3,021 results match your criteria: "Benign Paroxysmal Positional Vertigo"

Purpose: This study aims to investigate whether artificial intelligence can improve the diagnostic accuracy of vertigo related diseases.

Experimental Design: Based on the clinical guidelines, clinical symptoms and laboratory test results were extracted from electronic medical records as variables. These variables were then input into a machine learning diagnostic model for classification and diagnosis.

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Nystagmus, characterized by involuntary eye movements, can arise from several causes, with benign paroxysmal positional vertigo being the most prevalent. Additionally, central lesions such as tumors may also induce nystagmus. This case report describes the amelioration of vertical nystagmus in a patient with advanced glioma after treatment with the GABAergic drug baclofen.

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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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Evaluation of Risk Factors Associated with the Occurrence and Recurrence of Benign Paroxysmal Positional Vertigo in Koreans: A Nested Case-Control Study.

Clin Exp Otorhinolaryngol

December 2024

Department of Otolaryngology-Head & Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Objectives: Benign paroxysmal positional vertigo (BPPV) is the most prevalent cause of vertigo. This study analyzes the risk factors involved in the occurrence and recurrence of BPPV.

Methods: A database maintained by the Korean National Health Insurance Service (NHIS) was used to enroll 434,552 patients diagnosed with BPPV from 2011 to 2017.

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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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Article Synopsis
  • The study aimed to investigate the experiences of patients and healthcare professionals in a clinical trial focused on managing acute post-traumatic benign paroxysmal positional vertigo (BPPV).
  • Qualitative data were collected through interviews with a purposively selected group of 15 healthcare professionals and 26 patients in London, revealing a general acceptance of BPPV diagnosis and treatment, but differing opinions on the randomization process.
  • The findings suggest that both groups find acute BPPV management feasible and acceptable, and their feedback could improve future trial designs and clinical practice guidelines.
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Vestibular Syncope and Acute Peripheral Vestibular Deficit: A Case Report.

Clin Case Rep

December 2024

Audiology Unit, Department of Surgical Sciences Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy.

Vestibular syncope is a rare condition in which vertigo may cause syncopal attacks; however, the term has been associated with confusion because it has been ascribed to completely different vestibular and neurological conditions, from dizziness to Menière disease (MD), to the neurovegetative symptoms in benign paroxysmal positional vertigo (BPPV) and central vertebrobasilar hyperfusion. A 75-year-old woman with vasodepressive vasovagal syncope, confirmed by a tilt test with trinitrine administration, was referred for an audiological and vestibular assessment showing an acute unilateral peripheral vestibular deficit on the right side. The diagnosis is peripheral acute vestibular deficits.

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Background: In the realm of research, the single case study has been recognized as a valuable tool for sharing insights, demonstrating new concepts, discovering novel phenomena, consolidating hypotheses, and sparking original ideas. In this physician-guided narrative, phenomena previously unreported in the clinical context are explored. These case studies aim to offer insights that may inform an existing theoretical model that encapsulates a distinct therapeutic intervention.

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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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Benign paroxysmal positional vertigo (BPPV) is the most common cause for vertigo. It is diagnosed by the characteristic nystagmus induced by provocative positional tests. During these positional tests the patient experiences spinning vertigo and neurovegetative symptoms such as nausea and vomiting.

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Article Synopsis
  • Benign Paroxysmal Positional Vertigo (BPPV) is a common inner ear disorder that causes episodes of vertigo triggered by changes in head position, and recent studies are exploring the connection between Vitamin D deficiency and this condition.
  • A year-long study with 100 BPPV patients demonstrated that those with low Vitamin D levels (less than 20 ng/mL) experienced a significantly higher incidence (71%) and severity of vertigo compared to those with sufficient Vitamin D (20% incidence).
  • Vitamin D supplementation for deficient patients led to a reduction in both the incidence and severity of BPPV episodes, highlighting the importance of Vitamin D for vestibular health and suggesting it may be a crucial part of B
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Management Protocol for the Unilateral Posterior Canal - Benign Paroxysmal Positional Vertigo - A Prospective Observational Study.

Indian J Otolaryngol Head Neck Surg

December 2024

Department of Otorhinolaryngology, BGS Medical College and Hospital, Nagarur, Bangalore North, 562123 Karnataka India.

The objectives of our study were to assess the effectiveness of the single Epley manoeuvre per session for three consecutive days and to determine the protocol for treating posterior canal-Benign Paroxysmal Positional Vertigo (pc-BPPV). At our tertiary care centre, 410 patients with a confirmed diagnosis of unilateral pc-BPPV were included in a prospective observational study. For all the participants, the Epley manoeuvre was performed once daily for three consecutive days.

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Background: Older adults with Benign Paroxysmal Positioning Vertigo (BPPV) may present with unsteadiness that affects gait patterns.

Objective: This study investigated the spatiotemporal gait parameters and indicators of turning difficulty during the Timed Up and Go (TUG) test in older adults with BPPV.

Methods: This case-controlled study collected data from older adults aged 65 and above with BPPV, young adults with BPPV and older adults without BPPV.

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Article Synopsis
  • Dizziness often leads to complicated diagnosis processes, requiring patients to see multiple specialists and imposing challenges on health services; early and accurate diagnosis could help alleviate these issues.
  • The CAVA trial is a multicentre study aiming to assess a new diagnostic device that distinguishes between three common inner-ear causes of dizziness: Ménière's disease, vestibular migraine, and benign paroxysmal positional vertigo, involving 255 participants in the UK.
  • The CAVA device collects eye movement data using specialized sensor arrays, with goals to create a reliable algorithm for diagnosis, evaluate financial and health benefits for the NHS, and facilitate the device's deployment in the healthcare system.
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Repositioning maneuvers for benign paroxysmal positional vertigo (BPPV) designed to induce otoconial movement in one canal can trigger and sometimes unwittingly treat BPPV in other canals. Patients with BPPV are best managed by precisely diagnosing the canal variant and using correctly performed, standardized testing and treatment maneuvers.

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Objective: Benign Paroxysmal Positional Vertigo is a vestibular disorder causing vertigo and imbalance. This systematic review and meta-analysis aims to explore the impact of benign paroxysmal positioning vertigo and repositioning maneuvers on postural control.

Data Sources: In September 2024, PubMed, Web of Science, Scopus and reference lists of included studies were systematically searched.

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Background: Horizontal semicircular canal benign paroxysmal positional vertigo(HSC-BPPV) is the second most common type of BPPV. It is difficult to diagnose and treat, which has a serious impact on the prognosis of patients.

Objectives: To study the clinical features of HSC-BPPV and the influencing factors of residual dizziness (RD).

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In reference to benign paroxysmal positional vertigo after use of handheld massage gun.

Acta Neurol Belg

November 2024

Vestibular and Audiology Unit, Department of Otolaryngology, ASL-NA1, Ospedale del Mare, Naples, Italy.

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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.

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Background: Benign paroxysmal positional vertigo (BPPV) is a typical vestibular disease characterized by recurrent episodes of vertigo. The role of micronutrients in BPPV pathogenesis has not been extensively studied, prompting this investigation into the relationship between circulating micronutrients and BPPV risk. This research aimed to explore the relationship between blood micronutrient levels and BPPV risk via Mendelian randomization (MR) analysis, a robust method for inferring causality from observational data.

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