1,847 results match your criteria Benign Paroxysmal Positional Vertigo


Dynamic visual acuity in benign paroxysmal positional vertigo.

Acta Otolaryngol 2018 Nov;138(11):987-992

a Department of ORL and HNS , Anadolu Medical Center , Kocaeli , Turkey.

Background: Head motions cause transient vertigo in patients with benign paroxysmal positional vertigo (BPPV) and may reduce visual ability.

Objectives: The aim is to investigate the clinical utility of dynamic visual acuity (DVA) test in those patients.

Material And Methods: Thirty patients, 11 with lateral canal BPPV (6 geotropic and 5 ageotropic), and 19 with posterior canal BPPV, were evaluated with DVA test during rapid horizontal (left and right) and vertical (up and down) head movements. Read More

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http://dx.doi.org/10.1080/00016489.2018.1498595DOI Listing
November 2018

Neurologic Conditions: Dizziness and Vertigo.

FP Essent 2019 Feb;477:29-39

University of South Alabama College of Medicine Department of Family Medicine, 1601 Center Street, 2N Mobile, AL 36604.

Dizziness is seen frequently in patients in the family medicine and emergency department settings. The differential diagnosis of dizziness can be expansive but with a targeted history and physical examination, a correct diagnosis often can be established and appropriate treatment offered. Common etiologies of dizziness include hypotension, benign paroxysmal positional vertigo (BPPV), and Meniere disease. Read More

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February 2019
1 Read

Acute Dizziness.

Semin Neurol 2019 Feb 11;39(1):27-40. Epub 2019 Feb 11.

Deparment of Emergency Medicine, Harvard Medical School, Boston, Massachusetts.

Dizziness is a common chief complaint with an extensive differential diagnosis that includes both benign and serious conditions. Physicians must distinguish the majority of patients who suffer from self-limiting conditions from those with serious illnesses that require acute treatment. The preferred approach to the diagnosis of an acutely dizzy patient emphasizes different aspects of the history to guide a focused physical examination, with the goal of differentiating benign peripheral vestibular conditions from dangerous posterior circulation strokes. Read More

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http://dx.doi.org/10.1055/s-0038-1676857DOI Listing
February 2019
1 Read

[Clinical analysis for 16 cases with atypical nystagmus of posterior semicircular canal benign paroxysmal positional vertigo].

Authors:
Z J Zhu Q Liu

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Nov;32(22):1687-1690;1695

Department of Otolaryngology Head and Neck Surgery,Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Ji'nan,250001,China.

To study clinical features and evaluate the efficacy of manual reduction in treatment of atypical nystagmus in patients with posterior semicircular canal benign paroxysmal positional vertigo(PSC-BPPV). Sixteen cases of atypical nystagmus in patients with PSC-BPPV were retrospectively analyzed. The results were compared with 28 patients of typical nystagmus with PSC-BPPV. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.22.001DOI Listing
November 2018

Otolith dysfunction in recurrent benign paroxysmal positional vertigo after mild traumatic brain injury.

Acta Otolaryngol 2019 Feb 2:1-4. Epub 2019 Feb 2.

b Department of Neurosurgery , Shandong Provincial Hospital Affiliated to Shandong University , Jinan , China.

Background: The pathogenesis of recurrence of traumatic benign paroxysmal positional vertigo (BPPV) is poorly understood by far.

Objectives: To evaluate the value of secondary otolith dysfunction using vestibular evoked myogenic potential (VEMP) test in the pathogenesis of recurrence of BPPV after mild traumatic brain injury (mTBI).

Material And Methods: We reviewed 42 patients with BPPV after mTBI. Read More

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http://dx.doi.org/10.1080/00016489.2018.1562214DOI Listing
February 2019
2 Reads

Correlations of Calcium Voltage-Gated Channel Subunit Alpha1 A (CACNA1A) Gene Polymorphisms with Benign Paroxysmal Positional Vertigo.

Med Sci Monit 2019 Feb 2;25:946-951. Epub 2019 Feb 2.

Department of Neurology, Baotou Central Hospital, Baotou, Inner Mongolia, China (mainland).

BACKGROUND The aim of this study was to investigate the correlations of calcium voltage-gated channel subunit alpha1 A (CACNA1A) gene polymorphisms with benign paroxysmal positional vertigo (BPPV). MATERIAL AND METHODS A total of 120 BPPV patients and 60 healthy controls were enrolled according to the diagnostic criteria in the Guideline of Diagnosis and Treatment of Benign Paroxysmal Positional Vertigo (2017). Clinical and biochemical data were collected, the rs2074880 (T/G) polymorphisms in the CACNA1A gene were detected using TaqMan-MGB probe method, and the correlations of BPPV with predisposing factors were analyzed through logistic analysis. Read More

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https://www.medscimonit.com/abstract/index/idArt/912359
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http://dx.doi.org/10.12659/MSM.912359DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368824PMC
February 2019
3 Reads

Features of the clinical picture in patients of middle age with essential hypertension.

