Prevalence and characteristics of diagnostic groups amongst 1034 patients seen in ENT practices for dizziness

AbstractObjective:To determine the prevalence and characteristics of various diagnostic groups amongst patients referred to ENT practices with the primary complaint of dizziness.Study design:A prospective, observational, multicentre study.Methods:Consecutive patients presenting with dizziness to the participating ENT practices were enrolled. Seven ENT specialists at three clinics participated.Results:Benign paroxysmal positional vertigo was diagnosed in 53.3 per cent of the 1034 study patients. Fifty-nine per cent of these experienced night-time awakening with dizziness, which was a significant proportion in comparison to the other diagnostic groups. Benign paroxysmal positional vertigo was the most frequent diagnosis in all age groups, including those over 70 years.Conclusion:In this study of patients referred to ENT for dizziness, benign paroxysmal positional vertigo was the dominant diagnostic entity, in all age groups and overall. All clinicians in contact with dizzy patients must consider benign paroxysmal positional vertigo, especially in the elderly.

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VESTIBULAR REHABILITATION THERAPY FOR THE ELDERLY WITH BENIGN PAROXYSMAL POSITIONAL VERTIGO

The Gerontologist ◽

10.1093/geront/gnv358.05 ◽

2015 ◽

Vol 55 (Suppl_2) ◽

pp. 720-720

Keyword(s):

Benign Paroxysmal Positional Vertigo ◽

The Elderly ◽

Vestibular Rehabilitation ◽

Rehabilitation Therapy ◽

Positional Vertigo ◽

Paroxysmal Positional Vertigo

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Sleep position and laterality of benign paroxysmal positional vertigo

The Journal of Laryngology & Otology ◽

10.1017/s0022215108002168 ◽

2008 ◽

Vol 122 (12) ◽

pp. 1295-1298 ◽

Cited By ~ 19

Author(s):

S G Korres ◽

C E Papadakis ◽

M G Riga ◽

D G Balatsouras ◽

D G Dikeos ◽

...

Keyword(s):

Semicircular Canal ◽

Benign Paroxysmal Positional Vertigo ◽

Sleep Onset ◽

The Elderly ◽

Posterior Semicircular Canal ◽

Positional Vertigo ◽

Subjective Preference ◽

The Right ◽

A Prospective Study ◽

Paroxysmal Positional Vertigo

AbstractObjective:The aim of this study was to investigate the frequency of posterior semicircular canal benign paroxysmal positional vertigo in each ear, and to assess the association between the ear affected by benign paroxysmal positional vertigo and the head-lying side during sleep onset. Based on a previous study which used objective methods to prove the preference of the elderly for the right head-lying side during sleep, we hypothesised that a predominance of the same head-lying side in benign paroxysmal positional vertigo patients may affect the pathophysiology of otoconia displacement.Study design:We conducted a prospective study of out-patients with posterior semicircular canal benign paroxysmal positional vertigo, confirmed by a positive Dix–Hallpike test.Methods:One hundred and forty-two patients with posterior semicircular canal benign paroxysmal positional vertigo were interviewed about their past medical history, focusing on factors predisposing to benign paroxysmal positional vertigo. All patients included in the study were able to define a predominant, favourite head-lying side, right or left, during sleep onset.Results:The Dix–Hallpike test was found to be positive on the right side in 82 patients and positive on the left side in 54; six patients were found to be positive bilaterally. During sleep onset, 97 patients habitually laid their head on the right side and the remaining 45 laid their head on the left. The association between the affected ear and the head-lying side during sleep onset was statistically significant (p < 0.001).Conclusions:Our study found a predominance of right-sided benign paroxysmal positional vertigo, a subjective preference amongst patients for a right head-lying position during sleep onset, and an association between the ear affected by benign paroxysmal positional vertigo and the preferred head-lying side during sleep onset. The clinical and therapeutical implications of this observation are discussed.

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Benign Paroxysmal Positional Vertigo in the Elderly

Gerontology ◽

10.1159/000351204 ◽

2013 ◽

Vol 59 (5) ◽

pp. 408-412 ◽

Cited By ~ 24

Author(s):

Angel Batuecas-Caletrio ◽

Gabriel Trinidad-Ruiz ◽

Christiane Zschaeck ◽

Juan Carlos del Pozo de Dios ◽

Laura de Toro Gil ◽

...

Keyword(s):

Benign Paroxysmal Positional Vertigo ◽

The Elderly ◽

Positional Vertigo ◽

Paroxysmal Positional Vertigo

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Residual dizziness after successful repositioning maneuver for idiopathic benign paroxysmal positional vertigo: a review

Audiology Research ◽

10.4081/audiores.2017.178 ◽

2017 ◽

Vol 7 (1) ◽

Cited By ~ 12

Author(s):

Giorgia Giommetti ◽

Ruggero Lapenna ◽

Roberto Panichi ◽

Puya Dehgani Mobaraki ◽

Fabrizio Longari ◽

...

Keyword(s):

English Language ◽

Benign Paroxysmal Positional Vertigo ◽

Early Recognition ◽

The Elderly ◽

Vestibular Disorder ◽

Risk Of Falling ◽

Search Terms ◽

Positional Vertigo ◽

Repositioning Maneuver ◽

Paroxysmal Positional Vertigo

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: <em>residual dizziness, otolithic membrane and BPPV</em>. 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 <em>benign paroxysmal positional vertigo</em> 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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Benign paroxysmal positional vertigo in the elderly: current insights

Clinical Interventions in Aging ◽

10.2147/cia.s144134 ◽

2018 ◽

Vol Volume 13 ◽

pp. 2251-2266 ◽

Cited By ~ 15

Author(s):

Dimitris Balatsouras ◽

George Koukoutsis ◽

Alexandros Fassolis ◽

Antonis Moukos ◽

Andreas Aspris

Keyword(s):

Benign Paroxysmal Positional Vertigo ◽

The Elderly ◽

Positional Vertigo ◽

Paroxysmal Positional Vertigo

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Is There a Possible Association between Dietary Habits and Benign Paroxysmal Positional Vertigo in the Elderly? The Importance of Diet and Counseling

International Archives of Otorhinolaryngology ◽

10.1055/s-0035-1551551 ◽

2015 ◽

Vol 19 (04) ◽

pp. 293-297 ◽

Cited By ~ 5

Author(s):

Rejane Neves-Souza ◽

Viviane Costa ◽

Caroline Meneses-Barriviera ◽

Pricila Franco ◽

Luciana Marchiori ◽

...

