Density, and Diabetes Mellitus as Probable Risk Factors for Benign Paroxysmal Positional Vertigo in the Elderly

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