Clinical-demographic characteristics of subjects with benign paroxysmal positional vertigo at vestibular rehabilitation unit admission in a hospital in the Autonomous City of Buenos Aires
Abstract
Objective: To describe the clinical-demographic characteristics of subjects with benign paroxysmal positional vertigo (BPPV) at vestibular rehabilitation unit admission in a rehabilitation hospital in the Autonomous City of Buenos Aires between 2010 and 2021.
Materials and method: A descriptive, observational, and cross-sectional study was conducted, using the non-probabilistic sampling technique. Variables were categorized into clinical-demographic, diagnostic, and assessment variables.
Results: Of the total of 102 subjects with vestibular disorders, 79 were female, with a median age of 71 years. The posterior semicircular canal was affected in 90.28% of the cases, and the right inner ear had a prevalence of 72.6%.
Conclusion: We described the clinical-demographic characteristics of subjects with BPPV at vestibular rehabilitation unit admission between 2010 and 2021. Our sample consisted mainly of elderly women who required 3 or more medications, and the most prevalent disorder was right posterior canalithiasis.
References
Nuti D, Masini M, Mandalà M. En: Furman JM, Lempert T, editores. Handbook of Clinical Neurology. 1ra Edición. Amsterdam. Elsevier. 2016: p. 241-56.
Neuhauser HK. The epidemiology of dizziness and vertigo. En: Furman JM, Lempert T, editores. Handbook of Clinical Neurology. 1ra Edición. Amsterdam. Elsevier. 2016; p. 67-82.
Brandt T, Dieterich M, Strupp M. Introductory remarks. In: Vertigo and Dizziness. 2nd ed. New York: Springer; 2013. p. 1-51.
Parnes LS, Agrawal SK, Atlas J. Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ. 2003;169(7):681-93.
Caruso G, Nuti D. Epidemiological Data from 2270 PPV Patients. Audiol Med 2005;3(1):7-11.
von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T, Neuhauser H. Epidemiology of benign paroxysmal positional vertigo: a population based study.J Neurol Neurosurg Psychiatry. 2007; 78(7): 710-715.
Webster G. Perfil epidemiológico da vertigem postural paroxística benigna em um hospital terciário. 2013. 1-35
Swain S, Behera I, Sahu M. Prevalence of Benign Paroxysmal Positional Vertigo: Our experiences at a tertiary care hospital of India. EJENTAS. 2018; 19(3): 87-92.
Chen J, Zhao W, Yue X, Zhang P. Risk Factors for the Occurrence of Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-Analysis. Front Neurol. 2020;11:506.
Fu CY, Zhang ZZ, Chen J, Jaiswal SK, Yan FL. Unhealthy Lifestyle Is an Important Risk Factor of Idiopathic BPPV. Front Neurol. 2020;15;11:950.
Handa PR, Kuhn AM, Cunha F, Schaffleln R, Ganança FF. Quality of life in patients with benign paroxysmal positional vertigo and/or Ménière's disease. Braz J Otorhinolaryngol. 2005;71(6):776-82.
Carrillo Muñoz R, Ballve Moreno JL, Villar Balboa I, Rando Matos Y, Cunillera Puertolas O, Almeda Ortega J, et al. Disability perceived by primary care patients with posterior canal benign paroxysmal positional vertigo. BMC Fam Pract. 2019;20(1):156.
Pérez P, Franco V, Cuesta P, Aldama P, Alvarez MJ, Méndez JC. Recurrence of benign paroxysmal positional vertigo. Otol Neurotol. 2012;33(3):437-43.
Oghalai JS, Manolidis S, Barth JL, Stewart MG, Jenkins HA. Unrecognized benign paroxysmal positional vertigo in elderly patients. Otolaryngol Head Neck Surg. 2000 May;122(5):630-4.
Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008 Apr;61(4):344-9.
Organización Mundial de la Salud [Internet]. Ginebra: Clasificación internacional de enfermedades-11va edición; 2019 [citado 24 mar 2022]. Available from: https://icd.who.int/browse11/l-m/es
Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife T, Holmberg JM, Mahoney K, Hollingsworth DB, Roberts R, Seidman MD, Steiner RW, Do BT, Voelker CC, Waguespack RW, Corrigan MD. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update). Otolaryngol Head Neck Surg. 2017; 156(3S):S1-S47.
