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Related Experiment Videos

Benign paroxysmal positional vertigo predominantly affects the right labyrinth.

M von Brevern1, T Seelig, H Neuhauser

  • 1Neurologische Klinik, Charité, Berlin, Germany. michael.von_brevern@charite.de

Journal of Neurology, Neurosurgery, and Psychiatry
|September 21, 2004
PubMed
Summary

Benign paroxysmal positional vertigo (BPPV) predominantly affects the right ear. This study found the right labyrinth involved 1.41 times more often than the left, possibly due to sleeping habits.

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Area of Science:

  • Neurology
  • Otolaryngology

Background:

  • Benign paroxysmal positional vertigo (BPPV) is a common inner ear disorder.
  • It is characterized by vertigo triggered by specific head movements.

Purpose of the Study:

  • To investigate the laterality of BPPV occurrence.
  • To determine if BPPV affects both labyrinths equally or shows a side preference.

Main Methods:

  • A comprehensive PubMed literature search of BPPV case series specifying the affected side.
  • A retrospective chart review of 80 consecutive patients with posterior canal BPPV.

Main Results:

  • Eighteen studies comprising 3426 patients were analyzed.
  • The right labyrinth was involved 1.41 times more frequently than the left (95% CI 1.37–1.45).

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  • In the clinic's own patient series, the right side was affected in 54 out of 80 patients (ratio 2.08).
  • Conclusions:

    • BPPV demonstrates a significant preponderance for the right labyrinth.
    • The findings suggest a potential link between sleeping habits (predominantly on the right side) and the higher incidence of right-sided BPPV.