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Benign Paroxysmal Positional Vertigo After Joint Replacement Surgeries: Case Series.
Khalid Bashir1,2, Abdulla Yousuf3, Talha Shahzad4
1Emergency Medicine, Hamad General Hospital, Doha, QAT.
Cureus
|February 8, 2024
Summary
Benign paroxysmal positional vertigo (BPPV) can occur after joint replacement surgery. Prompt diagnosis and the Epley maneuver are key for successful treatment and preventing recurrence.
Area of Science:
- Neurology
- Otolaryngology
- Orthopedic Surgery
Background:
- Benign paroxysmal positional vertigo (BPPV) involves vertigo from displaced otoliths.
- Preexisting conditions and surgical factors may influence BPPV development.
Observation:
- Two cases of BPPV post-joint replacement surgery are presented.
- Patients had diabetes and osteoporosis, respectively.
- Vertigo onset was one day postoperatively.
Findings:
- Both cases diagnosed with right-sided posterior canal BPPV via Dix-Hallpike test.
- Successful treatment with the Epley maneuver.
- No recurrence at four-week follow-up.
Implications:
- Highlights the importance of considering BPPV in postoperative vertigo.
- Suggests comorbidities like diabetes and osteoporosis may increase BPPV susceptibility.
- Emphasizes prompt diagnosis and treatment for improved patient outcomes.
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