Clinical Characteristics and Treatment of Benign Paroxysmal Positional Vertigo After Traumatic Brain Injury

Ahn, Seong-Ki; Jeon, Sea‐Yuong; Kim, Jin-Pyeong; Park, Jung Je; Hur, Dong Gu; Kim, Dae Woo; Woo, Seunghee; Kwon, Oh-Jin; Kim, Jin–Yong

doi:10.1097/ta.0b013e3181d0c3d9

Cited by 66 publications

(74 citation statements)

References 20 publications

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“…A previous population-based clinical study in the United Kingdom reported that 30% of people older than 65 years have dizziness or vertigo [16]. Many previous studies demonstrated that peripheral vestibular dysfunction is the most frequent cause of dizziness in the elderly, and BPPV constitutes one of the most common peripheral vestibular disorders [5,7,17,18]. BPPV can arise in various etiological factors, but idiopathic occurrence is the most frequent cause and the incidence is increasing with aging [8,19,20].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have demonstrated that older patients with BPPV have a more protracted course and higher risk of recurrence, but the causes of recurrence are not well understood [2,[4][5][6][7][8]. There are reports that aging contributes to the fragmentation of otoconia, as idiopathic BPPV (iBPPV) is more common in older adults than in younger individuals [8,12].…”

Section: Introductionmentioning

confidence: 96%

“…Although the underlying causes of dizziness in older people are multifactorial, benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheraltype vertigo in elderly people [5,[7][8][9][10]. BPPV is characterized by short-standing episodes of vertigo which triggered by a change in head position [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

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Idiopathic benign paroxysmal positional vertigo in the elderly: a long-term follow-up study

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

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Idiopathic benign paroxysmal positional vertigo in the elderly: a long-term follow-up study

et al. 2017

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“…As Benign Paroxysmal Positioning Vertigo (BPPV) has been reported post-concussion and mild head trauma (Ahn et al, 2011;Fife and Giza, 2013;Hoffer et al, 2004) a screening protocol for BPPV was undertaken. Frenzel Goggles (Interacoustics, Video Frenzel Lens VF405 Unit -Monocular Vision) were worn while the Hallpike-Dix (Bhattacharyya et al, 2008) and Head Roll tests were used to screen for BPPV in the posterior/anterior canals (Furman and Cass, 1999;Lanska and Remler, 1997) and horizontal canals (Baloh et al, 1987) respectively (present/absent).…”

Section: Methodsmentioning

confidence: 99%

A prospective investigation of changes in the sensorimotor system following sports concussion. An exploratory study

Hides

Smith

Mendis

et al. 2017

Musculoskeletal Science and Practice

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“…132,133 Because posttraumatic BPPV may be more refractory and/or bilateral, thus requiring specialized treatment, a history of head trauma preceding a clinical diagnosis of BPPV should be elicited. 131,134 Although dizziness in the setting of multiple sclerosis may have a variety of etiologies, studies of acute vertigo occurring in multiple sclerosis report that a substantial number of patients may have BPPV with a positive DixHallpike maneuver and successful response to a CRP. 111,135 These studies support that care should be taken to not miss a diagnosis of BPPV among patients with CNS disorders, as they may be successfully diagnosed and treated with CRP for BPPV.…”

Section: Action Statement Profile For Statement 2bmentioning

confidence: 99%

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)

Bhattacharyya¹,

Gubbels

Schwartz

et al. 2017

Otolaryngol.--head neck surg.

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Objective. This update of a 2008 guideline from the American Academy of Otolaryngology-Head and Neck Surgery Foundation provides evidence-based recommendations to benign paroxysmal positional vertigo (BPPV), defined as a disorder of the inner ear characterized by repeated episodes of positional vertigo. Changes from the prior guideline include a consumer advocate added to the update group; new evidence from 2 clinical practice guidelines, 20 systematic reviews, and 27 randomized controlled trials; enhanced emphasis on patient education and shared decision making; a new algorithm to clarify action statement relationships; and new and expanded recommendations for the diagnosis and management of BPPV.Purpose. The primary purposes of this guideline are to improve the quality of care and outcomes for BPPV by improving the accurate and efficient diagnosis of BPPV, reducing the inappropriate use of vestibular suppressant medications, decreasing the inappropriate use of ancillary testing such as radiographic imaging, and increasing the use of appropriate therapeutic repositioning maneuvers. The guideline is intended for all clinicians who are likely to diagnose and manage patients with BPPV, and it applies to any setting in which BPPV would be identified, monitored, or managed. The target patient for the guideline is aged ≥18 years with a suspected or potential diagnosis of BPPV. The primary outcome considered in this guideline is the resolution of the symptoms associated with BPPV. Secondary outcomes considered include an increased rate of accurate diagnoses of BPPV, a more efficient return to regular activities and work, decreased use of inappropriate medications and unnecessary diagnostic tests, reduction in recurrence of BPPV, and reduction in adverse events associated with undiagnosed or untreated BPPV. Other outcomes considered include minimizing costs in the diagnosis and treatment of BPPV, minimizing potentially unnecessary return physician visits, and maximizing the health-related quality of life of individuals afflicted with BPPV.Action Statements. The update group made strong recommendations that clinicians should (1) diagnose posterior semicircular canal BPPV when vertigo associated with torsional, upbeating nystagmus is provoked by the Dix-Hallpike maneuver, performed by bringing the patient from an upright to supine position with the head turned 45° to one side and neck extended 20° with the affected ear down, and (2) treat, or refer to a clinician who can treat, patients with posterior canal BPPV with a canalith repositioning procedure. The update group made a strong recommendation against postprocedural postural restrictions after canalith repositioning procedure for posterior canal BPPV. The update group made recommendations that the clinician should (1) perform, or refer to a clinician who can perform, a supine roll test to assess for lateral semicircular canal BPPV if the patient has a history compatible with BPPV and the Dix-Hallpike test exhibits horizontal or no nystagmus; (2) differentiate...

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Clinical Characteristics and Treatment of Benign Paroxysmal Positional Vertigo After Traumatic Brain Injury

Cited by 66 publications

References 20 publications

Idiopathic benign paroxysmal positional vertigo in the elderly: a long-term follow-up study

Idiopathic benign paroxysmal positional vertigo in the elderly: a long-term follow-up study

A prospective investigation of changes in the sensorimotor system following sports concussion. An exploratory study

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)

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