scholarly journals Prevalence of Age Induced Benign Paroxysmal Positional Vertigo among Various Categories of Elderly Population

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
A. Yadav Dhanashri ◽  
A Dr. Kadam Namrata
Keyword(s):  
Old Age ◽  
Elderly Population ◽  
Benign Paroxysmal Positional Vertigo ◽  
Demographic Data ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Age Group ◽  
Vestibular Disorder ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Benign Paroxysmal Positional Vertigo (BPPV) is the most common and treatable vestibular disorder. It is commonly seen in the elderly population. BPPV is a type of vertigo that is brought on by change in position of the head with respect to gravity. The objective of this study was to find out the prevalence of appropriate age group of the individuals suffering from BPPV in elderly population. The study was an observational study. A total of 64 people were recruited for the study aged between 60-70 and 71-80yrs that were selected from Krishna hospital Karad through a simple random sampling method. Inclusion and exclusion criteria were used to select the individuals for the study. Individuals of age group between 60-80 years of both the sex were also considered for the study. The individuals who were not included in the study were those not willing to participate, individuals’ history of acute trauma. Demographic data, assent and consent were taken from the individuals and the explanation of the study was given. The special tests like Dix-Hallpike positioning test, Horizontal roll test and Head pitch test were performed over the individuals. In this study the overall prevalence of age induced BPPV was evaluated according to Dix-Hallpike test it was found that out of 64 individuals 61% were positive for Dix-Hallpike test. Out of 45 males 26 were positive and 13 females from total 19 were indicated Dix-Hallpike test as positive. Thus, this result shows that females are more prone to develop BPPV. This study concluded that BPPV was common among the age group of 71-80 years than the age group of 60-70 years. The study revealed that the individuals in middle old age group are getting more affected by BPPV than the individuals in young old age group. Thus the societal impact which affects the individuals with BPPV can be reduced by making preventive strategies to improve the quality of life and to decrease the disability adjusted years

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

2017 ◽  
Vol 7 (1) ◽  
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.

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

2015 ◽  
Vol 73 (6) ◽  
pp. 487-492 ◽  
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.

scholarly journals Teleconsultation and Teletreatment Protocol to Diagnose and Manage Patients with Benign Paroxysmal Positional Vertigo (BPPV) during the COVID-19 Pandemic

2021 ◽  
Vol 25 (01) ◽  
pp. e141-e149
Author(s):  
Renato Gonzaga Barreto ◽  
Darío Andrés Yacovino ◽  
Lázaro Juliano Teixeira ◽  
Mayanna Machado Freitas
Keyword(s):  
Disease Transmission ◽  
Benign Paroxysmal Positional Vertigo ◽  
Good Clinical Practice ◽  
Relevant Information ◽  
Remote Access ◽  
Vestibular Disorder ◽  
Face To Face ◽  
Positional Vertigo ◽  
Video And Audio ◽  
Paroxysmal Positional Vertigo

Abstract Introduction Telehealth consists in the application of technology to provide remote health service. This resource is considered safe and effective and has attracted an exponential interest in the context of the COVID pandemic. Expanded to dizzy patients, it would be able to provide diagnosis and treatment, minimizing the risk of disease transmission. Benign paroxysmal positional vertigo (BPPV) is the most common vestibular disorder. The diagnosis typically rests on the description of the symptoms along with the nystagmus observed at a well-established positional testing. Objectives The aim of the present study was to propose a teleconsultation and teletreatment protocol to manage patients with BPPV during the COVID-19 pandemic. Methods Specialists in the vestibular field met through remote access technologies to discuss the best strategy to manage BPPV patients by teleconsultation and teletreatment system. Additionally, several scientific sources were consulted. Technical issues, patient safety, and clinical assessment were independently analyzed. All relevant information was considered in order to design a clinical protocol to manage BPPV patients in the pandemic context. Results Teleconsultation for BPPV patients requires a double way (video and audio) digital system. An adapted informed consent to follow good clinical practice statements must be considered. The time, trigger and target eye bedside examination (TiTRaTe) protocol has proven to be a valuable first approach. The bow and lean test is the most rational screening maneuver for patients with suspected positional vertigo, followed by most specific maneuvers to diagnostic the sub-variants of BPPV. Conclusion Although with limited evidence, teleconsultation and teletreatment are both reasonable and feasible strategies for the management of patients with BPPV in adverse situations for face-to-face consultation.

scholarly journals Benign Paroxysmal Positional Vertigo in Children and Adolescents With Concussion

