Recurring benign paroxysmal positional vertigo after successful canalith repositioning manoeuvers

Casani, Augusto Pietro; Gufoni, Mauro

doi:10.14639/0392-100x-suppl.1-43-2023-08

Cited by 4 publications

(2 citation statements)

References 45 publications

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“…A recent study from Italy reported that migraine is one of the risk factors for the recurrence of BPPV following successful canalith repositioning procedures (CRPs) [31]. Other risk factors for recurrence reported by the same study include female gender, age, hyperlipidemia, diabetes mellitus, hypertension, osteoporosis, vitamin D deficiency, and vascular diseases [31].…”

Section: • Causesmentioning

confidence: 99%

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Effect of Vitamin D Deficiency on the Occurrence and Recurrence of Benign Paroxysmal Positional Vertigo: A Narrative Review

Al-Ani,

Al-Rawi,

Aljuboori

et al. 2024

KJMS

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Benign paroxysmal positional vertigo (BPPV) is a short-lived attack of rotatory vertigo provoked by certain head movements. The most acceptable theories for its pathogenesis are canalithiasis and cupulolithiasis as a result of the detachment of otoconia from the otolithic membrane. Although canal repositioning maneuvers resolve BPPV, recurrence is a common feature. During the last two decades, there is a revolution in research in understanding many aspects of this disorder. The advanced age, female gender, migraine, Meniere's disease, trauma, and infection are recognized examples of the BPPV causes. Vitamin D deficiency or insufficiency is considered a risk factor for the occurrence and recurrence of the disease as indicated by many investigations. Therefore, estimation of vitamin D serum level in all subjects with BPPV is highly recommended. In addition to canal repositioning procedures such as the Epley maneuver, vitamin D supplementation in patients with deficient or insufficient vitamin D is the best treatment for primary BPPV. In this review, we discussed the updating knowledge of the risk factors of BPPV as an initiator for the disease or a risk factor for its recurrence.

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Section: • Causesmentioning

confidence: 99%

“…Other factors that they mentioned in Table 1 are risk factors for the occurrence and or recurrence of BPPV [31,35].…”

Section: Canalithiasis Of the Lateral Or Horizontal Canal Is More Seenmentioning

confidence: 99%

Effect of Vitamin D Deficiency on the Occurrence and Recurrence of Benign Paroxysmal Positional Vertigo: A Narrative Review

Al-Ani,

Al-Rawi,

Aljuboori

et al. 2024

KJMS

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Anxiety characteristics in benign paroxysmal positional vertigo: first vs. recurrent episodes

Mann Ben Yehuda,

Rachima,

Katz-Leurer

2024

Eur Arch Otorhinolaryngol

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Purpose To assess the difference in state and trait anxiety levels in patients with Benign Paroxysmal Positional Vertigo (BPPV) at the first episode (FE) versus recurrent episodes (RE), before and after vestibular physiotherapy. A secondary objective was to assess the difference in the prevalence of underlying health conditions between FE and RE BPPV patients. Methods Fifty-five patients with BPPV, aged 40–70, were recruited. The diagnosis of BPPV was confirmed based on subjective complaints of vertigo and positive results from the Dix–Hallpike and Supine Roll tests. Twenty-four patients were in their FE, and 31 had RE. All patients completed the State–Trait Anxiety Inventory (STAI) questionnaire three times; before, immediately after, and a week after vestibular physiotherapy treatment. Results The RE group demonstrated higher trait anxiety than the FE group in all testing points: before treatment (median value of 38 versus 29, p-value = 0.02), immediately after treatment (median value of 36 versus 28, p-value < 0.01) and a week later (median value of 38 versus 28, p-value < 0.01). State anxiety decreased immediately after treatment in both groups, but at the second session, it was significantly higher in the RE than in the FE group (median value of 38 versus 28.5, p-value = 0.03). Hypothyroidism was significantly more frequent in the RE group (RE 16%, FE 0%, p-value = 0.04). Conclusions Based on the current study’s findings, we recommend assessing anxiety levels in patients with recurrent BPPV and consider referring them for appropriate treatment when necessary.

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Cervical vertigo due to rotational fixation of atlantoaxial joint combined with benign paroxysmal positional vertigo: A case report and literature review

Sun,

Wu,

Lou

et al. 2024

Medicine

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Introduction: Vertigo is the most common clinical complaint, misdiagnosed patients are not rare, so it is very important to exclude and identify vertigo. For vertigo caused by multiple causes, including cervical vertigo with atlantoaxial rotation fixation combined with benign paroxysmal positional vertigo (BPPV), tuina can correct joint misalignment. The reduction technique will return the fallen otolith to the correct position. The use of massage and reduction can improve clinical symptoms and improve quality of life and may be a simple, safe, and effective treatment strategy for this disease. Patient concerns: We report on a patient with both cervical vertigo due to atlantoaxial rotational fixation and BPPV, including his imaging examination, clinical manifestations, and treatment methods. Diagnosis: Cervical vertigo (atlantoaxial rotatory fixation) and BPPV. Intervention: Tuina combined with atlantoaxial directional inverted reduction technique and reduction manipulation. Outcomes: The patient’s vertigo symptoms improved significantly, nystagmus disappeared, cervical occipital pain, nausea, head distension, and other symptoms disappeared, and cervical motion rotation reached 60°. Conclusion: This study proved the effectiveness of massage combined with a reduction in the treatment of cervical vertigo and BPPV, as well as the importance of vertigo diagnosis and differential diagnosis, and provided a new treatment idea for the future diagnosis and treatment of vertigo caused by a variety of causes.

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Recurring benign paroxysmal positional vertigo after successful canalith repositioning manoeuvers

Cited by 4 publications

References 45 publications

Effect of Vitamin D Deficiency on the Occurrence and Recurrence of Benign Paroxysmal Positional Vertigo: A Narrative Review

Effect of Vitamin D Deficiency on the Occurrence and Recurrence of Benign Paroxysmal Positional Vertigo: A Narrative Review

Anxiety characteristics in benign paroxysmal positional vertigo: first vs. recurrent episodes

Cervical vertigo due to rotational fixation of atlantoaxial joint combined with benign paroxysmal positional vertigo: A case report and literature review

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