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06:30
Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm
Published on: April 28, 2020
Clinical features of benign paroxysmal positional vertigo
Mariana Azevedo Caldas1, Cristina Freitas Ganança, Fernando Freitas Ganança
1Universidade Federal de São Paulo, Brazil.
Brazilian Journal of Otorhinolaryngology
|September 29, 2009
Summary
Benign paroxysmal positioning vertigo (BPPV), the most common vestibular disorder, predominantly affects individuals aged 41-60 and females. Particle repositioning maneuvers are effective for recovery, though recurrence is possible.
Area of Science:
- Neurology
- Otolaryngology
- Vestibular Disorders
Background:
- Benign paroxysmal positioning vertigo (BPPV) is the most prevalent vestibular disease.
- Understanding BPPV demographics and characteristics is crucial for effective management.
Purpose of the Study:
- To evaluate age, gender, lesion characteristics, comorbidities, and recurrence rates in BPPV patients.
- To assess the efficacy of particle repositioning maneuvers in BPPV treatment.
Main Methods:
- Retrospective analysis of medical reports from BPPV patients over six years.
- Data collection included patient demographics, vertigo characteristics, affected ear, and treatment outcomes.
Main Results:
- BPPV prevalence highest in the 41-60 age group (42.2%) and females (62.8%).
- Posterior canal (87%) and right labyrinth (60.2%) were most commonly affected, often unilateral (91.8%).
- High association with canalithiasis (97.5%) and idiopathic causes (74.8%), with 55.4% co-occurring with Meniere's disease. Recovery rate was 77.9% post-maneuver, with 21.8% recurrence within one year.
Conclusions:
- BPPV predominantly affects middle-aged females, involving the posterior canal, often idiopathic or linked to canalithiasis.
- Particle repositioning maneuvers demonstrate significant efficacy in BPPV recovery.
- A notable recurrence rate necessitates ongoing patient monitoring and management strategies.
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