Sharif S, Khoujah D, Greer A, et al. Acad Emerg Med. 2022. [Epub ahead of print.] 36268806.

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http://dx.doi.org/10.7326/J23-0015DOI Listing

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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.
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Introduction: Residual dizziness (RD) is common in patients with benign paroxysmal positional vertigo (BPPV) after successful canalith repositioning procedures. This study aimed to investigate the therapeutic effects of vestibular rehabilitation (VR) on BPPV patients experiencing RD, and to explore the impact of VR on functional connectivity (FC), specifically focusing on the bilateral parietal operculum (OP) cortex.

Methods: Seventy patients with RD were randomly assigned to either a four-week VR group or a control group that received no treatment.

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Objective: To explore alterations in functional connectivity (FC) focusing on hippocampal subfields in benign paroxysmal positional vertigo (BPPV) patients with residual dizziness (RD) after successful canalith repositioning procedure (CRP).

Methods: We conducted resting-state functional magnetic resonance imaging (fMRI) on 95 BPPV patients, comprising 50 patients with RD and 45 without. Seed-to-voxel and seed-to-seed analyses were employed to examine changes in FC between the two groups.

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Background And Purpose: Atypical posterior canal (pc) benign paroxysmal positional vertigo (BPPV) may be caused by cupulolithiasis (cu), short arm canalithiasis (ca), or jam. The purpose of this study was to describe the clinical presentation and differential diagnosis of pc-BPPV-cu and short arm canalithiasis.

Methods: This retrospective observation study identified persons with atypical pc-BPPV based on history and findings from four positional tests.

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Which Canal BPPV Should be Checked for Residual Disease after 1 Week?

Ear Nose Throat J

November 2024

Department of Otorhinolaryngology, Faculty of Medicine, Kastamonu University, Kastamonu, Turkey.

Article Synopsis
  • * Key findings highlighted that bilateral canal involvement and presenting 72 hours after vertigo onset significantly increased the risk of residual symptoms.
  • * The research emphasizes the effectiveness of canalith repositioning maneuvers and suggests a follow-up after one week, particularly for those with more complex cases of BPPV, to better manage the condition.
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