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Updated: May 24, 2026
05:02
Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction
Published on: August 30, 2019
Recurrence of benign paroxysmal positional vertigo.
Paz Pérez1, Virginia Franco, Paz Cuesta
1Department of ENT, Otoneurology Unit, Hospital de Cabueñes, Gijón, Spain. paz.perez@sespa.princast.es
Summary
The recurrence rate for benign positional paroxysmal vertigo (BPPV) is 27%, with most relapses occurring within six months. BPPV recurrence often affects different ear canals, suggesting the syndrome recurs rather than a specific canal.
Area of Science:
- Neurology
- Otolaryngology
- Vestibular Disorders
Background:
- Benign positional paroxysmal vertigo (BPPV) is a common cause of vertigo.
- Understanding BPPV recurrence is crucial for effective patient management.
Purpose of the Study:
- To determine the recurrence rate of BPPV.
- To identify factors associated with BPPV recurrence.
Main Methods:
- Prospective study of 69 patients treated for a first episode of BPPV.
- Mean follow-up of 47 months over a 63-month period.
Main Results:
- The overall BPPV recurrence rate was 27%, with 50% of recurrences within the first 6 months.
- Multi-canal and anterior canal BPPV showed a higher tendency to recur earlier.
- Recurrences often affected different canals/sides, suggesting a systemic BPPV recurrence.
Conclusions:
- BPPV recurs in 27% of cases, primarily within the first six months.
- Investigation should include all canals on both sides when BPPV recurrence is suspected.
- Complex BPPV cases present a higher risk for recurrence.
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