Assessment of residual dizziness after successful canalith repositioning maneuvre in benign paroxysmal positional vertigo patients: a questionnaire-based study

Fu, Wei; He, Feng; Bai, Ya Mei; Wang, Yuanyuan; Wei, Dong; Shi, Ying; An, Xinyue; Han, Junliang; Wang, Xiaoming

doi:10.1007/s00405-022-07474-9

Cited by 6 publications

(3 citation statements)

References 24 publications

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“…Our study found that at the time of diagnosis, the DHI subscales scores of the RD group were significantly higher than those of the NRD group, and linear regression analysis demonstrated that the DHI total score before CRPs was a predictor for residual dizziness. Our results accord with previous studies reporting that high DHI subscale scores and total scores at the first presentation are sensitive factors related to the incidence of residual dizziness ( Ke et al, 2022 ; Fu et al, 2023 ). Our study further confirmed that DHI could be a helpful inventory before treatment to estimate the risk of residual dizziness after successful CRPs and quantify the dizziness handicaps on the quality of life in patients over 65 years old.…”

Section: Discussionsupporting

confidence: 93%

“…In this study, we employed VAS to assess the subjective perception of vertigo and dizziness. The VAS rating showed a significant difference among the two groups at follow-up, supporting the opinion that VAS could be a sensitive tool to assess residual dizziness in BPPV patients ( Fu et al, 2023 ). Recently, VAS is getting popular in the realm of vestibular symptoms.…”

Section: Discussionsupporting

confidence: 59%

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Associations between cognition, anxiety, depression, and residual dizziness in elderly people with BPPV

Sun,

Ma,

Yang

et al. 2023

Front. Aging Neurosci.

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ObjectiveTo investigate the associations between cognition, anxiety, depression, and residual dizziness after successful repositioning maneuvers in the elderly with benign paroxysmal positional vertigo (BPPV).MethodsWe enrolled 40 elderly patients with BPPV in our outpatient department. We used the Dizziness Handicap Inventory (DHI), Visual Analog Scale (VAS), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder Questionnaire-7 (GAD-7) to assess the degree of dizziness, anxiety, and depression of participants before repositioning therapy, respectively. At the 1-week follow-up after BPPV treatment, each participant will be reassessed and divided into a group with residual dizziness (RD) and a group without residual dizziness (NRD) based on the follow-up DHI score. The Mini-Mental State Examination (MMSE) evaluated the cognitive function of the participants.ResultsThe age, gender, duration of BPPV, and involved semicircular canals in the two groups did not show a significant difference. The RD group scored significantly higher on the DHI (p = 0.006), GAD-7 (p < 0.001), and PHQ-9 (p = 0.002) before the repositioning treatment than the NRD group. The two groups had no significant difference in MMSE score (p = 0.381). Anxiety and depression scores before repositioning treatment significantly and positively correlated with follow-up DHI scores (r = 0.678 and 0.522, respectively), but the MMSE score did not significantly relate to it. The univariate linear regression showed that the DHI (p < 0.001), GAD-7 (p < 0.001), and PHQ-9 (p = 0.002) scores before treatment could predict residual dizziness. The multivariate linear regression showed that GAD-7 before treatment was the only significant predictor of residual dizziness (p < 0.001).ConclusionThe level of dizziness, anxiety, and depression before treatment can predict residual dizziness after successful repositioning maneuvers in the elderly with BPPV. Anxiety may be the strongest predictor of residual dizziness after successful repositioning treatment in elderly BPPV patients.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 59%

Associations between cognition, anxiety, depression, and residual dizziness in elderly people with BPPV

Sun,

Ma,

Yang

et al. 2023

Front. Aging Neurosci.

View full text Add to dashboard Cite

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“…In our study, we quantified and stratified the severity of RD by VAS. A previous investigation indicated that VAS exhibits higher sensitivity and specificity in RD assessment (32). For RD, we have detailed severity evaluation and concrete evaluation time.…”

Section: Discussionmentioning

confidence: 99%

Effect of the serum 25-hydroxyvitamin D level on risk for short-term residual dizziness after successful repositioning in benign paroxysmal positional vertigo stratified by sex and onset age

Jiang

Bai

et al. 2023

Front. Neurol.

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ObjectiveA low serum 25-hydroxyvitamin D (25(OH)D) level is relevant to both the occurrence and recurrence of benign paroxysmal positional vertigo (BPPV). However, whether it also contributes to residual dizziness (RD) after successful repositioning maneuvers is unknown. Therefore, this study aimed to explore the correlation between the serum 25(OH)D level and short-term RD severity in patients with BPPV after successful repositioning maneuvers.MethodsIn total, 251 patients with BPPV after successful repositioning were enrolled and prospectively followed up for 1 week (W1). Serum 25(OH)D values were detected by chemiluminescence immunoassay at enrollment (W0). In addition, we explored the relationship between 25(OH)D values at baseline and RD severity at W1 in different subgroups stratified by sex and onset age (early-onset, ≤50 years; late-onset, >50 years).ResultsThe serum 25(OH)D level of female patients was significantly lower than that of male patients (15.9 ± 6.8 vs. 19.8 ± 6.6 ng/ml, p < 0.001). Its level also decreased in early-onset patients compared to late-onset ones (15.3 ± 5.9 vs. 18.0 ± 7.3 ng/ml, p = 0.003). In addition, early-onset female patients had lower 25(OH)D values than late-onset female patients (14.0 ± 5.5 vs. 17.1 ± 7.2 ng/ml, p = 0.004). However, this difference was not observed between early- and late-onset male patients. Among early-onset female patients, the 25(OH)D values of the moderate-to-severe RD group were lower than those of the minor or no RD group (10.9 ± 3.3 vs. 14.7 ± 5.7 vs. 15.0 ± 5.9 ng/ml, p = 0.046). Multivariate analysis found that decreased 25(OH)D values were related to the occurrence of moderate-to-severe RD in early-onset female patients (OR = 0.801; p = 0.022). This effect did not exist in late-onset female or male patients with BPPV.ConclusionsAge and sex differences in serum 25(OH)D levels exist in patients with BPPV. A decreased 25(OH)D level in early-onset female patients may increase the odds of moderate-to-severe RD 1 week after successful repositioning maneuvers.

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Gutartiger Positionsschwindel: Restschwindel nach erfolgreicher Behandlung

2023

Laryngorhinootologie

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Assessment of residual dizziness after successful canalith repositioning maneuvre in benign paroxysmal positional vertigo patients: a questionnaire-based study

Cited by 6 publications

References 24 publications

Associations between cognition, anxiety, depression, and residual dizziness in elderly people with BPPV

Associations between cognition, anxiety, depression, and residual dizziness in elderly people with BPPV

Effect of the serum 25-hydroxyvitamin D level on risk for short-term residual dizziness after successful repositioning in benign paroxysmal positional vertigo stratified by sex and onset age

Gutartiger Positionsschwindel: Restschwindel nach erfolgreicher Behandlung

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