Eur Arch Otorhinolaryngol
January 2025
Hospital QuironSalud Infanta Luisa, Seville, Spain.
Purpose: Benign paroxysmal positional vertigo (BPPV) is a vestibular disorder causing recurrent episodes of vertigo. Despite symptom resolution at discharge, events such as relapses, migraines, neck pain, falls, and persistent postural-perceptual dizziness (PPPD) may occur. This study aims to estimate the incidence, timing, and risk factors for these symptoms.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
October 2024
Department of ORL & HNS, SKIMS Medical College and Hospital, Kashmir, J&K India.
Unlabelled: Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder characterized by brief episodes of vertigo triggered by changes in head position. Epley's manoeuvre and Semont's manoeuvre are widely used canalith repositioning procedures for the treatment of BPPV. This study aimed to compare the effectiveness of these two manoeuvres in treating post-canal BPPV in a cohort of 100 patients.
View Article and Find Full Text PDFMed Acupunct
August 2024
Department of Acupuncture, the Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Introduction: Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo among adults. Successful treatment often requires an appropriate canalith repositioning procedure (CRP), which has proven effective in the treatment of BPPV. However, some patients experience residual dizziness (RD) after CRP, affecting their daily activities and quality of life.
View Article and Find Full Text PDFFront Neurol
July 2024
Aix-Marseille Université, Neurosciences Department, Marseille, France.
[This corrects the article DOI: 10.3389/fneur.2024.
View Article and Find Full Text PDFCureus
June 2024
Community Based Rehabilitation, Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pune, Pune, IND.
Medicine (Baltimore)
July 2024
Dokuz Eylul University, Faculty of Physical Therapy and Rehabilitation, Izmir, Turkey.
Background: To examine the effectiveness of 3D (dimensional)-vestibular rehabilitation therapy (VRT) on gait, balance problems, processing time speed and subjective complaints in patients with Benign Paroxysmal Positional Vertigo (BPPV) compared to a control group (CG). This study aimed to test the feasibility of virtual reality-based 3D exergaming conjunction with vestibular rehabilitation.
Methods: Twenty-two patients with BPPV (negative DixHallpike/Roll test results, existing dizziness/balance complaints) were randomly allocated to the study group (SG, n:11 3D-VRT) or Control group (CG n:11, no exercise-rehabilitation) for 8 week.
Front Neurol
May 2024
Aix-Marseille Université, Neurosciences Department, Marseille, France.
Despite the high success rate of canalith repositioning maneuvers (CRMs) in the treatment of benign paroxysmal positional vertigo (BPPV), a growing number of patients report residual dizziness symptoms that may last for a significant time. Although the majority of BPPV cases can be explained by canalolithiasis, the etiology is complex. Consideration of the individual patient's history and underlying pathophysiology of BPPV may offer the potential for treatment approaches supplementary to CRMs, as well as a promising alternative for patients in whom CRMs are contraindicated.
View Article and Find Full Text PDFJ Int Med Res
May 2024
ENT Department, Faculty of Medicine (Girls), Al-Azhar University, Cairo, Egypt.
Objective: To evaluate otolithic functions in patients with residual dizziness after successful canalith repositioning procedures (CRPs) for unilateral posterior canal benign paroxysmal positional vertigo (BPPV), and to investigate possible risk factors.
Methods: This case-control observational study included healthy controls and patients with residual dizziness after improvement following CRP for BPPV. All participants were subjected to full history taking, otoscopy, audiological basic evaluation, Dix-Hallpike test to search for posterior canal BPPV, residual dizziness screening, and vestibular evoked myogenic potential (VEMP) testing.
Prim Care
June 2024
Department of Neurology, Ohio State University, 395 West 12th Avenue, 7th Floor, Columbus, OH 43210, USA. Electronic address:
Dizziness is a prevalent symptom in the general population and is among the most common reasons patients present for medical evaluations. This article focuses on high yield information to support primary clinicians in the efficient and effective evaluation and management of dizziness. Key points are as follows: do not anchor on the type of dizziness symptom, do use symptom timing and prior medical history to inform diagnostics probabilities, do evaluate for hallmark examination findings of vestibular disorders, and seek out opportunities to deliver evidence-based interventions particularly the canalith repositioning maneuver and gaze stabilization exercises.
View Article and Find Full Text PDFLin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
May 2024
To explore the clinical value of supine median³ nystagmus in the accurate diagnosis of horizontal semicircular canal benign paroxysmal positional vertigo(HC-BPPV). A total of 187 patients with HC-BPPV admitted to the First Affiliated Hospital of Xi'an Jiaotong University from June 2020 to March 2021 were selected. Among them 42 cases of Cupulolithiasis and 145 cases of Canalithiasis.
View Article and Find Full Text PDFFront Neurol
March 2024
Department of Neurology, Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Objective: To assess changes in static and dynamic functional network connectivity (sFNC and dFNC) and explore their correlations with clinical features in benign paroxysmal positional vertigo (BPPV) patients with residual dizziness (RD) after successful canalith repositioning maneuvers (CRM) using resting-state fMRI.
Methods: We studied resting-state fMRI data from 39 BPPV patients with RD compared to 38 BPPV patients without RD after successful CRM. Independent component analysis and methods of sliding window and k-means clustering were adopted to investigate the changes in dFNC and sFNC between the two groups.
Ear Hear
June 2024
Group of Non-Linear Physics, Department of Physics, Campus Sur, University of Santiago de Compostela, Santiago de Compostela, Spain.
J Bodyw Mov Ther
January 2024
Coordinator of the Postgraduate Program in Rehabilitation Sciences (UNISUAM), Rio de Janeiro, RJ, Brazil.