2021 ◽  
pp. 194173812097051
Author(s):  
Alicia Wang ◽  
Guangwei Zhou ◽  
Kosuke Kawai ◽  
Michael O’Brien ◽  
A. Eliot Shearer ◽  
...  
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Pediatric Patients ◽  
Head Injuries ◽  
Vestibular Disorder ◽  
Symptom Scale ◽  
Level Of Evidence ◽  
Pediatric Concussion ◽  
Positional Vertigo ◽  
Level 3 ◽  
Paroxysmal Positional Vertigo

Background: Dizziness after concussion is primarily attributed to effects on the brain, but traumatic inner ear disorders can also contribute. Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder that can result from minor head trauma and can be easily diagnosed and rapidly treated in an office setting. The role of BPPV in pediatric postconcussive dizziness has not been well-studied. Purpose: To evaluate the prevalence and clinical features of BPPV in a group of pediatric patients with concussion and prolonged dizziness after concussion. Study Design: Case-control study. Level of Evidence: Level 3. Methods: Retrospective review of 102 patients seen within the past 3 years in a pediatric multidisciplinary concussion clinic for evaluation of postconcussive dizziness. Results: BPPV was diagnosed in 29.4% (30/102) of patients with postconcussion syndrome and dizziness. All patients with BPPV were treated with repositioning maneuvers, except for 5 patients who had spontaneous resolution of symptoms. Patients were evaluated at an average of 18.8 weeks (SD, 16.4 weeks) after the injury. BPPV was diagnosed at similar rates regardless of gender or age group (children vs adolescents). The mean Post-Concussion Symptom Scale (PCSS) score did not differ significantly between patients with (58.3 [SD, 22.5]) or without BPPV (55.8 [SD, 29.4]; P = 0.39). The PCSS “balance problems or dizziness” subscore also did not differ between patients with (3.3 [SD, 1.7]) or without BPPV (2.8 [SD, 1.6]; P = 0.13). Conclusion: BPPV is fairly common in pediatric concussion, occurring in one-third of the patients studied. BPPV is often not diagnosed and treated until many weeks after the injury. Increased awareness of the evaluation and management of BPPV among pediatric concussion providers may help expedite resolution of dizziness and hasten overall recovery in affected patients. Clinical Relevance: BPPV is a treatable cause of dizziness caused by minor head injuries and is more common than previously reported in pediatric patients with concussion. Improved awareness of BPPV by concussion providers may expedite recovery.

Sleep position and laterality of benign paroxysmal positional vertigo

2008 ◽  
Vol 122 (12) ◽  
pp. 1295-1298 ◽  
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.

Benign Paroxysmal Positional Vertigo in the Elderly

Gerontology ◽  
2013 ◽  
Vol 59 (5) ◽  
pp. 408-412 ◽  
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

scholarly journals Benign paroxysmal positional vertigo in the elderly: current insights

2018 ◽  
Vol Volume 13 ◽  
pp. 2251-2266 ◽  
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

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

2014 ◽  
Vol 128 (2) ◽  
pp. 128-133 ◽  
Author(s):  
M Lüscher ◽  
S Theilgaard ◽  
B Edholm
Keyword(s):  
Multicentre Study ◽  
Study Design ◽  
Benign Paroxysmal Positional Vertigo ◽  
Age Groups ◽  
Significant Proportion ◽  
The Elderly ◽  
The Other ◽  
Night Time ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

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.

scholarly journals Teaching Patient-Centered Counseling Skills for Assessment, Diagnosis, and Management of Benign Paroxysmal Positional Vertigo

2018 ◽  
Vol 39 (01) ◽  
pp. 052-066 ◽  
Author(s):  
Richard Roberts ◽  
Carole Johnson ◽  
Anna Jilla
Keyword(s):  
Experiential Learning ◽  
Clinical Education ◽  
Benign Paroxysmal Positional Vertigo ◽  
Learning Opportunities ◽  
Primary Concern ◽  
Vestibular Disorder ◽  
Patient Centered ◽  
Diagnosis And Management ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

AbstractAudiologists are an integral part of the management of those with dizziness and vestibular disorders. However, little research has been performed on counseling approaches for patients who present with dizziness as a primary concern. Accordingly, it is important that audiology students are provided with didactic and experiential learning opportunities for the assessment, diagnosis, and management of this population. Benign paroxysmal positional vertigo is the most common vestibular disorder among adults. Doctor of Audiology students, at a minimum, should be provided with learning opportunities for counseling patients with this particular disorder. Implementation of patient-centered counseling is applied across various parts of the patient encounter from initial intake to treatment and patient education. The purpose of this article is to present the available evidence and to apply widely accepted theories and techniques to counseling those with benign paroxysmal positional vertigo. Didactic resources and experiential learning activities are provided for use in coursework or as a supplement to clinical education.

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