scholarly journals Intravenous Zoledronic Acid in Elderly Patients with Benign Paroxysmal Positional Vertigo and Osteoporosis

2020 ◽  
Vol 19 (3) ◽  
pp. 95-98
Author(s):  
Dong Won Kwack ◽  
Hyemi Lee ◽  
Dong Wook Kim
Keyword(s):  
Zoledronic Acid ◽  
Elderly Patients ◽  
Benign Paroxysmal Positional Vertigo ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Unrecognized benign paroxysmal positional vertigo in elderly patients

2000 ◽  
Vol 122 (5) ◽  
pp. 630-634 ◽  
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.

scholarly journals Two Symptoms Strongly Suggest Benign Paroxysmal Positional Vertigo in a Dizzy Patient

2021 ◽  
Vol 11 ◽  
Author(s):  
Victor S. van Dam ◽  
Britta D. P. J. Maas ◽  
Tjard R. Schermer ◽  
Peter-Paul G. van Benthem ◽  
Tjasse D. Bruintjes
Keyword(s):  
Cohort Study ◽  
Elderly Patients ◽  
Benign Paroxysmal Positional Vertigo ◽  
Multivariable Analysis ◽  
Patient History ◽  
Younger Patients ◽  
Positional Vertigo ◽  
Vestibular Testing ◽  
Dizzy Patient ◽  
Paroxysmal Positional Vertigo

Introduction: This prospective cohort study determined which questions in patient history are most likely to identify symptoms that are independently associated with a diagnosis of benign paroxysmal positional dizziness (BPPV) in patients presenting with dizziness, and to evaluate whether the patient's age and type of BPPV are of influence.Methods: We included adult patients with dizziness referred to our dizziness center, Apeldoorn, the Netherlands, from December 2018 to November 2019. All patients completed a questionnaire, underwent vestibular testing and received a diagnosis. Symptoms strongly suggesting BPPV were tested with multivariable analysis to determine their independent associations with BPPV. Subgroup analysis was performed for patient age, and the type of BPPV.Results: We included a total of 885 patients, 113 of whom (13%) were diagnosed with BPPV. The duration of dizziness spells <1 min (Q2) and dizziness provoked by rolling over in bed (Q4) were independently associated with the diagnosis BPPV. Q2 showed a sensitivity of 43%, and a specificity of 75%; Q4 scored 81% and 68%, respectively. Overall, the way patients perceived their dizziness (vertigo, light-headedness or instability) was not independently associated with the diagnosis BPPV. In younger patients, light-headedness and instability decreased the likelihood of BPPV compared to vertigo.Conclusion: The most reliable predictors for BPPV in patient history are a short duration of the dizziness spell and provocation of dizziness by rolling over in bed. Unlike younger patients, elderly patients with BPPV do not only perceive the dizziness as vertigo, but also as a feeling of instability.

Vertigo, dizziness and imbalance in the elderly

2007 ◽  
Vol 122 (5) ◽  
pp. 466-469 ◽  
Author(s):  
A Üneri ◽  
S Polat
Keyword(s):  
Retrospective Study ◽  
Elderly Patients ◽  
Retrospective Analysis ◽  
Benign Paroxysmal Positional Vertigo ◽  
The Elderly ◽  
Senior Author ◽  
Ménière’S Disease ◽  
Positional Vertigo ◽  
Peripheral Vertigo ◽  
Paroxysmal Positional Vertigo

AbstractObjective:The aim of this retrospective analysis was to evaluate the diagnosis of vertigo, dizziness and imbalance in elderly patients in two tertiary neurotology clinics.Design and setting:Six hundred and seventy-seven patients aged over 65 years were assessed by the same senior author, and 601 patients were enrolled in the study.Results:The most frequent diagnoses were benign paroxysmal positional vertigo (42.43 per cent), idiopathic vestibulopathy (20.29 per cent), migraine vestibulopathy (13.15 per cent), Ménière's disease (12.47 per cent) and acute vestibular attack (6.49 per cent).Conclusion and significance:This retrospective study showed that 93.5 per cent of the elderly patients studied had been diagnosed with peripheral vertigo. The majority of patients had been classified as having benign paroxysmal positional vertigo, idiopathic vestibulopathy or migraine vestibulopathy.

scholarly journals Vestibular Training of Elderly Patients with Benign Paroxysmal Positional Vertigo Its Effectiveness Compared with That of Anti-vertigo Drugs.

1993 ◽  
Vol 52 (4) ◽  
pp. 559-564
Author(s):  
Akito Fujino ◽  
Koji Tokumasu ◽  
Satoshi Yoshio ◽  
Hideaki Naganuma ◽  
Satoshi Yoneda ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Benign Paroxysmal Positional Vertigo ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Unrecognized Benign Paroxysmal Positional Vertigo in Elderly Patients

2000 ◽  
Vol 122 (5) ◽  
pp. 630-634 ◽  
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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