Demographic analysis of benign paroxysmal positional vertigo as a common public health problem

Abstract

Background:Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular problem. However, demographic analysis is few.Aim:The aim of this study was to document the demographic data of patients with BPPV regarding distribution of gender, age, associated problems, most common form, symptom duration, severity of nystagmus and cure rate.Subjects and Methods:A total of 263 patients with video-nystagmography confirmed BPPV were enrolled in this retrospective study (2009-2013). The data were collected in Anadolu Medical Center. Distribution of gender, age and affected side were reviewed. Associated problems were noted. Patients were analyzed according to the canal involvement, age, duration of symptoms, duration of nystagmus and recurrence. Mean values and standard deviations were calculated. One-way ANOVA test was used for the analysis of the data (Statistical Package for the Social Sciences 17.0 version, IBM, Chicago, III, USA). Statistical significance was set at P < 0.05.Results:Women were affected more frequently than men (1:1.5). Comparative analysis of average age between the two gender groups was not statistically significant (P = 0.84). BPPV was common at middle age group. The incidence of affected side was not significant (P = 0.74). Posterior canal-BPPV (PC-BPPV) was the most leading one (129/263; 49%) followed by lateral canal (LC)-canalolithiasis (60/263; 22.8%), LC-cupulolithiasis (38/263; 14.5%) and superior canal-BPPV (9/263; 3.4%). 55.1% of patients were defined as idiopathic (145/263). Associated problems were migraine (31/263; 11.8%), trauma (19/263; 7.2%), inner ear disorders (18/263; 6.8%) and other systemic problems (50/263; 19.1%). 72.6% of patients had symptoms <2 months (191/263). 23,6% of patients had intensive nystagmus lasting more than a minute regardless of canal involvement (62/263). 33% of patients required two or more maneuvers for the relief of symptoms (87/263).Conclusion:Symptoms are prone to recur in those of traumatic origin, associated inner ear problems and systemic disorders. As the prognostic factors are illuminated, preventive measures will be more effective and more patients will be cured properly.

Primary or secondary chronic functional dizziness: does it make a difference? A DizzyReg study in 356 patients

“…The mean age of all PPPD patients is in line with previous case series in functional dizziness [5,10]. The older mean age in s-PPPD can be best explained by the prerequisite of a preceding organic disease, which often favors older ages, e.g., BPPV [31]. Although p-and s-PPPD can occur at any ages, both groups showed a peak of the age distribution curve at 50-55 years.…”

“…Overall, female sex was slightly predominant in this PPPD cohort, especially in s-PPPD patients. This effect might be partly explained by female preponderance in some organic vertigo disorders, such as vestibular migraine [38,39] or BPPV [31,38,39]. However, earlier studies not only in functional dizziness [5,10], but also in other somatoform diseases with neurological symptoms, e.g., somatoform pain disorder [40] or non-epileptic seizures [41], also report a concurrent predominance of female gender, the reason for which might be complex.…”

Presence of Anxiety and Depression Symptoms Affects the First Time Treatment Efficacy and Recurrence of Benign Paroxysmal Positional Vertigo

“…The main characteristics of our patient population were comparable with those published in other relevant studies. For example, previous studies reported that the most common age of onset for BPPV is around 50 ( 1 ), and the number of women affected was 1.5-fold more than that of men ( 49 ). In our study, the mean age of patients was 53.90 ± 13.93 and the ratio of females to males was 1.76 (Table 1 ).…”

Asking about dizziness when turning in bed predicts examination findings for benign paroxysmal positional vertigo

“…[18,23]. Right ear BPPV is more common than the left [18,19,27,32], with more women affected than men (1.5:1) [20,21,31,33] and the incidence increases with age [28,31]. Posterior canal BPPV (p-BPPV) is most common, followed by horizontal canal BPPV (h-BPPV) [15].…”