The Effects of Systemic Disease on the Benign Paroxismal Positional Vertigo Attacks

Abstract

The aim of this study was to investigate the distribution of posterior canal benign paroxysmal positional vertigo (Pc BPPV) according to age and genders, which is the most common cause of peripheric vertigo. And also, to reveal the frequency of accompanying systemic diseases in this patient group and the any relationship of these systemic diseases on recurrent attacks. Materials and Methods: The present study is performed with 72 patients aged 21-83 years who applied to our clinic complain of peripheric vertigo and diagnosed as Pc BPPV with Dix-Hallpike maneuver. Age and gender distribution, time onset of the disease regarding less than thirty days and longer than thirty days, number of vertigo attacks regarding one attack and more than one attacks, history of head trauma and accompanying systemic disorders were recorded. Results: We determined that Pc BPPV was seen at the rate of 68.1% in females, 31.9% in males, 76.4% under the age of 40, and 23.6% over the age of 40. History of accompanying hypertension was found more frequent in patients with multiple attacks than patients with single attack, and this difference was statistically significant (p=0.002). However, there were statistically difference was not found with diabetes mellitus and other systemic diseases. Conclusion: Pc BPPV is the most common cause of peripheric vertigo which effects semicircular canals. It is more common in females and the age over forty years. Right ear is affected more than left side. The present study showed that cases with hypertensive patients more prone to recurrent attacks who diagnosed with Pc BPPV.

Comorbidities and the Effect of Comorbidities on Recurrence in Benign Paroxysmal Positional Vertigo

“…In addition, it was stated in the study that most of these studies were conducted in Asia, and it would be wrong to generalise to the world. Akkoca et al (7) reported that recurrent attacks were more common in patients with hypertension, with 72 BPPV patients in their study. They did not find a significant relationship between DM and other comorbidities and BPPV attacks.…”