Benign Paroxysmal Positional Vertigo and Clinical Test of Sensory Interaction and Balance in Ankylosing Spondylitis

Amor-Dorado, Juan Carlos; Barreira-Fernandez, Maria P.; Vázquez-Rodríguez, Tomás R.; Miranda‐Filloy, José A.; Llorca, Javier

doi:10.1097/mao.0b013e3182016534

Cited by 11 publications

(4 citation statements)

References 23 publications

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“…Amor-Dorado et al. 87 found that the incidence of BPPV among 59 patients with ankylosing spondylitis was low (10%). Modugno et al.…”

Section: Discussionmentioning

confidence: 99%

“…P erez et al 86 reported successful intratympanic methylprednisolone treatment in seven of nine patients with persistent posterior canal BPPV. Amor-Dorado et al 87 found that the incidence of BPPV among 59 patients with ankylosing spondylitis was low (10%). Modugno et al 88 found anti-thyroid antibodies in 27% of patients with BPPV and proposed the existence of immune complexmediated inner ear disease.…”

Section: Autoimmune Inflammatory or Rheumatologic Disordersmentioning

confidence: 99%

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Review of the pathology underlying benign paroxysmal positional vertigo

Yetışer

2019

J Int Med Res

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The pathophysiological mechanism underlying benign paroxysmal positional vertigo (BPPV) is related to free-floating debris/otoliths in the semicircular canal (canalolithiasis) or debris/otoliths attached to the cupula (cupulolithiasis). These debris/otoliths are considered to originally accumulate after detachment from the neuroepithelium of the utricular macula secondary to a type of degeneration. An idiopathic form, which is assumed to occur spontaneously, is diagnosed when the causative pathology is obscure. However, an association between various other systemic or inner ear conditions and BPPV has been reported, indicating the existence of secondary BPPV. This study was performed to present the first review of the pathology underlying BPPV following a complete PubMed/Medline search. In total, 1932 articles published from 1975 to 2018 were reviewed. The articles were classified according to 17 potentially causative factors (aging; migraine; Meniere's disease; infection; trauma; idiopathic sudden sensorineural hearing loss; sleeping habits; osteoporosis and vitamin D insufficiency; hyperglycemia and diabetes mellitus; chronic head and neck pain; vestibule or semicircular canal pathology; pigmentation disorders; estrogen deficiency; neurological disorders; autoimmune, inflammatory, or rheumatologic disorders; familial or genetic predisposition; and allergy). A discussion of the underlying cause of BPPV for each factor is presented.

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“…Amor-Dorado et al. 87 found that the incidence of BPPV among 59 patients with ankylosing spondylitis was low (10%). Modugno et al.…”

Section: Discussionmentioning

confidence: 99%

Section: Autoimmune Inflammatory or Rheumatologic Disordersmentioning

confidence: 99%

Review of the pathology underlying benign paroxysmal positional vertigo

Yetışer

2019

J Int Med Res

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“…There are studies that reported increased frequency of vestibular pathologies in patients with AS, which may be due to an intra labyrinthical autoimmune process or ischemia [22]. In a study that evaluated patients with psoriatic arthritis, which is another typeof spondyloarthritis, the frequency of bilateral symmetrical hearing loss and abnormal vestibular test results were higher than in the control group [23].…”

Section: Vestibular Systemmentioning

confidence: 98%

Ankylosing Spondylitis and Balance

Uçkun¹,

Sezer²

2017

Eurasian J Med

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Ankylosing spondylitis is a chronic inflammatory disease that mainly affects axial joints and the changes in the vertebrae cause typical kyphotic posture. In patients with ankylosing spondylitis, the postural changes, including cervical flexion, decreased lumbar lordosis, posterior rotation of pelvis, hip extension, knee flexion, and plantar flexion of ankle along with kyphosis, may occur in the upcoming terms of the disease and may negatively affect balance. Joint and eye involvements; muscular, vestibular and proprioceptional changes can also affect balance. This review evaluates the ankylosing spondylitis-equilibrium relationship together with posture and other parameters of balance.

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“…Therefore, these studies confirm the presence of inner ear compromise and audiovestibular dysfunction in patients with AS that may be the result of vascular involvement or due to a direct immune-mediated injury of the inner ear and it could provide justification for rheumatologists or physicians to screen for inner ear compromise in their AS population. [51,52].…”

Section: Secondary Vasculitismentioning

confidence: 99%