Benign paroxysmal positional vertigo

Hilton, Malcolm P

doi:10.1136/bmj.326.7391.673

Cited by 19 publications

(18 citation statements)

References 4 publications

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“…It can be present at any age, but is most common among people in the 6th and 7th decades [7] . In BPPV, head movements trigger the onset of symptoms, often when the patient is turning in bed or lying down…”

Section: Introductionmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo among Elderly Patients in Primary Health Care

2005

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Background:Dizziness influences well-being in old age, and benign paroxysmal positional vertigo (BPPV) is a common cause. The condition is diagnosed using the Hallpike maneuver and treated by the particle-repositioning maneuver or habituation exercises. Objective:To identify patients with BPPV among a variety of diagnoses represented by the ICD-10 diagnosis R42 in people 65 aged years and older who visited primary health care because of vertigo and dizziness. Methods:Searches were performed in the computerized medical records of 6 different health care centers over the period of 1 year for the ICD-10 diagnosis R42 and the age group 65 years and older. Letters were sent to the patients identified with an invitation for assessment and physical examination by a physiotherapist. Thirty-eight patients responded to the letter and were included in the study. All patients were assessed by physical examination including the Hallpike maneuver. Results: The study group included 13 men and 25 women, 65–94 (median 83) years of age. After physical examination, 15 patients were found to have BPPV (confidence interval 24–55%). Conclusion:In this study, 2 of 5 of the patients with ICD-10 diagnosis R42 (dizziness and giddiness) had BPPV. BPPV is probably an underestimated cause of dizziness/vertigo among elderly patients in primary health care.

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Section: Introductionmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo among Elderly Patients in Primary Health Care

2005

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“…19 BPPV can be present at any age, but is most common among people in the sixth and seventh decades, 20 and is believed to be an underestimated cause of vertigo among elderly patients (Ekvall Hansson E, Månsson N-O, Håkansson A, unpublished data). In BPPV, head movements trigger the onset of symptoms, often when the patient is turning in bed or lying down from an upright position.…”

Section: Benign Paroxysmal Positional Vertigomentioning

confidence: 96%

Assessment and management of vertigo and dizziness among older persons

Ekvall-Hansson

Månsson

Håkansson

2005

Rev. Clin. Gerontol.

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“…It can be present at any age, but is most common among people in the sixth and seventh decades (87,88) and is believed to be an underestimated cause of vertigo among elderly patients (89). Head movements trigger the onset of symptoms, often when the patient is turning in bed or lying down from an upright position.…”

Section: Vestibular Rehabilitation For Benign Positional Paroxysmal Vmentioning

confidence: 99%

Vestibular rehabilitation – For whom and how? A systematic review

Hansson

2007

Advances in Physiotherapy

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Vestibular rehabilitation was first developed as treatment for vestibular disorders but has also been used as treatment for other causes of dizziness. Many outpatients with dizziness are seen in primary care but vestibular rehabilitation is probably not well known among physiotherapist outside tertiary care. The aim of this systematic literature review was to describe and elucidate vestibular rehabilitation as a feasible treatment for various causes of dizziness. Using the keyword vestibular rehabilitation, searches were performed in PubMed, AMED, CINAHL and PeDro. Seventy-one studies were included in the review. Strong scientific evidence for vestibular rehabilitation was found for vestibular hypofunction, for multisensory dizziness and for Ménière's disease. Moderately strong scientific evidence was found for vestibular rehabilitation after vestibular surgery. For neurological causes of dizziness, benign positional paroxysmal vertigo (BPPV), phobic postural vertigo (PPV), dizziness concomitant to whiplash-associated disorders (WAD) and migraine-associated dizziness there seems to be insufficient scientific evidence. Vestibular rehabilitation can be recommended as treatment for vestibular hypofunction, for multisensory dizziness, for Ménière's disease and after vestibular surgery. The results of research on vestibular rehabilitation for neurological causes of dizziness, BPPV, PPV, dizziness concomitant to WAD and migraineassociated dizziness are promising enough for recommending vestibular rehabilitation for these diagnoses also, even though more studies are needed.

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Benign paroxysmal positional vertigo

Cited by 19 publications

References 4 publications

Benign Paroxysmal Positional Vertigo among Elderly Patients in Primary Health Care

Benign Paroxysmal Positional Vertigo among Elderly Patients in Primary Health Care

Assessment and management of vertigo and dizziness among older persons

Vestibular rehabilitation – For whom and how? A systematic review

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