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Benign paroxysmal positional vertigo associated with Meniere's disease
Meichan Zhu1, Feng Yu1, Feng Zhou1
1Department of Otorhinolaryngology, Guangzhou Otolarynology - Head and Neck Surgery Hospital (Guangzhou Twelfth People's Hospital), Guangzhou, Guangdong, China.
Journal of Vestibular Research : Equilibrium & Orientation
|August 29, 2018
Summary
Benign paroxysmal positional vertigo (BPPV) patients with Meniere's disease have lower treatment success and higher recurrence rates. Multiple canal involvement in Meniere's disease patients with BPPV leads to the highest recurrence.
Area of Science:
- Otolaryngology
- Neurology
- Vestibular System Disorders
Background:
- Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder.
- Meniere's disease is a complex inner ear condition.
- The association between BPPV and Meniere's disease requires further clinical investigation.
Purpose of the Study:
- To investigate the clinical features of BPPV in patients with Meniere's disease.
- To compare treatment outcomes and recurrence rates between BPPV patients with and without Meniere's disease.
Main Methods:
- Retrospective analysis of 120 BPPV patient records.
- Comprehensive otolaryngological, audiological, and neurotological evaluations.
- Diagnosis via Dix-Hallpike or roll tests, treatment with canalith repositioning procedures.
Main Results:
- Unilateral BPPV and posterior semicircular canal involvement were most frequent.
- BPPV patients with Meniere's disease showed lower treatment success and higher recurrence rates.
- Multiple canal involvement in Meniere's disease patients with BPPV correlated with repeated procedures and higher recurrence.
Conclusions:
- Meniere's disease complicates BPPV management, leading to poorer outcomes.
- BPPV recurrence is significantly higher in patients co-diagnosed with Meniere's disease.
- Targeted management strategies may be needed for BPPV in Meniere's disease patients.