Ter Arkh 2018 Sep;90(9):15-26

Federal State Autonomous Educational Institution of the higher eduction Evdokimov Moscow State Medical-Stomatological University of the Ministry of Health of Russia, Moscow, Russia.

Aim: To evaluate the presence and the severity of the complaints (headache, dizziness, memory loss, concentration of attention, sleep disturbances, decreased mood, increased anxiety), the state of cognitive functions, emotional status and quality of night sleep in treatment-naïve middle-aged patients with mild to moderate EAH compared to healthy volunteers of the same age.

Materials And Methods: 103 treatment-naïve patients with EAH aged 40-59 years at the enrollment, who met the inclusion/exclusion criteria and provided written informed consent (46 men, mean age 53.6±0. Read More

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http://dx.doi.org/10.26442/terarkh201890915-26DOI Listing
September 2018
2 Reads

Diagnosis and treatment choices of suspected benign paroxysmal positional vertigo: current approach of general practitioners, neurologists, and ENT physicians.

Eur Arch Otorhinolaryngol 2019 Jan 29. Epub 2019 Jan 29.

Clinic of Neurology and Neurosurgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Purpose: Benign paroxysmal positional vertigo (BPPV) is a frequently underdiagnosed cause of vertigo, potentially due to the underuse of diagnostic and therapeutic canalith repositioning procedures (CRPs). We aimed to investigate self-reported use of the diagnostic and therapeutic approach to BPPV patients by Lithuanian neurologists, ear, nose, and throat (ENT) physicians, and general practitioners (GPs), and to explore potential reasons for the underuse of the maneuvers.

Methods: Neurologists, ENT physicians, and GPs were invited to complete a written questionnaire focused on diagnostic and therapeutic practices related to BPPV. Read More

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http://dx.doi.org/10.1007/s00405-019-05313-yDOI Listing
January 2019

Poor Treatment Outcomes Following Repositioning Maneuvers in Younger and Older Adults With Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-analysis.

J Am Med Dir Assoc 2019 Feb;20(2):224.e1-224.e23

School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.

Objective: This systematic review aimed to methodically review the available evidence on poor treatment outcomes after repositioning maneuver treatments in adults with BPPV and whether there are differences in the outcomes for older and younger adults.

Data Sources: Embase, CINAHL, Scopus, PsycINFO (Ovid), Central Register of Controlled Trials (CENTRAL), and PubMed.

Review Methods: Studies were included if they were prospective experimental or observational studies with a minimal follow-up of 1 month; the subjects were at least 18 years old, had BPPV, and were treated with repositioning maneuvers. Read More

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http://dx.doi.org/10.1016/j.jamda.2018.11.019DOI Listing
February 2019

Analysis of cost and effectiveness of treatment in benign paroxysmal positional vertigo.

Chin Med J (Engl) 2019 Feb;132(3):342-345

Department of Neurology, the Northern Area of Suzhou Municipal Hospital, Suzhou, Jiangsu 215000, China.

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http://dx.doi.org/10.1097/CM9.0000000000000063DOI Listing
February 2019

Association Between Migraine and Benign Paroxysmal Positional Vertigo Among Adults in South Korea.

JAMA Otolaryngol Head Neck Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine, Anyang, South Korea.

Importance: Patients with migraine often experience various types of vertigo, and several studies have suggested an epidemiologic and physiologic association of migraine and vertigo with vestibule. However, few researchers have investigated the association between migraine and benign paroxysmal positional vertigo (BPPV).

Objective: To determine the incidence of BPPV in individuals with migraine in a large national population-based sample. Read More

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http://dx.doi.org/10.1001/jamaoto.2018.4016DOI Listing
January 2019
1 Read

Effects of treatment on anxiety levels among patients with benign paroxysmal positional vertigo.

Eur Arch Otorhinolaryngol 2019 Jan 21. Epub 2019 Jan 21.

Department of Emergency Medicine, Keçiören Education and Research Hospital, Ankara, Turkey.

Purpose: The association of vertigo with anxiety disorders is well known. Herein, we aimed to determine the relationship between pre-treatment and post-treatment anxiety levels, assessed with Beck anxiety inventory, with educational status among patients diagnosed with and treated for Benign paroxysmal positional vertigo (BPPV), and to evaluate the effect of treatment on the sub-parameters of the Beck anxiety inventory.

