Benign Paroxysmal Positional Vertigo in Pregnancy

Çoban, Kübra; Yiğit, Nilüfer; Aydın, Erdinç

doi:10.5152/tao.2017.2079

Cited by 11 publications

(7 citation statements)

References 13 publications

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“…Although the link between BPPV and pregnancy is still unclear, some pregnant women have been first diagnosed with BPPV during pregnancy ( 47 ).…”

Section: Clinical Evidencementioning

confidence: 99%

Benign Paroxysmal Positional Vertigo Risk Factors Unique to Perimenopausal Women

Jeong

2020

Front. Neurol.

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Many investigations have found common occurrences of benign paroxysmal positional vertigo (BPPV) in women, and clinical experience has shown that BPPV can develop due to increased hormonal fluctuations, especially during menopause. Therefore, knowledge about neurochemicals and their involvement with BPPV is imperative for the management of neurological issues in women. This review will discuss appropriate gender-based considerations of BPPV based on experimental and clinical evidence. The studies describe 2 lines of evidence regarding the association of perimenopause in women and the development of BPPV: (1) experimental evidence: the existence of estrogen receptors in the inner ear, otoconial malformations in osteopenic/osteoporotic rats, changes in otoconin 90 caused by hormone replacement therapy, and impaired calcium absorption following estrogen deprivation corrected by estrogen replacement therapy and (2) clinical evidence: epidemiological aspects, osteoporosis and estrogen deficiency. Future studies are necessary to validate the effects of hormonal replacement therapy and phytoestrogen in women with recurrent BPPV.

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“…Although the link between BPPV and pregnancy is still unclear, some pregnant women have been first diagnosed with BPPV during pregnancy ( 47 ).…”

Section: Clinical Evidencementioning

confidence: 99%

Benign Paroxysmal Positional Vertigo Risk Factors Unique to Perimenopausal Women

Jeong

2020

Front. Neurol.

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“…The prevalence of dizziness/ vertigo was reported to be 10-52% in the studies conducted on pregnancy. 3,18 In the study of Scmith et al on 82 pregnant women, vertigo was reported for more than half the pregnant women (52%). 3 Agampodi et al ( 2013) found that 24% of 466 pregnant women experienced dizziness.…”

Section: Discussionmentioning

confidence: 99%

Association of Vertigo and Nausea and Vomiting of Pregnancy

Başkaya

İlçioğlu

Ünsal

2023

J. Contemp. Med. Sci.

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Objective: To determine the prevalence of vertigo during pregnancy, to review some variables believed to be associated, and to determine the association between vertigo and nausea and vomiting. Methods: This study is a cross-sectional study conducted on pregnant women between September 3 and November 30, 2020. The study group consisted of 560 pregnant women who agreed to take part in the study. Chi-square test and Logistic Regression Analysis (Stepwise Backward Wald Regression), Mann-Whitney U test and Kruskal-Wallis Analysis were used for analysis. P≤0.05 was accepted as statistical significance value. Results: The number of pregnant women with a history of vertigo was found to be 208 (37.1%). The symptoms that were most commonly reported by those with a history of vertigo were nausea and vomiting, headache and stumbling while walking, respectively. It was determined that the level of nausea and vomiting was higher in women with vertigo but there was no difference between the type and severity of vertigo and the level of nausea and vomiting. Conclusion: Vertigo is one of the important health problems in pregnancy. It was determined that the level of nausea and vomiting was higher in women with vertigo. Nausea and vomiting are the most common symptoms accompanying vertigo.

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“…Moreover, three of the four patients described, were diagnosed during the late gestational weeks, when sleeping and daily activities are usually restricted. They also suppose the usual attitude to sleep on their left sides as another risk factor for BPPV in pregnant women (24). Recently, there have been reports that calcium and vitamin D metabolism disorders are risk factors for BPPV.…”

Section: Discussionmentioning

confidence: 99%

Management of vertigo in pregnancy

et al. 2020

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Background. Pregnancy is a specific female physiological period characterized by significant changes, included otological and neurotological manifestations. Vestibular disorders like vertigo and dizziness, are common complaints from pregnant women to primary care. Objectives. The aim of this paper is to describe clinical pictures, evaluation methods and therapeutic options of acute vertigo in pregnancy with the related pathogenetic hypotheses. Method. We describe 11 cases of vertigo in pregnancy. All patients underwent audio-vestibular evaluation, consisting of pure-tone audiometry, impedance and clinical testing of the vestibular function, the "bed side examination". Results. Audiological evaluation showed normal puretone audiometry and impedance in 10 patients. Only in one case a sudden right total deafness was highlighted with vestibular areflexia, showing a secondary positional vertigo. Seven patients presented a benign paroxysmal positional vertigo (BPPV) effectively treated by liberatory maneuvers. Three patients had a diagnosis of vestibular neuritis and they were treated with corticosteroids therapy with a complete resolution of dizziness and vertigo in one month. Conclusions. Our results point out the importance of multidisciplinarity between otolaryngologist, neurologist and gynecologist. From a pathogenic point of view, the vascular etiology, strictly related to the gravidic hormonal variations, is often hypothesized. SOMMARIORazionale. La gravidanza costituisce un periodo di vita per la donna, caratterizzato da significativi cambiamenti di tipo fisiologico e adattativo, incluse possibili manifestazioni otoneurologiche. Disturbi vestibolari quali vertigini e instabilità, costituiscono una sintomatologia frequente nelle donne in gravidanza. Obiettivo. Scopo dell'articolo consiste nel descrivere specifici quadri clinici, metodi diagnostici e opzioni terapeutiche di vertigine acuta in gravidanza con relative ipotesi patogenetiche. Materiali e metodi. Descriviamo 11 casi di vertigine in gravidanza. Tutte le pazienti sono state sottoposte ad esame cocleovestibolare, ossia ad esame audiometrico tonale, esame impedenzometrico e esame vestibolare, clinico, la cosiddetta "bed side examination". Risultati. All'esame audiompedenzometrico, 10 pazienti risultavano normoacusiche. Solo in un caso è stata riscontrata un'anacusia destra improvvisa associata ad areflessia vestibolare e successiva vertigine posizionale. Sette pazienti hanno presentato una vertigine parossistica posizionale benigna (BPPV) trattata con le manovre liberatorie. A tre pazienti è stata diagnosticata una neurite vestibolare, trattata con terapia corticosteroidea e conseguente completa risoluzione della sintomatologia in un mese. Conclusioni. Alla luce dei risultati ottenuti, si dimostra fondamentale la multidisciplinarietà tra otorinolaringoiatra, neurologo e ginecologo. Da un punto di vista patogenetico, l'eziologia vascolare, strettamente correlata alle variazioni ormonali durante la gravidanza, è spesso ipotizzata.

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Benign Paroxysmal Positional Vertigo in Pregnancy

Cited by 11 publications

References 13 publications

Benign Paroxysmal Positional Vertigo Risk Factors Unique to Perimenopausal Women

Benign Paroxysmal Positional Vertigo Risk Factors Unique to Perimenopausal Women

Association of Vertigo and Nausea and Vomiting of Pregnancy

Management of vertigo in pregnancy

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