Falls at advanced age – The importance to search for benign paroxysmal positional vertigo (BPPV)

Krieger, Jasmin; Frackowiak, M.; Berger, Moritz; Heneka, Michael T.

doi:10.1016/j.exger.2022.111868

Cited by 4 publications

(3 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…BPPV is one of the most common peripheral vestibular diseases, and its diagnosis and treatment process are important for both the clinician and the patient [Wang et al, 2014;Gaur et al, 2015;Krieger et al, 2022]. Both the diagnosis and the treatment should be quick and accurate.…”

Section: Discussion/conclusionmentioning

confidence: 99%

Outcomes of Treatment of Multicanal Benign Paroxysmal Positional Vertigo by Means of TRV Chair

et al. 2022

View full text Add to dashboard Cite

Introduction: Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of peripheral vertigo and can manifest in different forms. Multicanal BPPV is rare and difficult to treat. TRV Chair is a method that offers diagnosis and treatment at the same time. The aim was to analyze the outcomes of treatment of multicanal BPPV by means of TRV Chair and compare those results with manual maneuvers. Methods: Forty-nine subjects aged 26–73 and diagnosed with multicanal BPPV were included. Appropriate maneuvers were performed on affected canals either by TRV Chair or manually. The number of maneuvers required by TRV Chair and manual maneuver were analyzed and compared. Results: The mean number of maneuvers performed until the treatment was completed in manual treatment group was 2.57 ± 1.03, and in TRV group, it was 2.25 ± 1.16. No significant difference was observed between the number of maneuvers performed in either group until the end of the treatment (p > 0.05). Discussion/Conclusions: Neither TRV Chair nor manual maneuvers were superior to the other in the treatment of multicanal BPPV cases.

show abstract

Section: Discussion/conclusionmentioning

confidence: 99%

Outcomes of Treatment of Multicanal Benign Paroxysmal Positional Vertigo by Means of TRV Chair

et al. 2022

View full text Add to dashboard Cite

show abstract

“…An experimental study on rats by Jang et al reported that otoconial degeneration occurs mostly in older ones [26]. Krieger et al indicated that BPPV should be put on the top of the differential diagnosis list of dizziness and falls in geriatric individuals [27]. However, a recent systematic review revealed that age is not considered a risk factor for the recurrence of BPPV [10].…”

Section: • Causesmentioning

confidence: 99%

Effect of Vitamin D Deficiency on the Occurrence and Recurrence of Benign Paroxysmal Positional Vertigo: A Narrative Review

Al-Ani,

Al-Rawi,

Aljuboori

et al. 2024

KJMS

View full text Add to dashboard Cite

Benign paroxysmal positional vertigo (BPPV) is a short-lived attack of rotatory vertigo provoked by certain head movements. The most acceptable theories for its pathogenesis are canalithiasis and cupulolithiasis as a result of the detachment of otoconia from the otolithic membrane. Although canal repositioning maneuvers resolve BPPV, recurrence is a common feature. During the last two decades, there is a revolution in research in understanding many aspects of this disorder. The advanced age, female gender, migraine, Meniere's disease, trauma, and infection are recognized examples of the BPPV causes. Vitamin D deficiency or insufficiency is considered a risk factor for the occurrence and recurrence of the disease as indicated by many investigations. Therefore, estimation of vitamin D serum level in all subjects with BPPV is highly recommended. In addition to canal repositioning procedures such as the Epley maneuver, vitamin D supplementation in patients with deficient or insufficient vitamin D is the best treatment for primary BPPV. In this review, we discussed the updating knowledge of the risk factors of BPPV as an initiator for the disease or a risk factor for its recurrence.

show abstract

“…Helminski et al 17 proposed the theory that freely floating otoconial debris has a higher density compared to endolymph and thus it settles due to gravity; it is hypothesized that sleep also plays some role in the pathogenesis of the disease as many patients acknowledge their first incidence when they move in bed after awakening. 18 Epley manoeuvre is considered to be the gold standard treatment of this condition. It is a simple, non-invasive, and office-based procedure.…”

Section: Graph No 1 Treatment Response Group a Vs Group Bmentioning

confidence: 99%

Comparison of Repetitive Modified Epley’s manoeuvre in single sitting vs. thrice daily In Refractory Benign Paroxysmal Positional Vertigo.

Amer Sabih Hydri,

Sana Muhammad Sadiq,

Ghulam Fareed

et al. 2023

j Muhammad Med Coll

View full text Add to dashboard Cite

Introduction: Benign paroxysmal positional vertigo (BPPV) was recognized by Robert Barany in 1921. It is the commonest cause of peripheral vertigo presenting to vertigo clinics. Among several treatment modalities, Epley manoeuvre carries a 90.7-96% cure rate. The modified Epley manoeuvre, a more convenient version and when conducted in the office by a skilled clinician, carries a greater chance of rapid recovery. It may be self-performed at home with a layman assistant. Objective: To compare the efficacy of modified Epley’s manoeuvre performed thrice daily with repetitive single sitting, till resolution of symptoms, in posterior canal benign paroxysmal positional vertigo (BPPV) patients. Methodology: This prospective comparative clinical study was conducted at Niazi welfare foundation teaching hospital, Sargodha from 1st February 2022 to 31st July 2022. 86 patients with refractory unilateral BPPV were included in the study and divided into two groups. Group A (n=44) patients had modified Epley manoeuvre performed repeatedly at intervals in a single sitting till the resolution of nystagmus. For group B (n=42) patients, Modified Epley manoeuvre was performed once in the clinic, followed by thrice daily manoeuvre done at home till the resolution of symptoms. The time to recovery, the improvement in vertigo (no nystagmus) after a week and recurrence rate among the two groups were evaluated. Result: For group A, 61.36% (n=27) patients became symptom-free after 2 attempts, while 100% (n=44) got relief after 5 attempts. For group B the earliest response was seen in 4 patients (9.52%) after 2 days (6 attempts) while 100% improvement (n=42) was seen after 4 days (12 attempts). Conclusion: Repeated modified Epley’s manoeuvre in a single sitting promptly reliev vertigo compared to thrice daily manoeuvres. Keywords: Benign paroxysmal positional vertigo, Nystagmus, Dix-Hallpike manoeuvre, Particle repositioning manoeuvre, Canalith, Modified Epley manoeuvre.

show abstract

Falls at advanced age – The importance to search for benign paroxysmal positional vertigo (BPPV)

Cited by 4 publications

References 22 publications

Outcomes of Treatment of Multicanal Benign Paroxysmal Positional Vertigo by Means of TRV Chair

Outcomes of Treatment of Multicanal Benign Paroxysmal Positional Vertigo by Means of TRV Chair

Effect of Vitamin D Deficiency on the Occurrence and Recurrence of Benign Paroxysmal Positional Vertigo: A Narrative Review

Comparison of Repetitive Modified Epley’s manoeuvre in single sitting vs. thrice daily In Refractory Benign Paroxysmal Positional Vertigo.

Contact Info

Product

Resources

About