Methods: Our study included a total of 33 patients that presented to the otorhinolaryngology outpatient clinic with acute vertigo and were diagnosed to have posterior canal BPPV. Read More

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http://dx.doi.org/10.1007/s00405-019-05297-9DOI Listing
January 2019
2 Reads

Isolated horizontal canal hypofunction differentiating a canalith jam from an acute peripheral vestibular loss.

Am J Otolaryngol 2018 Dec 7. Epub 2018 Dec 7.

ENT & Audiology Unit, Department of Experimental Diagnostic and Specialty Medicine (DIMES), S. Orsola - Malpighi University Hospital, Via Massarenti 9, 40138 Bologna, Italy.

Objectives: To describe a unique case of acute vertigo presenting with spontaneous horizontal nystagmus (SHN) and a clinical picture consistent with right acute peripheral vestibular loss (APVL) in which an isolated hypofunction of a horizontal semicircular canal (HSC) permitted to detect a spontaneous canalith jam and treat the patient accordingly.

Methods: Case report and literature review.

Results: A 74-year old woman presented with acute vertigo, left-beating SHN and a clinical picture consistent with right APVL. Read More

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http://dx.doi.org/10.1016/j.amjoto.2018.12.005DOI Listing
December 2018

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.

Otolaryngol Pol 2018 Sep;72(6):37-43

Department of Otolaryngology and Laryngological Oncology, Audiology and Phoniatrics II Chair of Otolaryngology, Medical University in Lodz, Poland.

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. Read More

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http://dx.doi.org/10.5604/01.3001.0012.5421DOI Listing
September 2018
2 Reads

Probable Benign Paroxysmal Positional Vertigo Converts into Definite BPPV in One in Six Patients.

J Int Adv Otol 2018 Dec;14(3):456-458

Clinic of Neurology, Gelre ziekenhuizen, Apeldoorn, Netherlands.

Objective: Patients with positional vertigo who have a positive Dix-Hallpike (DH) test are diagnosed as having definite benign paroxysmal positional vertigo (BPPV), and those who have a negative DH test as having probable BPPV. Little is known about the course of the disease in the latter group. The aim of the present study was to assess how many patients with probable BPPV convert into having a positive DH test during follow-up. Read More

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http://dx.doi.org/10.5152/iao.2018.4862DOI Listing
December 2018

Clinical features of benign paroxysmal positional vertigo of the posterior semicircular canal.

SAGE Open Med 2019 2;7:2050312118822922. Epub 2019 Jan 2.

Audiology and ENT Clinic, University of Ferrara, Ferrara, Italy.

Objective: The aim of this study was to evaluate the relationship between age, gender and affected ear, in patients presenting benign paroxysmal positional vertigo.

Methods: This was a retrospective study. Data from benign paroxysmal positional vertigo clinical reports (January 2009-December 2014) were analysed. Read More

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http://dx.doi.org/10.1177/2050312118822922DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317147PMC
January 2019
1 Read

Increased Risk of Benign Paroxysmal Positional Vertigo in Patients With a History of Sudden Sensory Neural Hearing Loss: A Longitudinal Follow-up Study Using a National Sample Cohort.

Otol Neurotol 2019 Feb;40(2):e135-e141

Department of Laboratory Medicine, Hallym University College of Medicine, Anyang.

Objective: To evaluate the association between benign paroxysmal positional vertigo (BPPV) and sudden sensorineural hearing loss (SSNHL) using a national sample cohort from Korea.

Methods: Data from the years 2002 through 2013 were collected for individuals aged more than or equal to 20 years from the Korean National Health Insurance Service-National Sample Cohort. SSNHL was classified based on the International Classification of Disease-10 (ICD-10) code H91. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002084DOI Listing
February 2019

Physical Therapy Management of Adults with Mild Traumatic Brain Injury.

Semin Speech Lang 2019 Feb 7;40(1):36-47. Epub 2019 Jan 7.

Physical Therapy Program, Mary Baldwin University, Staunton, Virginia.

Rehabilitation for individuals after mild traumatic brain injury (mTBI) or concussion requires emphasis on both cognitive and physical rest, with a gradual return to activity including sports. As the client becomes more active, the rehabilitation professional should pay close attention to symptoms associated with mTBI, such as headache, dizziness, nausea, and difficulty concentrating. The systematic approach to return to play provided by the Berlin Consensus Statement on Concussion in Sport can apply to adults with mTBI. Read More

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http://dx.doi.org/10.1055/s-0038-1676652DOI Listing
February 2019
1 Read

Inflammatory biomarkers in benign paroxysmal positional vertigo: A Turkey case-control study.

