Clinical features and treatment of multi-canal benign paroxysmal positional vertigo

Pal'chun, V T; Олимпиева, С. П.

doi:10.17116/otorino20198406128

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…A research indicated that multi-canal BPPV is prone to recurrence and needs several rounds of CRP treatment. 16 Two other studies by Büki et al 9 and Califano et al 12 also focused on recurrent BPPV in patients. Specifically, they adopted a self-comparative as well as before and after study to compare recurrence over the course of 1 year following vitamin D supplementation, and found that BPPV patients did not encounter relapses in the follow up period of 8 months to 1 year.…”

Section: Discussionmentioning

confidence: 99%

Effect of vitamin D supplementation on benign paroxysmal positional vertigo recurrence: A meta-analysis

Yang

Zhu

et al. 2021

Science Progress

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Benign paroxysmal positional vertigo is characterized by recurrence, which exposes patients to repeated vertigo attacks. Vitamin D deficiency has been found to be a risk factor in benign paroxysmal positional vertigo, although effect of its elimination on recurrence reduction remains unknown. To determine the effect of vitamin D supplementation in preventing recurrence of benign paroxysmal positional vertigo patients with vitamin D deficiency using a meta-analysis study. We searched and retrieved relevant articles from several databases, then used the Cochrane evaluation system or Methodological Index for Non-Randomized Studies (MINORS) to assess the quality of studies. We adopted risk-ratio (RR) with corresponding 95% confidence interval (CI) to determine effect sizes, and further performed statistical analyses under a randomized- or fixed-effects model. Seven studies, comprising 602 and 731 participants in the case and control group respectively, met our inclusion criteria, and were therefore included in the meta-analysis. Assessment based on Cochrane evaluation system or MINORS revealed that most of the studies had high quality. Moreover, the randomized- model revealed that the vitamin D supplementation group had a lower recurrence rate than the control group which did not accepted vitamin D supplementation (RR = 0.41, 95% CI = 0.26–0.65, p < 0.01). Overall, these findings indicate that vitamin D supplementation can significantly lower recurrence in benign paroxysmal positional vertigo and vitamin D deficiency.

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Section: Discussionmentioning

confidence: 99%

Effect of vitamin D supplementation on benign paroxysmal positional vertigo recurrence: A meta-analysis

Yang

Zhu

et al. 2021

Science Progress

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“…A multicanal BPPV accounts for 12.5% of all BPPV cases. It is most often posttraumatic or associated with the middle- and inner-ear diseases, with a combination of PC and HC in the same labyrinth, while in the case of bBPPV, a bilateral PC involvement is the most common [ 16 ]. The prevalence of bBPPV is 2.9%, with the combination of PC and HC accounting for 12.5% of cases, which is about 0.3% of all BPPV cases [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Posttraumatic Bilateral BPPV Presentation

Maslovara

Matić

Šestak

2021

Case Reports in Otolaryngology

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A rare case of a 38-year-old female patient who developed benign paroxysmal positional vertigo (BPPV) three weeks after head trauma is presented. The disease manifested bilaterally, which is not uncommon posttraumatically, but in this case, it manifested itself as canalithiasis of the posterior canal on both sides and cupulolithiasis of the right lateral canal, which to our knowledge is a unique and, until now, unpublished case. The aim of this review is to point out the fact that, in such a complex multicanal and bilateral clinical presentation of BPPV, it is not sufficient to perform only positioning but also additional laboratory tests. With a good knowledge of the etiopathogenesis, pathophysiology and clinical forms of BPPV, we can, in most cases, make an accurate and precise diagnosis of the disease and carry out appropriate treatment.

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Clinical features and treatment of multi-canal benign paroxysmal positional vertigo

Cited by 2 publications

References 10 publications

Effect of vitamin D supplementation on benign paroxysmal positional vertigo recurrence: A meta-analysis

Effect of vitamin D supplementation on benign paroxysmal positional vertigo recurrence: A meta-analysis

A Rare Case of Posttraumatic Bilateral BPPV Presentation

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