Relation between vitamin D deficiency and benign paroxysmal positional vertigo

Abdelmaksoud, Aida A.; Fahim, Dalia Fahim Mohammed; Bazeed, Shamardan Ezzeldin S.; Alemam, Mohamed Farouk; Aref, Zaki F.

doi:10.1038/s41598-021-96445-x

Cited by 17 publications

(9 citation statements)

References 36 publications

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“…Moreover, vaccination campaigns in Lebanon had not started yet during the study period. One possible explanation for the higher BPPV incidence rate in our study could be related to a high prevalence of vitamin D deficiency in the Lebanese population which has been associated with BPPV [ 17 , 18 ]. Emerging data suggests Vitamin D supplementation may reduce the risk of BPPV recurrence [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Predictors for hospital admission in emergency department patients with benign paroxysmal positional vertigo: A retrospective review

et al. 2023

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Objective This study aims to assess the incidence of Emergency Department (ED) visits for benign paroxysmal positional vertigo (BPPV), describe patient characteristics, management practices and predictors of inpatient admission of BPPV patients. Methods This was a retrospective chart review of patients presenting with BPPV to a single ED between November 2018 and August 2020. Patients’ characteristics, ED management, discharge medications, disposition and unscheduled return visits were determined. Results In total, 557 patients were included. Average age was 49 years, 54.2% were females and 12.4% required hospital admission. In the ED, 51.1% received intravenous hydration, 33.8% received anti-emetics, 10.1% received benzodiazepines, 31.8% underwent canalith repositioning maneuvers (CRMs) and 56.7% were discharged on acetyl-leucine. Of discharged patients, 2.5% had unscheduled return visits. A higher likelihood of admission was associated with age above 54 years (aOR = 4.86, p<0.001, 95% CI [2.67, 8.86]), home use of proton pump inhibitors (PPIs) (aOR = 2.44, p = 0.03, 95% CI [1.08, 5.53]), use of anti-emetics and benzodiazepines in the ED (aOR = 2.34, p = 0.003, 95% CI [1.34, 4.07]) and (aOR = 2.18, p = 0.04, 95% CI [1.03, 4.64]), respectively. Conclusion While BPPV is a benign diagnosis, a significant number of patients presenting to the ED require admission. Predictors of admission include older age, PPIs use and ED treatment with anti-emetics and benzodiazepines. Although CRMs are the gold standard for management, CRMs usage did not emerge as protective from admission, and our overall usage was low.

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Section: Discussionmentioning

confidence: 99%

Predictors for hospital admission in emergency department patients with benign paroxysmal positional vertigo: A retrospective review

et al. 2023

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“…The authors indicated that low levels of vitamin D were related to the development of BPPV and very low levels were associated with recurrence of this disease. Wu et al reported that a decreased 25(OH) vitamin D level in early-onset female patients may increase the odds of attacks of vertigo 1 week after successful repositioning maneuvers [ 37 ]. This study shows how important the role of vitamin D is in the treatment of BPPV, even after successful performance of the release maneuvers.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Osteoporosis and Vitamin D3 Deficiency in Patients with Idiopathic Benign Paroxysmal Positional Vertigo (BPPV)

et al. 2023

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Background and objectives: Osteoporosis and vitamin D3 deficiency may be risk factors of benign paroxysmal positional vertigo (BPPV). The aim of this study was to assess the prevalence of osteoporosis and 25(OH) vitamin D3 deficiency in a group of patients with idiopathic benign paroxysmal positional vertigo. Materials and Methods: Thirty-five patients (twenty-eight women and seven men) with posterior semicircular canal BPPV were enrolled in the study. The subjects underwent hearing assessment (tonal audiometry and impedance audiometry) and the Dix-Hallpike maneuver. Serum 25(OH) vitamin D3 levels were determined and lumbar spine bone densitometry was performed. The relationships between sex, age, height, Body Mass Index (BMI), vitamin D3 levels and bone densitometry results were assessed. Results: The diagnosis of osteoporosis was confirmed in 1 patient (3%), 3 subjects were osteopenic (8.6%), and normal bone densitometry was found in 31 (88.6%) patients.Conclusions: We found no statistically significant relationships between age, BMI or vitamin D3 levels and bone densitometry results in patients with idiopathic BPPV.

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“…Studies have reported that Yacovino method for the treatment of anterior semicircular canal BPPV has a recovery rate of 60.0% for the first manual reduction, and a recovery rate of 75.0% in one week (25). However, because the recurrence rate is significantly higher in the elderly, studies have shown that vitamin D and calcium supplementation can significantly reduce the recurrence rate of BPPV (43), and corresponding education should be carried out to reduce its potential incidence of falls.…”

Section: Reset Therapymentioning

confidence: 99%

Insights into Benign Paroxysmal Positional Vertigo in the Elderly

Konno

2022

Sci Insights

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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.

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Relation between vitamin D deficiency and benign paroxysmal positional vertigo

Cited by 17 publications

References 36 publications

Predictors for hospital admission in emergency department patients with benign paroxysmal positional vertigo: A retrospective review

Predictors for hospital admission in emergency department patients with benign paroxysmal positional vertigo: A retrospective review

Assessment of Osteoporosis and Vitamin D3 Deficiency in Patients with Idiopathic Benign Paroxysmal Positional Vertigo (BPPV)

Insights into Benign Paroxysmal Positional Vertigo in the Elderly

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