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Life after benign paroxysmal positional vertigo: one-year analysis of recurrence, headaches, neck pain, falls, and functional vestibular symptoms.
Eur Arch Otorhinolaryngol
January 2025
Hospital QuironSalud Infanta Luisa, Seville, Spain.
Article Synopsis
- Benign paroxysmal positional vertigo (BPPV) causes recurring episodes of vertigo, and despite initial symptom resolution, many patients experience relapses and other complications such as migraines, neck pain, and falls after discharge.
- This study observed 124 patients with BPPV and found that 70.97% of them reported new symptoms post-treatment, with prior neck pain, headaches, and migraines being significant predictors for future issues.
- Key findings highlight that low vitamin D levels may increase recurrence risk, and the relationship between anxiety and persistent postural-perceptual dizziness (PPPD) suggests that BPPV is often accompanied by lingering symptoms despite the absence of nystagmus.
Intellectual Disability in Episodic Ataxia Type 2: Beyond Paroxysmal Vertigo and Ataxia.
J Clin Neurol
November 2024
Biomedical Research Institute, Seoul National University Bundang Hospital, Seongnam, Korea.
Article Synopsis
- Episodic ataxia type 2 (EA2) is a genetic disorder causing dizziness and coordination issues, linked to mutations in the calcium channel gene; this study focused on assessing intellectual abilities in affected individuals.
- Researchers evaluated 13 patients in South Korea using the Wechsler Intelligence Scales and found that most had below-average IQ scores, with significant cognitive deficits across multiple areas.
- The findings suggest that individuals with EA2 may experience hidden intellectual disabilities unrelated to epilepsy; therefore, early diagnosis and management are crucial to prevent further brain function decline and may benefit from genetic counseling.
Addressing the Overlapping Challenges of Benign Paroxysmal Positional Vertigo (BPPV) and Persistent Postural-Perceptual Dizziness (PPPD): Impacts and Integrated Management.
Cureus
October 2024
School of Medicine, Health Sciences School, Universidad Pontificia Bolivariana, Medellin, COL.
Benign paroxysmal positional vertigo (BPPV) and persistent postural-perceptual dizziness (PPPD) are challenging vestibular disorders with overlapping symptoms that complicate diagnosis and treatment. BPPV causes transient vertigo with head movements, while PPPD involves persistent dizziness and unsteadiness. Both significantly impact the quality of life, including emotional well-being.
View Article and Find Full Text PDFChronic Unilateral Vestibular Hypofunction: Insights into Etiologies, Clinical Subtypes, Diagnostics and Quality of Life.
J Clin Med
September 2024
Division of Vestibular Disorders, Department of Otorhinolaryngology and Head and Neck Surgery, School for Mental Health and Neuroscience, Maastricht University Medical Center, 6229HX Maastricht, The Netherlands.
Article Synopsis
- Chronic unilateral vestibular hypofunction (UVH) can greatly affect quality of life and lead to various debilitating symptoms; the study aimed to explore its causes, symptoms, and impact on patients.
- A retrospective analysis of 251 UVH patients was conducted to assess different etiologies, clinical subtypes, and quality of life, identifying Menière's Disease as the most common cause, along with other conditions like BPPV and PPPD.
- Over 80% of patients reported significant disability and around 20-25% experienced moderate-to-severe anxiety or depression, highlighting the need for personalized diagnostic and treatment approaches for managing chronic UVH.
Vestibular neurology for the generalist.
J Neurol Neurosurg Psychiatry
November 2024
Department of Neurology, National Hospital for Neurology and Neurosurgery, London, UK
Article Synopsis
- - The review focuses on vestibular neurology, aiming to help general neurologists understand and tackle issues related to dizziness, vertigo, and balance disorders.
- - It discusses standard vestibular assessments and key disorders like benign paroxysmal positional vertigo, Meniere disease, vestibular migraine, and chronic dizziness conditions.
- - The text also highlights new advances in vestibular genotyping and innovative treatment strategies to improve balance and manage these disorders.
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