Keyword(s):

Benign Paroxysmal Positional Vertigo ◽

Dietary Habits ◽

The Elderly ◽

Positional Vertigo ◽

Paroxysmal Positional Vertigo

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Unrecognized benign paroxysmal positional vertigo in elderly patients

Otolaryngology ◽

10.1067/mhn.2000.105415 ◽

2000 ◽

Vol 122 (5) ◽

pp. 630-634 ◽

Cited By ~ 8

Author(s):

John S. Oghalai ◽

Spiros Manolidis ◽

Justine L. Barth ◽

Michael G. Stewart ◽

Herman A. Jenkins

Keyword(s):

Elderly Patients ◽

Benign Paroxysmal Positional Vertigo ◽

The Elderly ◽

Cross Sectional Study ◽

Geriatric Population ◽

Cross Sectional ◽

Balance Disorders ◽

Positional Vertigo ◽

Increased Risk ◽

Paroxysmal Positional Vertigo

Balance disorders in elderly patients are associated with an increased risk of falls but are often difficult to diagnose because of comorbid chronic medical problems. We performed a cross-sectional study to determine the prevalence of unrecognized benign paroxysmal positional vertigo (BPPV) and associated lifestyle sequelae in a public, inner-city geriatric population. Dizziness was found in 61% of patients, whereas balance disorders were found in 77% of patients. Nine percent were found to have unrecognized BPPV. Multivariate analysis demonstrated that the presence of a spinning sensation and the absence of a lightheadedness sensation predicted the presence of unrecognized BPPV. Patients with unrecognized BPPV were more likely to have reduced activities of daily living scores, to have sustained a fall in the previous 3 months, and to have depression. These data indicate that unrecognized BPPV is common within the elderly population and has associated morbidity. Further prospective studies are warranted.

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Diagnosis and Management of Lateral Semicircular Canal Benign Paroxysmal Positional Vertigo

Otolaryngology ◽

10.1016/j.otohns.2005.03.080 ◽

2005 ◽

Vol 133 (2) ◽

pp. 278-284 ◽

Cited By ~ 56

Author(s):

Judith A. White ◽

Kathleen D. Coale ◽

Peter J. Catalano ◽

John G. Oas

Keyword(s):

Treatment Outcomes ◽

Study Design ◽

Retrospective Review ◽

Semicircular Canal ◽

Benign Paroxysmal Positional Vertigo ◽

Diagnostic Testing ◽

Positional Nystagmus ◽

Lateral Semicircular Canal ◽

Positional Vertigo ◽

Paroxysmal Positional Vertigo

Objective: Describe the diagnosis, treatment, and outcome of a group of 20 patients with lateral semicircular canal benign paroxysmal positional vertigo (LSC-BPPV). Study Design and Setting: Retrospective review of 20 patients with LSC-BPPV (10 with geotropic and 10 with apogeotropic nystagmus) presenting to a tertiary balance center. Diagnosis was confirmed with infrared nystagmography in Dix-Hallpike positioning tests and supine positional tests. Patients were treated with one or more particle repositioning maneuvers. Results: Addition of supine positional nystagmus tests to Dix-Hallpike positioning testing improves sensitivity in the diagnosis of LSC-BPPV. Treatment outcomes in the apogeotropic LSC-BPPV group were poorer than the geotropic LSC-BPPV group. Significance: Adding supine positional testing to routine vestibular diagnostic testing will increase the identification of LSC-BPPV. Apogeotropic LSC-BPPV is more challenging to treat.

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Horizontal canal benign paroxysmal positional vertigo: diagnosis and treatment of 37 patients

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20150040 ◽

2015 ◽

Vol 73 (6) ◽

pp. 487-492 ◽

Cited By ~ 1

Author(s):

Eliana Teixeira Maranhão ◽

Péricles Maranhão Filho

Keyword(s):

Complete Resolution ◽

Elderly Population ◽

Benign Paroxysmal Positional Vertigo ◽

The Elderly ◽

Diagnosis And Treatment ◽

High Morbidity ◽

Posterior Semicircular Canal ◽

Horizontal Canal ◽

Positional Vertigo ◽

Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV), the most frequent cause of vertigo is associated with high morbidity in the elderly population. The most common form is linked to debris in the posterior semicircular canal. However, there has been an increasing number of reported BPPV cases involving the horizontal canals. The purpose of this article is to highlight the clinical features, diagnosis, and treatment in 37 patients with horizontal canal BPPV; twenty-six with geotropic nystagmus, and eleven with the apogeotropic form. Treatment consisted of the Gufoni manoeuver in eighteen patients (48.6%), the barbecue 360° maneuver in twelve patients (32.4%), both manoeuvers in four patients (10.8%), both manoeuvers plus head shaking in one patient (2.7%), and the Gufoni maneuver plus head shaking in two patients. Cupulolithiasis patients were asked to sleep in a forced prolonged position. We obtained a complete resolution of vertigo and nystagmus in 30 patients (81.0%) on the initial visit.

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