Ideggyogy Sz 2018 Nov;71(11-12):411-416

Clinic of Neurology, Sakarya University, Sakarya Training and Research Hospital, Sakarya, Turkey.

Objective - Benign paroxysmal positional vertigo (BPPV) is the most common cause of recurrent vertigo. Inflammation is a hypothetic etiological factor in BPPV. The aim of this study was to evaluate inflammatory biomarker levels in BPPV patients and compare these with the healthy subjects. Read More

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http://www.elitmed.hu/kiadvanyaink/ideggyogyaszati-szemle/gy
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http://dx.doi.org/10.18071/isz.71.0411DOI Listing
November 2018
2 Reads

Implementation of evidence-based practice for benign paroxysmal positional vertigo: DIZZTINCT- A study protocol for an exploratory stepped-wedge randomized trial.

Trials 2018 Dec 22;19(1):697. Epub 2018 Dec 22.

Department of Neurology, University of Michigan, Ann Arbor, MI, USA.

Background: Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder, and accounts for 8% of individuals with moderate or severe dizziness. BPPV patients experience substantial inconveniences and disabilities during symptomatic periods. BPPV therapeutic processes - the Dix-Hallpike Test (DHT) and the Canalith Repositioning Maneuver (CRM) - have an evidence base that is at the clinical practice guideline level. Read More

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http://dx.doi.org/10.1186/s13063-018-3099-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303863PMC
December 2018
2.117 Impact Factor

Peripheral vestibular disorders: an update.

Curr Opin Neurol 2019 Feb;32(1):165-173

Otology & Neurotology Group CTS495, Department of Genomic Medicine- Centro de Genómica e Investigación Oncológica - Pfizer/Universidad de Granada/ Junta de Andalucía (Genyo), PTS.

Purpose Of Review: To provide an update on the most frequent peripheral vestibular disorders.

Recent Findings: The on-going classification of vestibular disorders by the Bárány Society represents major progress. The diagnosis of bilateral vestibulopathy (BVP) requires quantitative testing of vestibular function. Read More

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http://dx.doi.org/10.1097/WCO.0000000000000649DOI Listing
February 2019
1 Read

Aging Is a Risk Factor for Utricular Dysfunction in Idiopathic Benign Paroxysmal Positional Vertigo.

Front Neurol 2018 3;9:1049. Epub 2018 Dec 3.

Department of Otolaryngology, Tokyo Teishin Hospital, Tokyo, Japan.

Benign paroxysmal positional vertigo (BPPV) is the most common cause of balance disorders in the elderly. Dislodgement of the otoconia in BPPV might have an association with damage to the otolith organs. The aim of this study was to investigate whether aging is a risk factor for otolith organ dysfunction in idiopathic BPPV. Read More

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http://dx.doi.org/10.3389/fneur.2018.01049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287371PMC
December 2018

Benign paroxysmal positional vertigo and osteoporosis.

Authors:
Shih-Wei Lai

Eur Arch Otorhinolaryngol 2019 Jan 15;276(1):279. Epub 2018 Dec 15.

College of Medicine, China Medical University, Taichung, 404, Taiwan.

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http://dx.doi.org/10.1007/s00405-018-5255-2DOI Listing
January 2019

[Analysis of nystagmus and medical history of 121 patients positive with positional test].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Oct;32(19):1491-1494

Department of Otolaryngology, Kuang Tien General Hospital, Taichung, Taiwan.

To observe the characteristics of positional nystagmus and clinical profile of patients with positive positional test, and to explore its possible pathogenesis. One hundred and twenty-one patients with positive positional test in the vestibular function examination were enrolled in the Peking University International Hospital from January to June in 2017. According to the 2017 BPPV guidelines, patients with test positive positional nystagmus were divided into two groups: definite BPPV and the controversial syndrome. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.19.012DOI Listing
October 2018

[The clinical characteristics of the evoked nystagmus in the non-affected side during Dix-Hallpike test in the unilateral posterior semicircular canal benign paroxysmal positional vertigo].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Oct;32(19):1451-1454

Department of Otolaryngology Head and Neck Surgery, the First Hospital, Shanxi Medical University, Shanxi Key Laboratory of Otorhinolaryngology Head and Neck Cancer, Key Institute and Laboratory of Otolaryngology Affiliated with Shanxi Province.

