Benign Paroxysmal Positional Vertigo Is More Commonly Associated with Orthostatic Dizziness than Orthostatic Hypotension

2013 ◽  
Vol 149 (2_suppl) ◽  
pp. P217-P217
Author(s):  
Eun-Ju Jeon ◽  
Yong-Soo Park ◽  
Ki-Hong Chang
Keyword(s):  
Orthostatic Hypotension ◽  
Benign Paroxysmal Positional Vertigo ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

scholarly journals Hypertension and Dizziness: is there a Relation?

2019 ◽  
Vol 15 (1) ◽  
pp. 125-129 ◽  
Author(s):  
V. A. Parfenov ◽  
T. M. Ostroumova ◽  
O. D. Ostroumova
Keyword(s):  
Blood Pressure ◽  
General Population ◽  
Orthostatic Hypotension ◽  
Benign Paroxysmal Positional Vertigo ◽  
Common Cause ◽  
Conduction Disorders ◽  
Positional Vertigo ◽  
Vestibular Neuronitis ◽  
Psychogenic Dizziness ◽  
Paroxysmal Positional Vertigo

One of the most frequent complaints of patients with hypertension (HT) is dizziness. Dizziness is understood as a variety of subjective sensations that patients define as “dizziness” – a sense of instability when walking, the illusion of rotation of surrounding objects, the feeling of approaching fainting, the inability to concentrate, and “fog” in the head. Experts share the systemic dizziness (vertigo) and non-systemic. The causes of vertigo in most cases are diseases of the inner ear (Meniere's disease, benign paroxysmal positional vertigo [BPPV], vestibular neuronitis. The most common form of dizziness is psychogenic dizziness. In the vast majority of cases, HT is not the cause of dizziness. The most common cause of vestibular (systemic) dizziness in patients with HT, as in the general population, is BPPV, and the most common cause of non-systemic dizziness is psychogenic dizziness. Among other causes of dizziness in patients with HT should be kept in mind too fast and/or intensive lowering of blood pressure, rhythm and conduction disorders, orthostatic hypotension (especially in elderly and senile patients in the presence of concomitant diabetes).

scholarly journals Clinico-Aetiological Profile of Patients with Vertigo: A Cross-sectional Observational Study

2020 ◽  
Author(s):  
Shiraz Syed ◽  
Himanshu Kumar Mittal ◽  
Sampan Singh Bist ◽  
Lovneesh Kumar ◽  
Vinish Kumar Agarwal
Keyword(s):  
Observational Study ◽  
Orthostatic Hypotension ◽  
Benign Paroxysmal Positional Vertigo ◽  
Tertiary Care ◽  
Aetiological Factor ◽  
Cross Sectional ◽  
Duration Of Symptoms ◽  
Female Ratio ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Introduction: Nearly 5-10 percent of patients seen in general OPD, and between 10-20 percent of patients seen by ENT specialists and neurologists are those with complaints pertaining to vertigo and dis-equilibrium. The standard definition of vertigo states it to be an illusion of motion particularly rotatory sensation. Overlapping symptoms and terms such as dizziness, light headedness, giddiness and pre-syncope make it challenging to achieve a proper diagnosis. Aim: To study the clinical profile and revisit the various aetiological factors for vertigo in patients with actual sensation of rotatory motion seen in contemporary Otolaryngology practice. Materials and Methods: The present study was a cross-sectional observational study carried out over a period of 12 months in the Department of Otorhinolaryngology at a tertiary care centre. One-hundred and ten cases complaining of the sense of rotation of either head or their surroundings with at least a single episode in preceding one month were included. Comprehensive otological and vestibular evaluation was done. Each patient was subjected to thorough clinical vestibular and laboratory tests. Subjects with known cervical spine disease, neurological disorders and cardiac ailments were excluded. Statistical analysis was done and Chi-square test was applied. Results: The mean age of patients in the study was 49.75 years with a male to female ratio of 1:1. Majority of the patients (90%) presented with acute onset of vertigo. The total duration of symptoms most commonly observed ranged between one week to one month. Nearly, all patients had intermittent character of vertigo. The duration of each episode in most of the patients ranged between 1 minute to 10 minutes. Maximum patients (90.9%) were observed with intensity of vertigo as mild and moderate type (Level II and III SVVSLCRE). Positional variation was observed in 64.5% of the patients. The most common aetiological diagnosis deduced from the study was benign paroxysmal positional vertigo (30.4%) followed by orthostatic hypotension (17.9%) and Meniere’s disease (13.4%). Conclusion: The most common aetiological factor of vertigo was found to be benign paroxysmal positional vertigo, which can be effectively treated by performing Epley’s maneuver. Orthostatic hypotension has been observed as an important cause liable to be missed by otologists. The management of vertigo must be directed by a meticulous work up of aetiologies and should not be treated under a blanket regimen.

Benign paroxysmal positional vertigo and orthostatic hypotension

2009 ◽  
Vol 20 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Matteo Pezzoli ◽  
Massimiliano Garzaro ◽  
Giancarlo Pecorari ◽  
Manuele Cena ◽  
Carlo Giordano ◽  
...  
Keyword(s):  
Orthostatic Hypotension ◽  
Benign Paroxysmal Positional Vertigo ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Clinical Implications of the Center of Balance for a Veteran with Traumatic Brain Injury

2015 ◽  
pp. 280-289
Keyword(s):  
Traumatic Brain Injury ◽  
Case Report ◽  
Brain Injury ◽  
Benign Paroxysmal Positional Vertigo ◽  
Medical Center ◽  
Treatment Plan ◽  
Successful Outcome ◽  
Model Case ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Background: It is known that traumatic brain injury (TBI), even of the mild variety, can cause diffuse multisystem neurological damage. Coordination of sensory input from the visual, vestibular and somatosensory pathways is important to obtain proper balance and stabilization in the visual environment. This coordination of systems is potentially disrupted in TBI leading to visual symptoms and complaints of dizziness and imbalance. The Center of Balance (COB) at the Northport Veterans Affairs Medical Center (VAMC) is an interprofessional clinic specifically designed for patients with such complaints. An evaluation entails examination by an optometrist, audiologist and physical therapist and is concluded with a comprehensive rehabilitative treatment plan. The clinical construct will be described and a case report will be presented to demonstrate this unique model. Case Report: A combat veteran with a history of a gunshot wound to the skull, blunt force head trauma and exposure to multiple explosions presented with complaints of difficulty reading and recent onset dizziness. After thorough evaluation in the COB, the patient was diagnosed with and treated for severe oculomotor dysfunction and benign paroxysmal positional vertigo. Conclusion: Vision therapy was able to provide a successful outcome via improvement of oculomotor efficiency and control. Physical therapy intervention was able to address the benign paroxysmal positional vertigo. The specific evaluation and management as pertains to the aforementioned diagnoses, as well as the importance of an interprofessional rehabilitative approach, will be outlined.

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