scholarly journals Profile analysis of patients with dizziness in a tertiary hospital in Rio Grande do Norte

2020 ◽  
Vol 9 (9) ◽  
pp. e472997586
Author(s):  
Yasmin de Medeiros Carvalho ◽  
Henrique de Paula Bedaque ◽  
Wildna Sharon Martins da Costa ◽  
Raysa Vanessa de Medeiros Freitas ◽  
Lidiane Maria de Brito Macedo Ferreira ◽  
...  
Keyword(s):  
Medical Records ◽  
Analytical Study ◽  
Benign Paroxysmal Positional Vertigo ◽  
Middle Age ◽  
Profile Analysis ◽  
Statistical Significance ◽  
Rio Grande ◽  
Tertiary Hospital ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Objective: to provide a profile of patient with dizziness complaint in a terciary hospital in Rio Grande do Norte (RN). Methods: 444 medical records were analyzed in a retrospective analytical study, within a quantitative approach, divided into four groups: sex and age (1), characteristics of dizziness (2), comorbidities and risk factors (3) and findings in the physical examination (4). We assign p <0.05 as an indicator of statistical significance Results: of the 444 medical records analyzed, 367 cases were admitted for analysis, 92 of whom were male and 275 female. In addition, most of them reported spinning vertigo (78.3%), lasting for seconds (51%) without association with falling (25.7%) or loss of consciousness (9.3%). The most prevalent etiologies were, Benign Paroxysmal Positional Vertigo (33%), cochlear-vestibular dysfunction (17%) and Menière's disease (14%). Conclusions: the most frequent profile of patients with dizziness is female, in middle age (median of 52), hypertensive, and Benign Paroxysmal Positional Vertigo is the most prevalent etiology.

Prolonged Positional Downbeat Nystagmus in Benign Paroxysmal Positional Vertigo: A Case Report and Literature Review

2021 ◽  
pp. 1-6
Author(s):  
Hyun-Jin Lee ◽  
Seong Ki Ahn ◽  
Chae Dong Yim ◽  
Seong Dong Kim ◽  
Dong Gu Hur
Keyword(s):  
Medical Records ◽  
Unusual Case ◽  
Benign Paroxysmal Positional Vertigo ◽  
Clinical Manifestations ◽  
Careful Consideration ◽  
Downbeat Nystagmus ◽  
Positional Vertigo ◽  
Torsional Component ◽  
Anterior Canal ◽  
Paroxysmal Positional Vertigo

Purpose This study aimed to report an unusual case of benign paroxysmal positional vertigo (BPPV), who showed prolonged positional downbeat nystagmus without latency and was diagnosed with cupulolithiasis of the anterior canal (AC). We compared this case with one of typical AC-BPPV, and possible mechanisms underlying the atypical characteristics were discussed. Method Two patients diagnosed with AC-BPPV were reported. Positional testing using video-oculography goggles was performed, and outcomes were measured via medical records and analysis of videos of the nystagmus. Results Downbeat nystagmus was observed in the contralateral Dix–Hallpike test in both cases. The torsional component was subtle or absent, but motion was induced toward the affected ear. The two cases differed in latency and duration of vertigo, as well as habituation. The patient with atypical nystagmus showed little or no latency and longer duration. Moreover, there was no habituation on repeated tests. The nystagmus showed several differences from that of typical AC-BPPV. Conclusions Based on our case, AC-BPPV may induce various unusual clinical manifestations of nystagmus. Accurate diagnosis requires careful consideration of the patient's symptoms and the characteristics of the nystagmus. Supplemental Material https://doi.org/10.23641/asha.14265356

scholarly journals Benign paroxysmal positional vertigo in emergency department: How to treat?

2020 ◽  
pp. 102490792097228
Author(s):  
Muge Gulen ◽  
Salim Satar ◽  
Selen Acehan ◽  
Akkan Avci ◽  
Adem Kaya ◽  
...  
Keyword(s):  
Emergency Department ◽  
Benign Paroxysmal Positional Vertigo ◽  
Demographic Data ◽  
Tertiary Hospital ◽  
Study Data ◽  
Medical Treatments ◽  
Positional Vertigo ◽  
Epley Maneuver ◽  
Scale Scores ◽  
Paroxysmal Positional Vertigo

Background: The treatment of benign paroxysmal positional vertigo (BPPV) has not been well studied. Many clinicians are indifferent about canalith reposition maneuvers and frequently prefer medical treatments. Objectives: We aimed to detect efficacy of Epley maneuver in relieving symptoms of benign paroxysmal positional vertigo patients diagnosed in emergency department and if medical treatments are useful in patients whose symptoms were not relieved. Methods: The study was conducted as a prospective cohort study in the emergency department of a tertiary hospital. Patients who were over 18 years of age and presented to emergency department with complaints of vertigo symptoms and nausea and had a positive Dix–Hallpike test were included in the study. Patients’ demographic data, possible etiological factors, affected ear, and benign paroxysmal positional vertigo diagnosis in the history were recorded on the study data form. The European Evaluation of Vertigo scale and the Visual Analogue Scale (VAS) score of nausea and vertigo symptoms were graded and recorded for each patient before and after treatment. Results: Ninety patients were included in the study in total. Epley maneuver was carried out to all patients. Vertigo symptoms VAS (VASd) score (p < 0.001), nausea and vomiting VAS (VASnv) score (p < 0.001), and European Evaluation of Vertigo scale score (p < 0.001) of all patients showed a statistically significant decrease after Epley maneuver. A combination of dimenhydrinate and metoclopramide helped to reduce VASd (p = 0.048), VASnv (p = 0.031), and European Evaluation of Vertigo scale scores (p = 0.001) at a statistically significant level more than dimenhydrinate treatment alone. Conclusions: Epley maneuver may be applied to every patient with benign paroxysmal positional vertigo. Dimenhydrinate and/or metoclopramide helps to control patients’ symptoms whose symptoms remain despite Epley maneuver.