To investigate the clinical characteristics of the evoked nystagmus in the non-affected side during Dix-Hallpike test(D-H test)in unilateral posterior semicircular canal benign paroxysmal positional vertigo(PC-BPPV). Two hundred and thirty-six patients were diagnosed with unilateral PC-BPPV in the Tinnitus and Dizziness clinic.Among them,14 patients exhibited positive nystagmus when the non-affected side was stimulated by D-H test. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.19.002DOI Listing
October 2018

[Characteristics analysis of patients with benign paroxysmal positional vertigo-spontaneously cured].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Sep;32(18):1426-1428

Department of Otolaryngology Head and Neck Surgery, Dalian Municipal Central Hospital Affiliated of Dalian Medical University.

To analyze the characteristics of patients with benign paroxysmal positional vertigo which were spontaneously cured. A total of 1 257 patients with chief complaint of positional vertigo were included and analyzed retrospectively, in which 921 cases were diagnosed as BPPV with the diagnosis standard of Guiyang meeting, and the other 336 cases were negative in the positional test diagnosed as BPPV-spontaneously cured. The age,gender and history course of the two groups were analyzed respectively. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.18.015DOI Listing
September 2018
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[Interpretation of updated version of BPPV clinical practice guideline: treatment and patient education].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Sep;32(18):1367-1371

In 2008, American Academy of Otorhinolaryngology Head and Neck Surgery(AAOHNSF) published the first clinical practice guideline for benign paroxysmal positional vertigo (BPPV), in which 13 key action statements for BPPV diagnosis, treatment, and patient education were proposed. The updated version of guideline was published in 2017. This article aimed at interpreting the updated guideline with particular focus on BPPV treatment and patient education. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.18.001DOI Listing
September 2018
1 Read

[Clincal analysis of missed diagnosis and misdiagnosis of benign paroxysmal positional vertigo].

Authors:
X Wang Y S Xu

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Dec;32(24):1904-1905

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.24.014DOI Listing
December 2018

Risk factor of benign paroxysmal positional vertigo in trauma patients: A retrospective analysis using Korean trauma database.

Medicine (Baltimore) 2018 Dec;97(49):e13150

Department of Trauma Surgery, Ujeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Benign paroxysmal positional vertigo (BPPV) is a comorbid condition prevalent in patients recovering from trauma. Due to the paucity of studies investigating the etiology of this condition, the present study sought to analyze the high-risk group of BPPV patients following trauma.Trauma patients visiting the emergency department from January to December 2016 were enrolled. Read More

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http://dx.doi.org/10.1097/MD.0000000000013150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310538PMC
December 2018

[Significance of the items for Dizziness Handicap Inventory in differential diagnosis of benign paroxysmal positional vertigo].

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2018 Oct;43(10):1145-1150

Department of Otorhinolaryngology Head and Neck Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.

Objective: To explore the value of items for the Chinese version of Dizziness Handicap Inventory (DHI) in differential diagnosis of benign paroxysmal positional vertigo (BPPV) in patients with vertigo or dizziness first coming to the outpatient clinic.
 Methods: A total of 322 patients with vertigo or dizziness, who came from Nanfang Hospital, Southern Medical University, were enrolled from April 2016 to February 2017. The Chinese version of DHI and Visual Analogue Scale (VAS) were completed by themselves. Read More

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http://dx.doi.org/10.11817/j.issn.1672-7347.2018.10.016DOI Listing
October 2018
1 Read

Increased Risk of Benign Paroxysmal Positional Vertigo in Patients With Non-Apnea Sleep Disorders: A Nationwide, Population-Based Cohort Study.

J Clin Sleep Med 2018 Dec 15;14(12):2021-2029. Epub 2018 Dec 15.

School of Public Health, National Defense Medical Center, Taipei, Taiwan, Republic of China.

Study Objectives: To investigate the association between non-apnea sleep disorders (NSD) and subsequent benign paroxysmal positional vertigo (BPPV) risk.

Methods: This retrospective cohort study was conducted using the Taiwan National Health Insurance Research Database from 2000 to 2013. We established an NSD group (n = 24,624) and an age-, sex- and index year-matched comparison group (n = 98,496). Read More

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http://dx.doi.org/10.5664/jcsm.7528DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287718PMC
December 2018
7 Reads
3.053 Impact Factor

[Approach to patients with vertigo].

Medicina (B Aires) 2018 ;78(6):410-416

Servicio de Otorrinolaringología, Hospital Británico de Buenos Aires, Argentina.

Vertigo is defined as an abnormal sensation of body motion or of its surrounding objects. It is a common chief complaint in emergency departments comprising 2 to 3% of these consultations worldwide. Vertigo is classified as peripheral or central, according to its origin, and can also be occasionally mixed, the most common cause of peripheral involvement being benign paroxysmal positional vertigo. Read More

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January 2018
15 Reads

Osteoporosis increases the risk of benign paroxysmal positional vertigo: a nested case-control study using a national sample cohort.

