Vestibular suppressants after canalith repositioning in benign paroxysmal positional vertigo

Kim, Min‐Beom; Lee, Hyun Sook; Ban, Jae Ho

doi:10.1002/lary.24741

Cited by 25 publications

(34 citation statements)

References 25 publications

(61 reference statements)

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“…Even if the DHI scores (total and for each subscale) did not show a substantial difference, they found that the residual symptoms where significantly lower in the medication group, suggesting that this type of medication could be helpful in preventing RD. 53 …”

Section: Resultsmentioning

confidence: 99%

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Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

et al. 2017

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The benign paroxysmal positional vertigo (BPPV) is a vestibular disorder cause of vertigo. The BPPV may be corrected mechanically by repositioning maneuvers but even after successful maneuvers, some patients report residual dizziness for a certain period afterward. Early recognition and treatment might decrease the incidence of residual dizziness in patients with BPPV, especially in those patients with psychiatric comorbidities and in the elderly, lowering the risk of falling. Many pathogenetic hypotheses for residual dizziness are under debate.The purpose of this review was to identify, evaluate and review recent researches about possible causal factors involved in residual dizziness and the implications on clinical practice. A literature search was performed using different databases such as Pubmed and Scopus. The following search terms were used: residual dizziness, otolithic membrane and BPPV. The search found a total of 1192 titles, which were reduced to 963 after a procedure of de-duplication of the found titles. The research was then restricted to an interval of time comprised between 2000 and 2016 for a total of 800 titles. Among these titles, only those including the terms benign paroxysmal positional vertigo were considered eligible for this review. Only publications in English language were taken into consideration and we excluded those with not available abstract. Finally, 90 abstracts were obtained and critically evaluated by two different Authors, and additional studies were identified by hand searching from the references of artiche of interest. Only 53 were included in this work.

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Section: Resultsmentioning

confidence: 99%

“…Another limit in using DHI is that it does not include specific questions about lightheadness or mild headache often complained by patients after the clinical resolution of BPPV. 53 …”

Section: Resultsmentioning

confidence: 99%

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

et al. 2017

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“…In terms of treatment, most of studies report that elderly patients with BPPV are more difficult to treat [7,8,[23][24][25]. There are several possible explanations for difficulty in resolving BPPV in these patients.…”

Section: Discussionmentioning

confidence: 95%

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

et al. 2017

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“…The authors suggested that older adults, because of a significantly higher recurrence rate, should have additional education to minimize the potential morbidity of their falls. Residual symptoms such as lightheadedness or a floating sensation after a successful repositioning maneuver can occur in up to 57% of individuals . A controlled, randomized trial demonstrated that a vestibular suppressant (dimenhydrinate) administered after canalith repositioning produced significantly greater control of residual symptoms than nonmedically treated control and placebo groups, although as noted above, caution must be exercised in older adults, because treatment with dimenhydrinate may produce anticholinergic effects and confusion.…”

Section: Therapeutic Interventionsmentioning

confidence: 99%

A Geriatric Perspective on Benign Paroxysmal Positional Vertigo

Parham

Kuchel

2016

J American Geriatrics Society

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Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo in older adults. Beyond the unpleasant sensation of vertigo, BPPV also negatively affects older adults' gait and balance and increases their risk of falling. As such it has a profound effect on function, independence, and quality of life. Otoconia are the inner ear structures that help detect horizontal and vertical movements. Aging contributes to the fragmentation of otoconia, whose displacement into the semicircular, most commonly posterior canals, can produce rotatory movement sensations with head movement. BPPV is more commonly idiopathic in older adults than in younger individuals, can present atypically, and has a more-protracted course and higher risk of recurrence. Medications such as meclizine that are commonly prescribed for BPPV can be associated with significant side effects. Dix-Hallpike and Head Roll tests can generally identify the involved canal. Symptoms resolve as otoconia fragments dissolve into the endolymph, but appropriate canalith repositioning (e.g., Epley maneuver) can expedite recovery and reduce the burden of this disorder. Observations suggesting an association between idiopathic BPPV and vitamin D deficiency and osteoporosis indicate that BPPV may share risk factors with other common geriatric conditions, which highlights the importance of moving beyond purely otological considerations and addressing the needs of older adults with vertigo through a systems-based multidisciplinary approach.

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Vestibular suppressants after canalith repositioning in benign paroxysmal positional vertigo

Abstract: Vestibular suppressants significantly reduced residual symptoms compared to both placebo and no medication after CRP. However, there was no significant reduction in DHI score compared with the control group, suggesting that the residual symptoms could not be evaluated by DHI score alone.

Cited by 25 publications

References 25 publications

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

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

A Geriatric Perspective on Benign Paroxysmal Positional Vertigo

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