Introduction: Mobility limitation of the cervical spine compromises the adequate execution of the canalith repositioning maneuver (CRM) in cases of posterior semicircular canal benign paroxysmal positional vertigo (PSC-BPPV-GEO). Thus, novel therapeutic options are required for such individuals.
Objectives: This study describes the effects of a change in the biomechanical position for the execution of the CRM on symptoms of dizziness and mobility limitation regarding flexion-extension of the cervical spine in older people with unilateral PSC-BPPV-GEO.
Metabolites
January 2024
Department of Surgical Sciences, University of Cagliari, 09121 Cagliari, Italy.
Benign paroxysmal positional vertigo (BPPV) represents the most frequent cause of peripheral vertigo. In most cases, it is successfully treated using the canalith repositioning procedure, but it is often followed by continuous lightheadedness in the absence of vertigo or nystagmus (residual dizziness, RD). Our aim is to describe the clinical effectiveness and the urine metabolomics profile of treating these patients with polyphenol compound supplementation.
View Article and Find Full Text PDFLaryngoscope Investig Otolaryngol
February 2024
Department of Otorhinolaryngology, Myongji Hospital Hanyang University College of Medicine Wonju-si Gangwon-do Korea.
Objective: To evaluate the effect of vitamin D supplementation on the recurrence rate of benign paroxysmal positional vertigo (BPPV).
Methods: A single-center, prospective, double-blind, placebo-controlled, parallel-group randomized controlled trial was conducted between November 2018 and May 2020. After successful treatment with canalith repositioning maneuvers, patients diagnosed with BPPV were randomized to either the vitamin D ( = 20) or placebo ( = 18) group.
Medicine (Baltimore)
November 2023
Department of Acupuncture and Moxibustion, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Rationale: Horizontal semicircular canal benign paroxysmal positional vertigo (HSC-BPPV) is a second common canal of Benign Paroxysmal Positional Vertigo (BPPV); its actual incidence may have been underestimated because of its complex pathogenesis. Although the canalith repositioning maneuver is the treatment of choice, it has a high recurrence rate, affecting some patients' lives and psychology. We submit a case report describing acupuncture and wheat grain moxibustion treatment for HSC-BPPV.
View Article and Find Full Text PDFNiger J Clin Pract
September 2023
Department of Audiology, Kirklareli Training and Research Hospital, Kirklareli, Türkiye.
Background: Patients with benign paroxysmal positional vertigo (BPPV) may experience significant deterioration in their quality of life due to dizziness and anxiety symptoms.
Aim: To evaluate the effect of betahistine add-on therapy on dizziness and anxiety symptoms of BPPV patients.
Materials And Methods: Eighty-four patients who were diagnosed as having posterior canal BPPV were included in the study.
Front Rehabil Sci
August 2023
Department of Physical Therapy, The University of Pittsburgh, Pittsburgh, PA, United States.
Introduction: Benign paroxysmal positional vertigo (BPPV) is a common condition with disabling symptoms that is diagnosed and effectively treated at the bedside. Our encounter with patients experiencing prolonged BPPV who may not have received appropriate physical therapy prompted us to explore barriers to the diagnosis and treatment for BPPV among physical therapists, which has not been extensively investigated. We hypothesize that a potential barrier may be a lack of understanding of subtle symptoms of BPPV that deviate from the classical presentation.
View Article and Find Full Text PDFOtol Neurotol
September 2023
Department of Otorhinolaryngology, Faculty of Medicine, Ankara University, Ankara, Turkey.
Objective: This study aims to investigate the effect of TRV chair on residual dizziness (RD) after idiopathic posterior semicircular canal benign paroxysmal positional vertigo (BPPV) successfully treated with canalith repositioning maneuver (CRM).
Study Design: Prospective case-control study.
Setting: Hospital.
Acta Clin Croat
November 2022
Department of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
This report aimed to investigate the relationship after successful left-sided stapedotomy and postoperative benign paroxysmal positional vertigo (BPPV) due to vitamin D deficiency. A 56-year-old woman presented with a complaint of progressive hearing loss and tinnitus in the left ear without dizziness. A successful left-sided stapedotomy was performed, confirming the diagnosis of otosclerosis and closing the air-bone gap to less than 10 dB.
View Article and Find Full Text PDFJ Int Med Res
June 2023
Department of Neurology, Zhejiang Hospital, Hangzhou City, China.
Otosyphilis is a rare cause of audiovestibular dysfunction that can easily be misdiagnosed. Here, we report a rare case in which a patient presented with secondary benign paroxysmal positional vertigo (BPPV) 2 weeks after symptoms of otosyphilis appeared. The Dix-Hallpike test showed a classical response in the head-hanging left position.
View Article and Find Full Text PDFClin Otolaryngol
September 2023
Plastic, Burns and Reconstructive Surgery Department, Salisbury District Hospital, Thames Valley/Wessex Deanery, Salisbury, UK.
Dizziness and vertigo are among the most common complaints in medicine. Patients often provide vague descriptions of symptoms, making clinicians' jobs challenging. However, a patient with vertigo also can be one of the most rewarding encounters of a clinician's day.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
April 2023
Department of Otolaryngology, Head and neck Surgery, Government Medical College Patiala, Patiala, India.
Introduction: Benign paroxysmal positional vertigo is one of the common vestibular disorders encountered in ENT clinics with accompanying vertigo. Study to evaluate the additive effects of betahistine on Epley's manoeuvre in treating posterior BPPV patients.
Material And Methods: Prospective study was conducted on 50 patients of posterior BPPV diagnosed by the Dix Hallpike test.
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