The role of low levels of vitamin D as a co-factor in the relapse of benign paroxysmal positional vertigo (BPPV)

2021 ◽  
pp. 103134
Author(s):  
Mohamed Mohamed Elmoursy ◽  
Awad Saad Abbas
Keyword(s):  
Vitamin D ◽  
Benign Paroxysmal Positional Vertigo ◽  
Positional Vertigo ◽  
Low Levels ◽  
Paroxysmal Positional Vertigo

scholarly journals A prospective analysis of vitamin D and recurrent benign paroxysmal positional vertigo

2019 ◽  
Vol 5 (6) ◽  
pp. 1548
Author(s):  
N. Gopinathan Pillai ◽  
Induvarsha Gopinath
Keyword(s):  
Vitamin D ◽  
Benign Paroxysmal Positional Vertigo ◽  
Vitamin D Supplementation ◽  
Vitamin Deficiencies ◽  
Positional Vertigo ◽  
Group A ◽  
Vitamin D Supplements ◽  
Group B ◽  
Paroxysmal Positional Vertigo

<p><strong>Background:</strong> The aim of the present study was to prospectively evaluate the role of vitamin D in the recurrence of Benign paroxysmal positional vertigo (BPPV). The BPPV is one of the commonest causes for peripheral vertigo. Many studies stated that BPPV can be associated with many co-morbidities and vitamin deficiencies.</p><p class="abstract"><strong>Methods:</strong> In our study, we prospectively conducted an observational study in patients suffering from BPPV, from a study period of June 2015 to June 2018, to evaluate the role of vitamin D and calcium in those patients.</p><p class="abstract"><strong>Results:</strong> Three forty eight patients between the age group of 40 to 82 years, suffering from BPPV were included in the study. It includes 235 females and 113 male patients. Out of these 108 patients had noticed vitamin D deficiency and were randomly divided into 2 groups in which group A received Vitamin D supplementation and Group B did not received vitamin D supplements. Calcium levels were found to be less in 15 patients between 7 and 10.5 mg/dl, however a larger sample is required for its correlation. All patients were followed up for 1 year.</p><p class="abstract"><strong>Conclusions:</strong> The study showed a significant decrease of BPPV in those who received vitamin D supplementation.</p>

scholarly journals The Role of Oxidative Stress and Inflammatory Mediators in Benign Paroxysmal Positional Vertigo

2016 ◽  
Vol 12 (1) ◽  
pp. 101-105 ◽  
Author(s):  
Mehmet Taylan Gucluturk ◽  
Zeynep Nil Unal ◽  
Onur Ismi ◽  
Mehmet Burak Yavuz Cimen ◽  
Murat Unal
Keyword(s):  
Oxidative Stress ◽  
Inflammatory Mediators ◽  
Benign Paroxysmal Positional Vertigo ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

scholarly journals Seasonal variation of idiopathic benign paroxysmal positional vertigo correlates with serum 25-hydroxyvitamin D levels: a six-year registry study in Shanghai, China

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Liang Shu ◽  
Jing Wu ◽  
Chun-Yan Jiang ◽  
Xu-Hong Sun ◽  
Hui Pan ◽  
...  
Keyword(s):  
Vitamin D ◽  
Benign Paroxysmal Positional Vertigo ◽  
Serum Vitamin ◽  
Chinese Patients ◽  
Hydroxyvitamin D ◽  
Serum Vitamin D ◽  
Positional Vertigo ◽  
Vitamin D Levels ◽  
25 Hydroxyvitamin D ◽  
Paroxysmal Positional Vertigo

Abstract Seasonal variation of benign paroxysmal positional vertigo (BPPV) occurrence has been reported in recent years. Whether the seasonality of BPPV also exists in Chinese patients and whether it correlates with serum vitamin D levels is unexplored. We retrospectively analyzed the data of 1269 new-onset idiopathic BPPV patients registered in our vertigo outpatient clinic over a six-year period. Additionally, serum 25-hydroxyvitamin D levels during this period were measured in 877 patients by chemiluminescence immunoassay. We delineated the changing trend of the monthly BPPV patient numbers and serum 25-hydroxyvitamin D levels, and the correlation between them was explored. December to next March is the top 4 months with higher BPPV patient numbers. The median BPPV patient numbers in winter group were higher than those in summer group (20 vs. 16 patients, p < 0.05). Median 25-hydroxyvitamin D levels in winter group were much lower than those in summer group (16.3 vs. 20.8 ng/ml, p < 0.001) and autumn group (16.3 vs. 19.3 ng/ml, p < 0.05). A moderate negative correlation was observed between median serum 25-hydroxyvitamin D levels and BPPV patient numbers each month. The onset of BPPV also shows a seasonal fluctuation in Chinese patients. This phenomenon may be related to serum vitamin D levels.