Eur Arch Otorhinolaryngol 2018 Dec 3. Epub 2018 Dec 3.

Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University College of Medicine, 59, Yatap-ro, Bundang-gu, Seongnam, Gyeonggi-do, 13496, South Korea.

Introduction: The previous studies suggested an association between osteoporosis and sudden sensory neural hearing loss (SSNHL). The aim of the present study was to evaluate the association between osteoporosis and benign paroxysmal positional vertigo (BPPV).

Materials And Methods: Data from the Korean National Health Insurance Service-National Sample Cohort of participants who were ≥ 50 years old were collected from 2002 to 2013. Read More

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http://link.springer.com/10.1007/s00405-018-5230-y
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http://dx.doi.org/10.1007/s00405-018-5230-yDOI Listing
December 2018
18 Reads

Effectiveness of the Epley manoeuvre in posterior canal benign paroxysmal positional vertigo: a randomised clinical trial in primary care.

Br J Gen Pract 2019 Jan 3;69(678):e52-e60. Epub 2018 Dec 3.

Unitat de Suport a la Recerca Barcelona, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, and Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), and Equip d'Atenció Primària Badia del Valles, Servei d'Atenció Primària Vallés Occidental, Unitat de Suport a la Recerca Barcelona Metropolitana Nord, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Mataró, Spain.

Background: Evidence on the effectiveness of the Epley manoeuvre in primary care is scarce.

Aim: To evaluate effectiveness at 1 week, 1 month, and 1 year of a single Epley manoeuvre versus a sham manoeuvre in primary care.

Design And Setting: Multicentre, double-blind randomised controlled trial in two primary care practices in Spain from November 2012 to January 2015. Read More

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http://dx.doi.org/10.3399/bjgp18X700253DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6301349PMC
January 2019
1 Read

Direction-Changing and Direction-Fixed Positional Nystagmus in Patients With Vestibular Neuritis and Meniere Disease.

Clin Exp Otorhinolaryngol 2018 Dec 5. Epub 2018 Dec 5.

Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Objectives: Direction-changing positional nystagmus (PN) was considered to indicate the presence of benign paroxysmal positional vertigo involving lateral semicircular canal in most cases. We investigated the incidence of PN on the supine head-roll test and compared the characteristics of nystagmus in patients with vestibular neuritis (VN) and Meniere disease (MD).

Methods: A retrospective review of patients, who were diagnosed with unilateral VN or unilateral definite MD between September 2005 and November 2011, was conducted. Read More

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http://dx.doi.org/10.21053/ceo.2018.00038DOI Listing
December 2018
1 Read

Clinical utility of cervical vestibular-evoked myogenic potentials in predicting residual dizziness after benign paroxysmal positional vertigo.

Clin Neurophysiol 2019 Jan 22;130(1):95-100. Epub 2018 Nov 22.

Department of Otorhinolaryngology-Head and Neck Surgery, Chung-Ang University College of Medicine, Seoul, Republic of Korea. Electronic address:

Objectives: In the present study, the value of cervical vestibular-evoked myogenic potential (cVEMP) as a predictive factor for residual dizziness after recovery of benign paroxysmal positional vertigo (BPPV) was evaluated.

Methods: The present study included 65 patients who had BPPV and underwent cVEMP testing. Patients were divided into two groups depending on the presence or absence of residual dizziness after recovery of BPPV. Read More

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http://dx.doi.org/10.1016/j.clinph.2018.11.005DOI Listing
January 2019
3 Reads

A novel use of intratympanic dexamethasone for intractable posterior canal benign paroxysmal positional vertigo: report of two cases.

Authors:
A Kelkar I Johnson

J Laryngol Otol 2018 Dec 29;132(12):1147-1149. Epub 2018 Nov 29.

Department of ENT,Newcastle upon Tyne Hospitals NHS Foundation Trust,UK.

Background: Benign paroxysmal positional vertigo is a common inner-ear pathology, characterised by episodic vertigo lasting for a few seconds that is associated with sudden change in the head position. Benign paroxysmal positional vertigo is treated with canalolith repositioning manoeuvres. Intractable vertigo describes a small group of patients who either do not improve with canalolith repositioning manoeuvres (persistent cases) or who relapse after improvement of initial symptoms (recurrent cases). Read More

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http://dx.doi.org/10.1017/S0022215118002037DOI Listing
December 2018

Subjective benign paroxysmal positional vertigo in patients with osteoporosis or migraine.