Benign Paroxysmal Positional Vertigo Secondary to Mild Head Trauma

2016 ◽  
Vol 126 (1) ◽  
pp. 54-60 ◽  
Author(s):  
Dimitrios G. Balatsouras ◽  
George Koukoutsis ◽  
Andreas Aspris ◽  
Alexandros Fassolis ◽  
Antonis Moukos ◽  
...  
Keyword(s):  
Head Trauma ◽  
Medical Records ◽  
Benign Paroxysmal Positional Vertigo ◽  
Spontaneous Nystagmus ◽  
Control Group ◽  
Imaging Evaluation ◽  
Canal Paresis ◽  
Positional Vertigo ◽  
Anterior Semicircular Canal ◽  
Paroxysmal Positional Vertigo

Objectives: We studied the clinical characteristics, nystagmographic findings, and treatment outcome of a group of patients with benign paroxysmal positional vertigo (BPPV) secondary to mild head trauma and compared them with a group of patients with idiopathic BPPV. Methods: The medical records of 33 patients with BPPV associated with mild head trauma were reviewed. Data of a complete otolaryngological, audiological, neurotologic, and imaging evaluation were available for all patients. Three hundred and twenty patients with idiopathic BPPV were used as a control group. Results: The patients with BPPV secondary to mild head trauma presented the following features, in which they differed from the patients with idiopathic BPPV: (1) lower mean age, with more intense symptoms; (2) increased rate of horizontal and anterior semicircular canal involvement and frequent multiple canal and bilateral involvement; (3) greater incidence of canal paresis and presence of spontaneous nystagmus; (4) poorer treatment results, attributed mainly to coexisting canal paresis in many patients, and higher rate of recurrence. Conclusions: Benign paroxysmal positional vertigo associated with mild head trauma differs from idiopathic BPPV in terms of several epidemiological and clinical features; it responds less effectively to treatment and is prone to recurrence.

scholarly journals Benign Paroxysmal Positional Vertigo in Irradiated Nasopharyngeal Carcinoma Survivors

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Shaoyan Feng ◽  
Yunping Fan ◽  
Liqing Guo ◽  
Zibin Liang ◽  
Jiaoping Mi
Keyword(s):  
Hearing Loss ◽  
Retrospective Study ◽  
Nasopharyngeal Carcinoma ◽  
Otitis Media ◽  
Medical Records ◽  
Benign Paroxysmal Positional Vertigo ◽  
Control Group ◽  
Positional Vertigo ◽  
Radiation Induced ◽  
Paroxysmal Positional Vertigo

Purpose. It has been assumed that postirradiated nasopharyngeal carcinoma (NPC) patients are prone to benign paroxysmal positional vertigo (BPPV). The purpose of this study was to better understand this clinical entity. Materials and Methods. From September 2003 to June 2011, we conducted a retrospective study of 11 irradiated NPC patients with BPPV in our institute. During the same period, 11 irradiated NPC patients without BPPV were randomly selected and enrolled as the control group. All medical records of these patients were evaluated. Results. The risk of BPPV rises significantly when the patient undergoes radiotherapy (RT) twice and the threshold radiation dose is >120 Gy (P=0.027). The occurrence of postirradiated BPPV was significantly related to incidences of otitis media and sensorineural hearing loss (SNHL) (P=0.011 and 0.009, resp.). All the patients responded well to repositioning maneuvers. Conclusion. A second course of RT, postirradiated otitis media, or SNHL is associated with the potential risk of radiation-induced BPPV. Repositioning maneuvers were safe and effective for relief of this disease.

scholarly journals COMPARISON OF RECURRENCY OF BENIGN PAROXYSMAL POSITIONAL VERTIGO WITH AND WITHOUT HYPERTENSION

2020 ◽  
Vol 7 (12) ◽  
pp. 36-39
Keyword(s):  
Analytical Study ◽  
Benign Paroxysmal Positional Vertigo ◽  
Sampling Technique ◽  
Vestibular Disorder ◽  
Research Subjects ◽  
Consecutive Sampling ◽  
Cohort Design ◽  
Positional Vertigo ◽  
Significant Difference ◽  
Paroxysmal Positional Vertigo

Background: Benign paroxysmal positional vertigo (BPPV) is the most common vestibular disorder. Several studies have shown that comorbid hypertension can affect the prognosis of BPPV. This study aims to assess the comparison of BPPV patient recurrences with and without hypertension. Method: This research is an analytical study with a cohort design. The research was conducted at the Neurology Polyclinic of RSUP Haji Adam Malik Medan for the period of October 1, 2019 to December 1, 2019. A total of 40 BPPV patients with and without hypertension were taken into the study sample, using consecutive sampling technique. For 7 days recurrence was recorded and on the 7th day, BPPV symptoms were reassessed with the Dix-Hallpike maneuver. Furthermore, statistical analysis was performed using the Mann Whitney U test and the Kruskall Wallis test. Result:Of the 40 research subjects, there were 29 more women (72.5%) and the highest age was in the range >40 - 60 years as many as 23 subjects (57.5%). There were 18 people (90.0%) BPPV patients with hypertension and as many as 4 people (20.0%) BPPV patients without hypertension experienced recurrences, where one recurrence was found in 13 people (65.0%) and more than one recurrence. times or vertigo was felt continuously found in 5 people (25.0%) BPPV patients with hypertension (p = 0.000). Conclusion: There is a significant difference in recurrence between BPPV patients with and without hypertension.

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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