Benign Paroxysmal Positional Vertigo Secondary to Mild Head Trauma

Balatsouras, Dimitrios G.; Koukoutsis, George; Aspris, Andreas; Fassolis, Alexandros; Moukos, Antonis; Economou, Nicolas C.; Katotomichelakis, Michael

doi:10.1177/0003489416674961

Cited by 53 publications

(41 citation statements)

References 30 publications

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“…The horizontal SCC BPPV has a prevalence exceeding 20% 49 of all cases in various reports, although according to other authors and in our own experience, its prevalence is quite lower, with a rate approaching 10%. 23 , 50 , 51 The frequency of anterior SCC involvement has been found, in some series, to be as high as 12%, 52 but according to our data and most of the relevant reports, its occurrence is much lower. 23 Anagnostou et al 53 in a systematic review estimated an occurrence of anterior SCC BPPV among patients with BPPV of 3% (range 1%–17.1%).…”

Section: Types Of Bppvsupporting

confidence: 50%

Benign paroxysmal positional vertigo in the elderly: current insights

Balatsouras

Koukoutsis

Fassolis

et al. 2018

CIA

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Balance disorders, unsteadiness, dizziness and vertigo in the elderly are a significant health problem, needing appropriate treatment. One third of elderly patients with vertigo were diagnosed with benign paroxysmal positional vertigo (BPPV), the most common cause of dizziness in both primary care specialist Neurology and Ear Nose Throat settings. BPPV presents a specific paroxysmal positional nystagmus which can be obtained using the appropriate diagnostic positional test and can be treated effectively using specific therapeutic maneuvers. This review presents current insights into the diagnostic, pathogenetic and therapeutic aspects of BPPV in the elderly. BPPV in older patients does not differ significantly from BPPV in younger patients, with regard to pathogenesis, diagnosis and treatment. However, in older patients, its prevalence is higher and it responds less effectively to treatment, having a tendency for recurrence. Specific issues which should be considered in the elderly are: 1) difficulty in obtaining an accurate history; 2) difficulty in performing the diagnostic and therapeutic maneuvers, which should be executed with slow and gentle movements and extremely cautiously to avoid any vascular or orthopedic complications; and 3) the relation between BPPV and falls.

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Section: Types Of Bppvsupporting

confidence: 50%

Benign paroxysmal positional vertigo in the elderly: current insights

Balatsouras

Koukoutsis

Fassolis

et al. 2018

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“…In mixed-type vertigo, most prevalent combinations seen are posterior and horizontal canal pathologies, as was the case with our patient [1, 2, 4]. In a multicenter study presented by Leopardi et al, in only 4.4% of BPPV cases were multi-canal etiologies observed, and the authors reported combination of posterior and horizontal canal pathologies as most frequently seen type of BPPV [9].…”

Section: Discussionsupporting

confidence: 77%

“…In a series of 345 cases of BPPV reported by Balatsouras et al, only 32 cases had multi-canal etiology, and 11 of those occurred after a traumatic event [1]. They also detected viral etiologies and chronic otitis as underlying factors.…”

Section: Discussionmentioning

confidence: 99%

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Posttraumatic Refractory Multi-Channel Benign Paroxysmal Positional Vertigo ‘'Case Report'’

Dündar

Derin

Arıcıgil

et al. 2016

North Clin Istanbul

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Benign paroxysmal positional vertigo (BPPV) is the most prevalent form of peripheral vertigo and is seen in a significant number of patients who present at neurology and ear, nose, and throat clinics. Various maneuvers may be used to determine the affected canal based on observation of specific nystagmus signs, and may also be used for treatment. Multiple canal pathology can make diagnosis and treatment more difficult. Presently described is case of BPPV with multiple canal pathology and traumatic etiology that was resistant to treatment.

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“…The causes of secondary BPPV are: trauma (head trauma, whiplash), Meniere's disease, vestibular neuritis, sudden hearing loss, migraine headaches (basal and vestibular), ear surgery (stapedectomy, cochlear implantation), paranasal sinuses and dental surgeries and long-term immobilization. Head injuries have been estimated to be the most frequent cause of secondary BPPV and they account for 8.5-20% of all BPPV cases [5][6][7][8].…”

Section: Resultsmentioning

confidence: 99%

Comparative evaluation of the diagnostic value of the VHIT and Dix-Hallpike test in patients with balance system disorders in out-patient healthcare practice and expertise preparation

et al. 2018

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Introduction: The aim of the paper was the comparative analysis of the diagnostic value of the Video Head Impulse Testing (VHIT) Ulmer I and Dix-Hallpike Test in patients with balance system disorders in out-patient practice and expertise preparation. Material and methods: The examination was performed in 63 patients aged 20-79, including 28 women aged 20-72 and 35 men aged 23-79, divided into two groups: Group I (study group) – 33 patients with mixed cause vertigo (on the basis of the Fitzgerald-Hallpike caloric test during the VNG examination), and Group II (reference group) – 30 healthy patients. After the ENT interview and physical examination, exclusion of pathological lesions in the external acoustic meatus and middle ear, each patient was subjected to a Fitzgerald-Hallpike caloric test during VNG examination, as well as a VHIT test and Dix-Hallpike test, with the evaluation of eyeball reaction during head rotation. Results: In the group of patients with mixed-cause vertigo (Group I), the Fitzgerald-Hallpike caloric test showed unilateral labyrinth deficiencies in 90.9% of the patients (with the average value of 41.8%) and relative directional preponderance with the average value of 19.0%, while in 9.1% of the patients, the detected values of labyrinth excitability were normal. In the examination of patients with vertigo, benign paroxysmal positional vertigo was diagnosed in 9.1% of cases. This diagnosis was based on the positive response to the Dix-Hallpike manoeuvre and indicative of damage to the posterior semicircular canal in the VHIT test (without signs of deficiency in the VNG examination). Conclusion: The VHIT test and Dix-Hallpike test enable quick and precise detection of benign paroxysmal positional vertigo in out-patient practice and expertise preparation.

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Benign Paroxysmal Positional Vertigo Secondary to Mild Head Trauma

Abstract: 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.

Cited by 53 publications

References 30 publications

Benign paroxysmal positional vertigo in the elderly: current insights

Benign paroxysmal positional vertigo in the elderly: current insights

Posttraumatic Refractory Multi-Channel Benign Paroxysmal Positional Vertigo ‘'Case Report'’

Comparative evaluation of the diagnostic value of the VHIT and Dix-Hallpike test in patients with balance system disorders in out-patient healthcare practice and expertise preparation

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