Braz J Otorhinolaryngol 2018 Nov 6. Epub 2018 Nov 6.

Hospital Infanta Luisa, Sevilla, Spain.

Introduction: Subjective benign paroxysmal positional vertigo is a form of benign paroxysmal positional vertigo in which during the diagnostic positional maneuvers patients only present vertigo symptoms with no nystagmus.

Objective: To study the characteristics of subjects with subjective benign paroxysmal positional vertigo.

Methods: Prospective multicenter case-control study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18088694183029
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http://dx.doi.org/10.1016/j.bjorl.2018.10.003DOI Listing
November 2018
8 Reads

Vestibular dysfunction and concussion.

Handb Clin Neurol 2018 ;158:135-144

Baylor Institute for Rehabilitation, Frisco, TX, United States.

The assessment and treatment of sport-related concussion (SRC) often requires a multifaceted approach. Vestibular dysfunction represents an important profile of symptoms and pathology following SRC, with high prevalence and association with prolonged recovery. Signs and symptoms of vestibular dysfunction may include dizziness, vertigo, disequilibrium, nausea, and visual impairment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/B97804446395470
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http://dx.doi.org/10.1016/B978-0-444-63954-7.00014-8DOI Listing
January 2018
17 Reads

Disorders of the inner-ear balance organs and their pathways.

Handb Clin Neurol 2018 ;159:385-401

Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Central Clinical School, University of Sydney, Sydney, NSW, Australia; Neurology Department, Royal Prince Alfred Hospital, Central Clinical School, University of Sydney, Sydney, NSW, Australia. Electronic address:

Disorders of the inner-ear balance organs can be grouped by their manner of presentation into acute, episodic, or chronic vestibular syndromes. A sudden unilateral vestibular injury produces severe vertigo, nausea, and imbalance lasting days, known as the acute vestibular syndrome (AVS). A bedside head impulse and oculomotor examination helps separate vestibular neuritis, the more common and innocuous cause of AVS, from stroke. Read More

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https://linkinghub.elsevier.com/retrieve/pii/B97804446391650
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http://dx.doi.org/10.1016/B978-0-444-63916-5.00025-2DOI Listing
January 2018
10 Reads

Smartphone telemedical emergency department consults for screening of nonacute dizziness.

Laryngoscope 2019 Feb 26;129(2):466-469. Epub 2018 Nov 26.

Department of Otolaryngology, University of Connecticut School of Medicine, Farmington, Connecticut, U.S.A.

Objectives/hypothesis: Each year, the United States spends over $4 billion on emergency department visits for evaluation of dizziness. Benign paroxysmal positional vertigo (BPPV) is a common cause of dizziness that can easily be diagnosed by observing characteristic eye movements during the Dix-Hallpike test (DHT). The DHT is easily performed; however, interpretation requires more advanced training. Read More

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http://dx.doi.org/10.1002/lary.27424DOI Listing
February 2019
2 Reads

Efficacy of betahistine plus cognitive behavioral therapy on residual dizziness after successful canalith repositioning procedure for benign paroxysmal positional vertigo.

Neuropsychiatr Dis Treat 2018 5;14:2965-2971. Epub 2018 Nov 5.

Department of Pediatrics, Yongchuan Hospital of Chongqing Medical University, Chongqing, China,

Background: Some patients still complain of residual dizziness after successful canalith repositioning procedure (CRP) for benign paroxysmal positional vertigo (BPPV). Previous study found that compared to the low-dose betahistine, the high-dose betahistine could yield better efficacy in treating residual dizziness. Therefore, this study was conducted to assess whether the addition of cognitive behavioral therapy (CBT) could make low-dose betahistine produce similar results to high-dose betahistine in treating residual dizziness. Read More

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http://dx.doi.org/10.2147/NDT.S182809DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223332PMC
November 2018
13 Reads

Benign paroxysmal positional vertigo in the elderly: current insights.

Clin Interv Aging 2018 5;13:2251-2266. Epub 2018 Nov 5.

Department of ENT, Nicosia General Hospital, Nicosia, Cyprus.

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. Read More

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http://dx.doi.org/10.2147/CIA.S144134DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223343PMC
January 2019
13 Reads

Vestibular rehabilitation: advances in peripheral and central vestibular disorders.

Curr Opin Neurol 2019 Feb;32(1):137-144

Department of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania.

