Features of Residual Dizziness after Canalith Repositioning Procedures for Benign Paroxysmal Positional Vertigo

Martellucci, Salvatore; Pagliuca, Giulio; Vincentiis, Marco de; Greco, Antonio; Virgilio, Armando De; Benedetti, Ferdinando Maria Nobili; Gallipoli, Camilla; Rosato, Chiara; Clemenzi, Veronica; Gallo, Andrea

doi:10.1177/0194599815627624

Cited by 61 publications

(81 citation statements)

References 34 publications

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“…31 A recent study confirmed a significant association with older age and anxiety, in particular with higher DHI questionnaire score in emotional domain, which appears to be the most important predictor factor for the occurrence of RD. 32 Concurrent chronic diseases including hypertension, diabetes mellitus, heart disease, and hyperlipidemia were not significantly correlated with RD. 17 …”

Section: Resultsmentioning

confidence: 90%

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

et al. 2017

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The benign paroxysmal positional vertigo (BPPV) is a vestibular disorder cause of vertigo. The BPPV may be corrected mechanically by repositioning maneuvers but even after successful maneuvers, some patients report residual dizziness for a certain period afterward. Early recognition and treatment might decrease the incidence of residual dizziness in patients with BPPV, especially in those patients with psychiatric comorbidities and in the elderly, lowering the risk of falling. Many pathogenetic hypotheses for residual dizziness are under debate.The purpose of this review was to identify, evaluate and review recent researches about possible causal factors involved in residual dizziness and the implications on clinical practice. A literature search was performed using different databases such as Pubmed and Scopus. The following search terms were used: residual dizziness, otolithic membrane and BPPV. The search found a total of 1192 titles, which were reduced to 963 after a procedure of de-duplication of the found titles. The research was then restricted to an interval of time comprised between 2000 and 2016 for a total of 800 titles. Among these titles, only those including the terms benign paroxysmal positional vertigo were considered eligible for this review. Only publications in English language were taken into consideration and we excluded those with not available abstract. Finally, 90 abstracts were obtained and critically evaluated by two different Authors, and additional studies were identified by hand searching from the references of artiche of interest. Only 53 were included in this work.

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Section: Resultsmentioning

confidence: 90%

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

et al. 2017

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“…The support utilization refers to the pattern of behavior that an individual utilizes when seeking social support. It is well known that anxiety and dizziness are comorbid symptom, and anxiety has been demonstrated to play a contributory role in dizziness [1][2][3]26]. In this study, for patients with RD, the ability to deal with daily work and interact with others was impaired because of the functional limitation in daily living, and the feelings of insecurity, anxiety, and depression experienced by patients as result of their disorders.…”

Section: Duan/fu/tang/liu/liu/chen/zhangmentioning

confidence: 79%

“…Benign Paroxysmal Positional Vertigo (BPPV), characterized by short repeated episodes of mild to intense vertigo triggered by changes in head position, and accompanied by imbalance and nausea, is the most common cause for peripheral vestibular vertigo [1,2]. The suggested pathophysiology is that otoconia derived from the utricular macula moves to the semicircular canal [3][4][5]. The movement of the otoconial matter due to gravity causes the flow of endolymph, which consequently induce vertigo and nystagmu.…”

Section: Introductionmentioning

confidence: 99%

“…The movement of the otoconial matter due to gravity causes the flow of endolymph, which consequently induce vertigo and nystagmu. Currently, the Canalith Repositioning Procedure (CRP), the main treatment of BPPV proposed by Epley, is the most widely prevalent as a first-line treatment of BPPV and has been found to be safe and effective [3][4][5][6][7]. However, some patients still complain residual symptoms even after disappearance of typical vertigo and nystagmus following a successful CRP.…”

Section: Introductionmentioning

confidence: 99%

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Social support reduces residual dizziness after canalith repositioning procedure in benign paroxysmal positional vertigo

Duan¹,

Fu²,

Tang³

et al. 2018

biomedicalresearch

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Objective: Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause for peripheral vestibular vertigo. However, some patients still complain Residual Dizziness (RD) even after a successful Canalith Repositioning Procedure (CRP). This study was to explore the features of RD and its association with social support. Subjects and methods: Between January 2015 and January 2016, 258 patients with BPPV were prospectively recruited in this study. The presence of RD was investigated after a successful CRP. Social Support Rating Scale (SSRS) and Dizziness Handicap Inventory (DHI) were adopted to evaluate the status of social support and the self-perceived handicapping effects of RD respectively. Results: Of them, 105 patients complained of RD after successful CRP. Univariate analysis indicated that the age, female sex, the length from BPPV onset to CRP and DHI score and SSRS score were significantly different between patients with RD and those without. After adjusting the confounding factors, multivariate logistic regression analysis suggested that the SSRS total score (OR 0.923, 95% CI 0.889-0.958, P=0.000) and the 3 subdomains of SSRS (subject support (OR 0.912, 95% CI 0.869-0.956, P=0.000), objective support (OR 0.889, 95% CI 0.799-0.989, P=0.031), and degree of social utilization (OR 0.825, 95% CI 0.716-0.951, P=0.008) ) were independently associated with the presence of RD after CRP. In conclusion, Residual dizziness is a common condition in patients with BPPV after CRP. Conclusion: Our study indicates that social support could help in reducing the incidence of RD in patients with BPPV after successfully CRP and returning to daily life more rapidly and comfortably.

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“…Aunque en la actualidad se acepta que el tratamiento gold standard del VPPB son las maniobras de reposición canalicular, algunos pacientes manifiestan en las semanas posteriores a su recuperación con este tratamiento, síntomas de mareo e inestabilidad persistente sin nistagmo ni sensación vertiginosa en posiciones estáticas o dinámicas posiblemente en relación con la alteración de la información propioceptiva y visual [28,29]. La aparición de este cuadro se ha relacionado con factores tales como la edad, el tiempo de evolución del cuadro de VPPB [30,31] o con un componente de ansiedad.…”

Section: Inestabilidad Residual Tras El Vértigo Posicional Paroxísticunclassified

Indicaciones de la rehabilitación vestibular

Alonso-Mesonero

Sánchez-Martínez

2019

ORL

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Introducción y objetivo: Desde la aplicación de la rehabilitación vestibular como tratamiento del paciente con mareo, las indicaciones han ido ampliándose en función del avance de los procedimientos aplicados, pasando de una terapia puramente física a otra en la que además, se usan instrumentos que aporta el avance tecnológico. En este capítulo, vamos a presentar las distintas indicaciones que hoy en día se han demostrado eficaces y aquellas que aún no han sido validadas a pesar de que muchos autores las defienden. Método: revisión narrativa. Resultados: Además de la utilidad de la rehabilitación vestibular en el déficit vestibular agudo, también lo es en diferentes patologías crónicas, aunque siguen quedando pendientes algunas cuestiones como conocer el momento idóneo de su aplicación. Discusión y conclusiones: la rehabilitación vestibular es fundamental en el tratamiento de muchos tipos de patología vestibular. Es importante tener en cuenta todas las indicaciones posibles para poder ofrecer al paciente un tratamiento adecuado que conlleve un mejor resultado terapéutico.

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Features of Residual Dizziness after Canalith Repositioning Procedures for Benign Paroxysmal Positional Vertigo

Cited by 61 publications

References 34 publications

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

Social support reduces residual dizziness after canalith repositioning procedure in benign paroxysmal positional vertigo

Indicaciones de la rehabilitación vestibular

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