Benign paroxysmal positional vertigo and its variants

Nuti, Daniele; Masini, Maurizio; Mandalà, Marco

doi:10.1016/b978-0-444-63437-5.00018-2

Cited by 61 publications

(46 citation statements)

References 68 publications

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“…Benign paroxysmal positional vertigo (BPPV) is probably the most common cause of episodic vertigo (1). It is caused by dislodged otoconia moving into one or more semicircular canals.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Repositioning Therapy in Patients With Benign Paroxysmal Positional Vertigo and Preexisting Central Neurologic Disorders

et al. 2018

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With the exception of migraines, benign paroxysmal positional vertigo (BPPV) in patients with preexisting central neurologic disorders (CND) is rarely discussed in the literature. Demographic features of this patient group and the efficacy of repositioning therapy are still unknown. We hypothesized that a CND may alter the function of the central vestibular pathway, thus changing the pattern of BPPV and outcomes of repositioning. In this study, we enrolled 93 consecutive idiopathic BPPV patients and categorized them into two groups according to the presence or absence of a CND. In our series, 31.2% of BPPV cases had a CND. The most common associated CNDs were cerebrovascular disease and migraines. The two groups showed similar age distributions, canal involvement, success rates of repositioning, and cycles of treatment used to achieve complete resolution. The major differences were the proportion of females (89.7%) and a right-side predominance (75.9%) in the CND group. There was a trend of more residual dizziness (RD) after successful repositioning in the CND group, but the difference was not significant. The reason for the female and right-side predominance in the CND group is unclear. We concluded that the efficacy of repositioning therapy was excellent (with a success rate of 80.6% with one cycle and 93.5% within two cycles of treatment) for BPPV with or without a preexisting CND. Clinicians are encouraged to diagnose and treat BPPV in patients with a preexisting CND as early as possible to improve patients' quality of life, avoid complications, and reduce medical costs.

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“…Benign paroxysmal positional vertigo (BPPV) is probably the most common cause of episodic vertigo (1). It is caused by dislodged otoconia moving into one or more semicircular canals.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Repositioning Therapy in Patients With Benign Paroxysmal Positional Vertigo and Preexisting Central Neurologic Disorders

et al. 2018

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show abstract

“…Another nystagmus is apogeotropic (toward the ceiling in both direction) and the nystagmus is more intense with the head turned to the unaffected side. Geotropic nystagmus is caused by otoconia situated in the posterior segment of the horizontal canal (canalolithiasis), whereas apogeotropic nystagmus is caused by otoconia situated in the anterior segment of the horizontal canal Auris Nasus Larynx 47 (2020) [48][49][50][51][52][53][54] (canalolithiasis), closer to the cupula, possibly attached to it (cupulolithiasis) [4].…”

Section: Introductionmentioning

confidence: 99%

Immediate efficacy of Gufoni maneuver for horizontal canal benign paroxysmal positional vertigo (HC-BPPV): a meta-analysis

Han

Chang

et al. 2020

Auris Nasus Larynx

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“…In addition, five out of six children were female, and four of them were aged 9‐14 years, that is, were of pubertal age. Hormonal effects are reported to underlie a higher incidence of BPPV in females . Whether BPPV in children is related to hormonal effects requires further investigation.…”

Section: Discussionmentioning

confidence: 99%

“…Another child (Patient 2) reported previous hearing loss in the same ear as that affected by BPPV. Generally, BPPV is not directly associated with deafness unless secondary to another condition,such as LVAS . However, LVAS usually presents with bilateral sensorineural hearing loss .…”

Section: Discussionmentioning

confidence: 99%