Relationship between calcium metabolism and benign paroxysmal positional vertigo in north Sardinia population

2020 ◽  
Vol 30 (6) ◽  
pp. 375-382
Author(s):  
Andrea Melis ◽  
Davide Rizzo ◽  
Roberto Gallus ◽  
Maria Eleonora Leo ◽  
Nicola Turra ◽  
...  
Keyword(s):  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Benign Paroxysmal Positional Vertigo ◽  
High Accuracy ◽  
T Score ◽  
Positional Vertigo ◽  
Vitamin D Levels ◽  
The Impact ◽  
Paroxysmal Positional Vertigo ◽  
Group 1

BACKGROUND: Benign paroxysmal positional vertigo (BPPV) has a reported recurrence ranging from 26.8 to 50%. Osteoporosis and Vitamin D deficiency seems to have an impact on recurrence of BPPV. OBJECTIVE: to evaluate the impact of osteoporosis and Vitamin D deficiency on recurrence of BPPV. METHODS: 73 consecutive patients were divided in two groups according to the presence (group 1) or absence (group 0) of a recurrent episode. BMD, femoral and lumbar T-scores and Vitamin D levels were recorded. Statistical analysis was performed to investigate correlations. RESULTS: patients in group 1 had statistically significant lower values of both femoral (–1,62±1,06 vs. –0,53±1,51; p = 0,001), lumbar T-score (–2,10±1,19 vs –0, 53±1.51, p = 0.001) and Vitamin D (19.53±15.33). The values of femoral T-score and Vitamin D could be combined in a model able to properly classify 65.8% of the cases (p = 0.002) as isolated or recurrent BPPV, with high accuracy (AUC 0.710 [0.590 –0.830]). CONCLUSION: present data show a probable correlation between osteoporosis and Vitamin D with recurrent BPPV.

The Role of High-Resolution Magnetic Resonance in Atypical and Intractable Benign Paroxysmal Positional Vertigo: Our Preliminary Experience

ORL ◽  
2007 ◽  
Vol 69 (4) ◽  
pp. 212-217 ◽  
Author(s):  
Iacopo Dallan ◽  
Luca Bruschini ◽  
Emanuele Neri ◽  
Andrea Nacci ◽  
Giovanni Segnini ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
High Resolution ◽  
Benign Paroxysmal Positional Vertigo ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

The role of the vestibular assessment

2009 ◽  
Vol 123 (11) ◽  
pp. 1212-1215 ◽  
Author(s):  
J S Phillips ◽  
J E FitzGerald ◽  
A P Bath
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Vestibular Rehabilitation ◽  
Careful Consideration ◽  
Test Results ◽  
Positional Vertigo ◽  
Vestibular Assessment ◽  
Dizzy Patient ◽  
Paroxysmal Positional Vertigo

AbstractObjective:To evaluate the role of vestibular assessment in the management of the dizzy patient.Materials and methods:A retrospective review of case notes and vestibular assessment reports of 100 consecutive patients referred for vestibular assessment.Results:Sixty of the 100 patients had an abnormal vestibular assessment. Eleven patients had benign paroxysmal positional vertigo as the sole diagnosis, of whom nine had not had a Dix–Hallpike manoeuvre performed before referral. Of patients referred for vestibular rehabilitation, 76 per cent had an abnormal electrophysiological assessment. After vestibular assessment, 35 patients were discharged with no further follow-up appointments in the ENT department.Conclusions:All patients should have a Dix–Hallpike manoeuvre performed prior to referral for vestibular assessment. The majority of our patients undergoing vestibular rehabilitation had abnormal test results, although a significant number did not. Prior to referral, it is worth considering the implication of a ‘normal’ and ‘abnormal’ result for the management of the patient. Careful consideration should be given to the development of dedicated dizziness clinics run by practitioners with a specialist interest in balance disorders, in order to ensure appropriate requests for vestibular assessment.

scholarly journals Effect of vitamin D levels in benign paroxysmal positional vertigo

2021 ◽  
Author(s):  
Shweta Sawant ◽  
Taranath Nandini ◽  
Rajashree Partabad
Keyword(s):  
Vitamin D ◽  
Benign Paroxysmal Positional Vertigo ◽  
Semicircular Canals ◽  
Vitamin D Supplementation ◽  
High Rate ◽  
Common Cause ◽  
Rehabilitation Therapy ◽  
Positional Vertigo ◽  
Vitamin D Levels ◽  
Paroxysmal Positional Vertigo

<p class="abstract"><strong>Background:</strong> Benign paroxysmal positional vertigo (BPPV) is a common cause of disabling vertigo with a high rate of recurrence. BPPV is the most common cause of neurotological disorder. It is caused by dislodged otoconia which fall from the utricular macula and float into the semicircular canals there by making them sensitive to gravity. It has been shown that elderly people may suffer from unrecognized, chronic BPPV. Patients with unrecognized BPPV were more likely to have reduced activity of daily living scores, to have sustained a fall in the previous 3 months and to have depression.</p><p class="abstract"><strong>Methods:</strong> A prospective study of 100 patients with clinical diagnosis of BPPV visiting Navodaya medical college and hospital between June 2019 to May 2020 were included in the study.</p><p class="abstract"><strong>Results:</strong> Patients taking both vitamin D supplementation and rehabilitation therapy improved better than patients taking rehabilitation therapy alone.</p><p class="abstract"><strong>Conclusions:</strong> Both rehabilitation therapy and supplementation of vitamin D is helpful in patients with vitamin D deficient BPPV patients.</p>

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