Insights into Benign Paroxysmal Positional Vertigo in the Elderly

Abstract

Vertigo, the illusion of movement of oneself or one’s surroundings in the absence of actual movement, is a common symptom in older adults and, as such, is commonly regarded as an age-related normal or part of the aging process itself, as its incidence increases with age. In neurology and otorhinolaryngology, benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo. BPPV is a brief, recurrent episode of vertigo caused by changes in head position relative to the direction of gravity. The symptoms of peripheral vestibular disease are vertigo and characteristic nystagmus. The prevalence of undiagnosed BPPV is high due to the fact that many elderlies tolerate vertigo symptoms. According to etiology, it can be subdivided into idiopathic BPPV and secondary BPPV, and according to location, it can be subdivided into posterior semicircular canal BPPV, horizontal semicircular canal BPPV, and anterior semicircular canal BPPV.

Vertical Nystagmus Recognition Based on Deep Learning

“…Vertical nystagmus not only reflects the functional state of the vertical semicircular canal but also reflects the role of otoliths. According to the literature [ 4 , 5 , 6 , 7 ], medical experts can take nystagmus symptoms as the key factor to determine the cause of dizziness. At present, the clinical diagnosis of BPPV mainly depends on the specific displacement test to induce nystagmus in addition to the preliminary judgment of the involved semicircular canal according to the patient’s history characteristics.…”

Comparison of Repetitive Modified Epley’s manoeuvre in single sitting vs. thrice daily In Refractory Benign Paroxysmal Positional Vertigo.

“…4 The Dix-Halpike manoeuvre is the gold standard test to establish diagnosis. 5,6 In this procedure, the patient sits on a couch and is asked to move the neck to 45° to one side in the vertical plane. He or she is then rapidly made to lie down with the head hanging 30° below the horizontal plane.…”