Reduction of bone mineral density in native Chinese female idiopathic benign paroxysmal positional vertigo patients

2018 ◽  
Vol 39 (1) ◽  
pp. 31-33 ◽  
Author(s):  
Yunqin Wu ◽  
Chengyao Gu ◽  
Weiwei Han ◽  
Xiaoxiong Lu ◽  
Caijing Chen ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Benign Paroxysmal Positional Vertigo ◽  
Mineral Density ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

scholarly journals Hypovitaminosis D, Low Bone Mineral Density, and Diabetes Mellitus as Probable Risk Factors for Benign Paroxysmal Positional Vertigo in the Elderly

2019 ◽  
Vol 24 (03) ◽  
pp. e272-e277 ◽  
Author(s):  
Jessica Aparecida Bazoni ◽  
Daiane Soares Almeida Ciquinato ◽  
Audrey de Souza Marquez ◽  
Viviane de Souza Pinho Costa ◽  
Glória de Moraes Marchiori ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Bone Mineral Density ◽  
Vitamin D ◽  
Bone Mineral ◽  
Hypovitaminosis D ◽  
The Elderly ◽  
Mineral Density ◽  
Positional Vertigo ◽  
Significant Difference ◽  
Paroxysmal Positional Vertigo

Abstract Introduction Studies have found that elderly patients with benign paroxysmal positional vertigo (BPPV) may present low levels of vitamin D (25 (OH) D), changes in bone mineral density, and diabetes mellitus (DM). Objective: To investigate the possible association between BPPV, bone mineral density, hypovitaminosis D, 25 (OH) D and DM. Methods The sample consisted of 109 elderly subjects. The BPPV was verified by a standardized questionnaire and the Dix-Hallpike maneuver. Blood samples were collected for the investigation of 25 (OH) D serum levels. The bone mineral density was evaluated by means of a densitometer. Diabetes mellitus verification was performed using a self-reported questionnaire. Results Of the 109 participants, 17 had BPPV. There was a statistically significant difference between BPPV and gender (p = 0.027, phi = 0.222), with female representing 88.2% of those with BPPV. In the group with BPPV, there was a statistically significant difference for the amount of vitamin D found (p = 0.001) and for age (p = 0.001). In the elderly group with DM and BPPV, a difference was found for the standard deviation of the femur (p = 0.022) with posthoc Dunn, identifying the difference between diabetics with and without BPPV (p = 0.047). Conclusion Although no association was found (25 (OH) D levels) with BPPV in the general population of this study, it was observed that there was an association with bone mineral density in the elderly group with DM and BPPV, and, in the group with BPPV, there was an association between the amount of vitamin D and age.

scholarly journals Risk factors for residual dizziness in patients successfully treated for unilateral benign posterior semicircular canal paroxysmal positional vertigo

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052097309
Author(s):  
Xiuwen Jiang ◽  
Lina He ◽  
Yinzhe Gai ◽  
Chengfang Jia ◽  
Wenya Li ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bone Mineral ◽  
Successful Treatment ◽  
Semicircular Canal ◽  
Mineral Density ◽  
Posterior Semicircular Canal ◽  
Positional Vertigo ◽  
Bone Mineral Densitometry ◽  
A Prospective Study ◽  
Paroxysmal Positional Vertigo

Objective The risk factors for residual dizziness (RD) after successful treatment of benign paroxysmal positional vertigo (BPPV) are poorly characterized. We determined the risk factors for RD in patients with benign unilateral posterior semicircular canal paroxysmal positional vertigo (pc-BPPV) after successful treatment. Methods We conducted a prospective study of patients diagnosed with unilateral pc-BPPV between March 2015 and January 2017. Bone mineral density (BMD) was measured by dual-energy X-ray bone mineral densitometry. Participants underwent bithermal caloric testing (C-test) using videonystagmography and a canalith repositioning procedure (CRP). The occurrence of RD was the primary outcome. The participants underwent follow-up 1 week, 1 month, and 1 year after successful CRP, consisting of outpatient visits, questionnaires, and telephone interviews. Results We assessed 115 participants with unilateral pc-BPPV (31 men and 84 women) who were 53.2 ± 8.8 years old. RD occurred in 60 (52.2%) participants. The participants who experienced RD were older, had vertigo for longer before treatment, and were more likely to show a positive C-test and significant BMD loss. Conclusions We found that a significant reduction in BMD (T-score  < −1 standard deviation), a positive C-test, and older age are independently associated with RD in patients with pc-BPPV after successful CRP.

Benign Paroxysmal Positional Vertigo in Older Women May be Related to Osteoporosis and Osteopenia

2003 ◽  
Vol 112 (10) ◽  
pp. 885-889 ◽  
Author(s):  
Dominique Vibert ◽  
Martin Kompis ◽  
Rudolf Häusler
Keyword(s):  
Older Women ◽  
Benign Paroxysmal Positional Vertigo ◽  
Age Groups ◽  
Density Measurement ◽  
Mineral Density ◽  
X Ray ◽  
T Score ◽  
Positional Vertigo ◽  
Apparent Correlation ◽  
Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV), so-called canalolithiasis and cupulolithiasis, usually occurs after head trauma or viral vestibular neuritis. In many cases, the cause remains obscure, and it often affects women more than 50 years old. The goal of this work was to study a possible relationship between BPPV and osteopenia or osteoporosis. Thirty-two women, whose ages ranged from 50 to 85 years (median age, 69 years), who had BPPV and were free of any other otoneurologic history, were selected. The diagnosis of osteopenia or osteoporosis was confirmed by a bone mineral density measurement made with dual x-ray absorptiometry of spine and hip (T-score). The BPPV was unilateral in 26 patients and bilateral in 6 patients. Our results showed osteopenia or osteoporosis in 24 of the 32 patients (75%) with BPPV. The T-scores were compared in 3 age groups to those of 83 healthy women. The patients with BPPV had a significantly lower (p < .026) T-score in all groups. Possible pathophysiological mechanisms are discussed to explain the apparent correlation between BPPV and osteopenia or osteoporosis.

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