Purpose Of Review: Rehabilitation for persons with vertigo and balance disorders is becoming commonplace and the literature is expanding rapidly. The present review highlights recent findings of both peripheral and central vestibular disorders and provides insight into evidence related to new rehabilitative interventions. Risk factors will be reviewed to create a better understanding of patient and clinical characteristics that may effect recovery among persons with vestibular disorders. Read More

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http://dx.doi.org/10.1097/WCO.0000000000000632DOI Listing
February 2019
23 Reads

A Systematic Review of the Reported Proportions of Diagnoses for Dizziness and Vertigo.

Otol Neurotol 2019 Jan;40(1):6-15

School of Allied Health, Australian Catholic University.

Objectives: To determine the typical proportions of diagnoses for patients presenting with dizziness or vertigo based on clinical speciality and to assess the change in proportions of diagnoses over time.

Data Sources: Following PRISMA guidelines, systematic searches of PubMed and CINAHL databases and follow-up reference searches were performed for articles published in English up to October 2016.

Study Selection: Analysis of searches yielded 42 studies meeting the criteria of case series of adult patients with dizziness and/or vertigo presenting to general practice, emergency departments or specialist outpatient clinics. Read More

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http://Insights.ovid.com/crossref?an=00129492-900000000-9658
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http://dx.doi.org/10.1097/MAO.0000000000002044DOI Listing
January 2019
3 Reads

Patterns of nystagmus conversion in sudden sensorineural hearing loss with vertigo.

Medicine (Baltimore) 2018 Oct;97(43):e12982

The patients with sudden sensorineural hearing loss (SSNHL) may complain of vertigo. Although there have been many reports on SSNHL with vertigo (SSNHL_V), changes in the pattern of nystagmus have not been studied as yet. This study is a retrospective study and aims to investigate the characteristic changes in type of nystagmus and clinical features in patients with SSNHL_V who experienced a change in their nystagmus pattern during follow-up. Read More

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http://dx.doi.org/10.1097/MD.0000000000012982DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221715PMC
October 2018

Two-Hour Follow-Up is Equivalent to One-Day Follow-Up of Posterior Canal Benign Paroxysmal Positional Vertigo.

J Int Adv Otol 2018 Nov 9. Epub 2018 Nov 9.

Department of Otolaryngology, Haseki Training and Research Hospital, İstanbul, Turkey.

Objectives: To evaluate short-term outcome for posterior canal benign paroxysmal positional vertigo (p-BPPV) after modified Epley's maneuver (mEM).

Materials And Methods: Patients who were diagnosed with p-BPPV between September 2017 and January 2018 in a tertiary care center were included. Patients were treated with mEM. Read More

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http://dx.doi.org/10.5152/iao.2018.5328DOI Listing
November 2018

A survey of current management of Benign Paroxysmal Positional Vertigo (BPPV) by physiotherapists' interested in vestibular rehabilitation in the UK.

Physiotherapy 2018 Sep 5. Epub 2018 Sep 5.

Faculty of Health Social Care and Education, Kingston University and St. George's University of London, Cranmer Terrace, London SW17 0RE, United Kingdom.

Objectives: Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of dizziness. Extensive research has identified the best assessment and treatment manoeuvres for each subtype of BPPV. Education in vestibular rehabilitation (VR) is inconsistent. Read More

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http://dx.doi.org/10.1016/j.physio.2018.08.007DOI Listing
September 2018
8 Reads

Inter-frequency amplitude ratio of oVEMP for differentiating Meniere's disease from BPPV: clinical validation using a double-blind approach.

Int J Audiol 2019 Jan 1;58(1):21-28. Epub 2018 Nov 1.

a Department of Audiology , All India Institute of Speech and Hearing , Mysore , India.

Objective: The study aimed at examining the usefulness of inter-frequency amplitude ratio (IFAR) of ocular vestibular evoked myogenic potential (oVEMP) in identifying Meniere's disease (MD) and differentiating it from benign paroxysmal positional vertigo (BPPV).

Design: A case-control design was used with a double blind approach. Phase 1 included 70 healthy individuals and 36 individuals each with MD and BPPV and Phase 2 included 20 individuals each with MD and BPPV. Read More

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http://dx.doi.org/10.1080/14992027.2018.1529440DOI Listing
January 2019
2 Reads

Early experience with a multi-axial, whole body positioning system in the treatment of Benign Paroxysmal Positional Vertigo (BPPV).

J Clin Neurosci 2019 Mar 28;61:186-188. Epub 2018 Oct 28.

Cerebellar Ataxia Clinic, Neuroscience Department, Alfred Health, Melbourne, Australia.

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https://linkinghub.elsevier.com/retrieve/pii/S09675868183081
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http://dx.doi.org/10.1016/j.jocn.2018.10.039DOI Listing
March 2019
1 Read