Dix MR, Hallpike CS. The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Ann Otol Rhinol Laryngol. 1952;61(4):987-1016.
Choi SJ, Lee JB, Lim HJ, Park HY, Park K, In SM, et al. Clinical features of recurrent or persistent benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 2012 Nov;147(5):919-24.
Jackson LE, Morgan B, Fletcher JC Jr, Krueger WW. Anterior canal benign paroxysmal positional vertigo: an underappreciated entity. Otol Neurotol. 2007 Feb;28(2):218-22.
Lempert T. Horizontal benign positional vertigo. Neurology. 1994;44(11):2213-4.
Baloh RW: Horizontal benign positional vertigo. Neurology 1994;44:2214.
Lüscher M, Theilgaard S, Edholm B. Prevalence and characteristics of diagnostic groups amongst 1034 patients seen in ENT practices for dizziness. J Laryngol Otol. 2014;128(2):128-33.
Mizukoshi K, Watanabe Y, Shojaku H, Okubo J, Watanabe I. Epidemiological studies on benign paroxysmal positional vertigo in Japan. Acta Oto-Laryngologica. 1988 Jan 1;105(sup447):67-72.
Froehling DA, Silverstein MD, Mohr DN, Beatty CW, Offord KP, Ballard DJ. Benign positional vertigo: incidence and prognosis in a population-based study in Olmsted County, Minnesota. Mayo Clin Proc. 1991;66(6):596-601.
Balatsouras DG, Koukoutsis G, Fassolis A, Moukos A, Apris A. Benign paroxysmal positional vertigo in the elderly: current insights. Clinical interventions in aging. 2018;13:2251.
Arshad M, Abbas S, Qureshi IA. Delay in diagnosis and treatment of benign paroxysmal positional vertigo in current practice. J Ayub Med Coll Abbottabad. 2013 Jan-Jun;25(1-2):93-5.
Fife D, FitzGerald JE. Do patients with benign paroxysmal positional vertigo receive prompt treatment? Analysis of waiting times and human and financial costs associated with current practice. Int J Audiol. 2005;44(1):50-7.
Wang H, Yu D, Song N, Su K, Yin S. Delayed diagnosis and treatment of benign paroxysmal positional vertigo associated with current practice. Eur Arch Otorhinolaryngol. 2014 Feb;271(2):261-4.
Picciotti PM, Di Cesare T, Tricarico L, De Corso E, Galli J, Paludetti G. Is drug consumption correlated with benign paroxysmal positional vertigo (BPPV) recurrence?. European Archives of Oto-Rhino-Laryngology. 2020 Jun;277(6):1609-16.
Steenerson RL, Cronin GW, Marbach PM. Effectiveness of treatment techniques in 923 cases of benign paroxysmal positional vertigo. Laryngoscope. 2005;115(2):226-31.
Brandt T, Huppert D, Hecht J, Karch C, Strupp M. Benign paroxysmal positioning vertigo: a long-term follow-up (6-17 years) of 125 patients. Acta Otolaryngol. 2016;126(2):160-3.
Caldas MA, Ganança CF, Ganança FF, Ganança MM, Caovilla HH. Clinical features of benign paroxysmal positional vertigo. Braz J Otorhinolaryngol. 2009 ;75(4):502-6.
von Brevern M, Seelig T, Neuhauser H, Lempert T. Benign paroxysmal positional vertigo predominantly affects the right labyrinth. J Neurol Neurosurg Psychiatry. 2004;75(10):1487-8.
Lopez-Escámez JA, Gámiz MJ, Fiñana MG, Perez AF, Canet IS. Position in bed is associated with left or right location in benign paroxysmal positional vertigo of the posterior semicircular canal. Am J Otolaryngol. 2002 ;23(5):263-6.
Valdez MC, Candoni GJ, Coronel MD, Tugnoli EY, Fernández CP, Correa CM, Tomadín RL. Tiempo de evolución y riesgo de caídas en sujetos que ingresan a rehabilitación vestibular en un hospital de la Ciudad Autónoma de Buenos Aires. Argentinian Journal of Respiratory & Physical Therapy. 2021 Feb 24;3(1):4-12.
