Benign paroxysmal positional vertigo: is hypothyroidism a risk factor for recurrence?

Tricarico, Laura; Cesare, Tiziana Di; Galli, Jacopo; Fetoni, Anna Rita; Paludetti, Gaetano; Picciotti, Pasqualina Maria

doi:10.14639/0392-100x-n1775

Cited by 10 publications

(12 citation statements)

References 25 publications

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“…However, in 2022, Hu et al [23] suggested that hypothyroidism is a risk factor for Menière's disease. Likewise, Tricarico et al [27] speculated that patients with hypothyroidism have an increased risk of recurrent BPPV, which is particularly high in hypothyroid patients with positive thyroid antibodies, suggesting an association between autoimmunity and recurrent vertigo. In addition, our observation is similar to the study by Hsu et al [38], who demonstrated a relationship between hypothyroidism and tinnitus, another symptom encountered in vestibular pathologies such as Menière's disease.…”

Section: Discussionmentioning

confidence: 99%

“…A total of 131 articles were initially identified. After excluding duplicates, thyroid autoimmune diseases, and articles unrelated to the subject, 20 articles were retained [2,[17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32], providing access to the full text. The stages in the data collection process are described in Figure 1.…”

Section: Collection Of Bibliographical Datamentioning

confidence: 99%

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Statistical Associations between Vestibular Pathologies and Hypothyroidism: A Retrospective Study

Bougerolle,

El Khiati,

El Ahmadi

et al. 2024

JCM

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The association between vestibular pathologies and thyroid hormone disorders has been known for several decades. However, very little information is available on the types of vestibular symptoms that may be affected by altered thyroid hormone levels. The aim of this study was to provide patient data in order to identify statistical associations between vestibular pathologies and thyroid hormone disorders. A retrospective review of the records of 422 patients seen for physiotherapy treatment of vertigo was carried out. Statistical analysis of the data was performed using logistic regression, providing Chi2 and Odds Ratio statistics. Our results show that hypothyroidism statistically significantly increases the expression of certain symptoms, such as vestibular instability and gait disorders, in vestibular pathologies such as Menière’s disease or central vertigo. By analyzing patient data, our study provides new evidence of dependence between altered thyroid status and the expression of vestibular pathologies.

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Section: Discussionmentioning

confidence: 99%

Section: Collection Of Bibliographical Datamentioning

confidence: 99%

Statistical Associations between Vestibular Pathologies and Hypothyroidism: A Retrospective Study

Bougerolle,

El Khiati,

El Ahmadi

et al. 2024

JCM

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“…Recently, the association between hypothyroidism and BPPV has been investigated 43 , 44 . Another study demonstrated that patients with hypothyroidism treated with hormone replacement therapy have an increased risk of BPPV recurrence, which is particularly strong for patients with Hashimoto’s thyroiditis and positive thyroid antibodies, suggesting an association between autoimmunity and recurrent BPPV, and thus the importance of investigating thyroid dysfunction 45 .…”

Section: Discussionmentioning

confidence: 99%

Recurring benign paroxysmal positional vertigo after successful canalith repositioning manoeuvers

Casani¹,

Gufoni²

2023

Acta Otorhinolaryngol Ital

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SUMMARY Benign baroxysmal positional vertigo (BPPV) represents the most common peripheral vestibular dysfunction encountered in clinical practice. Although canalith repositioning procedures (CRPs) are a relatively successful treatment for BPPV, many patients suffer from recurrences. Several studies have demonstrated that various pathological conditions (diabetes, hypertension, endolymphatic hydrops, low vitamin D levels) as well as delayed BPPV treatment using CRP, multiple canal involvement may be associated with recurrence of BPPV. We evaluated the history of 1,428 patients (558 males and 870 females, age range 10-92 years) suffering from BPPV. Of 1,428 cases, 820 (77%) did not relapse in the following 20 years. Mean age and gender did not differ significantly between groups with and without recurrence. Regarding risk factors for BPPV recurrence, age, female gender, migraine, hypertension, diabetes mellitus, hyperlipidaemia, osteoporosis, vascular diseases, and vitamin D deficiency may be associated with recurrent BPPV and should be kept in mind. Osteoporosis, vitamin D deficiency as well as thyroid dysfunction should be evaluated in postmenopausal women. Treatment of these comorbidities may help to reduce the risk of BPPV recurrence.

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“…However, attention should be given to the multi-morbidity accompanying people with hypothyroidism, which most often results from chronic autoimmune inflammation of the thyroid gland [32]. Notably, in many papers, hypothyroidism itself is associated with dizziness, headache, de-pression, and arthritis, which can affect one's quality of life [57][58][59][60]. Moreover, COVID-19 infection, which has affected many individuals, can result in metabolic disorders and thyroid dysfunction, including hypothyroidism and subclinical hypothyroidism, thereby exacerbating low quality of life [61].…”

Section: Discussionmentioning

confidence: 99%

Lifestyle and Quality of Life of Women with Diagnosed Hypothyroidism in the Context of Metabolic Disorders

Janota,

Szczepańska,

Noras

et al. 2023

Metabolites

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The lifestyle causes of metabolic disorders in patients with hypothyroidism should be investigated. We aimed to assess the lifestyle and quality of life of women diagnosed with hypothyroidism and search for the presence of differences between the lifestyle and quality of life of women with and without diagnosed lipid metabolism disorders. This study included 311 women. To assess the differences between the groups with and without metabolic disorders, a non-parametric Mann–Whitney U test was performed. Of the products that were potentially beneficial for health, statistically significant differences in the average frequency of consumption were observed for legume seeds (p = 0.014), and of the products potentially unbeneficial for health, the frequencies of consumption of fried dishes (p = 0.016) and fast-food products (p = 0.001) were significant. Only 11.9% rated their free-time physical activity as high. The quality of life was significantly different between the groups. The lifestyle was moderately appropriate. Compared with women with lipid metabolism disorders, women without them exhibited a higher frequency of correct dietary behaviors regarding the consumption of products with a potentially beneficial effect and sleeping duration. Women without lipid metabolism disorders had a better quality of life. Women with hypothyroidism should be educated about the beneficial aspects of the regular consumption of vegetables, fruits, legumes, and fish and sleeping for the optimal amount of time.

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Benign paroxysmal positional vertigo: is hypothyroidism a risk factor for recurrence?

Cited by 10 publications

References 25 publications

Statistical Associations between Vestibular Pathologies and Hypothyroidism: A Retrospective Study

Statistical Associations between Vestibular Pathologies and Hypothyroidism: A Retrospective Study

Recurring benign paroxysmal positional vertigo after successful canalith repositioning manoeuvers

Lifestyle and Quality of Life of Women with Diagnosed Hypothyroidism in the Context of Metabolic Disorders

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