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Updated: Apr 23, 2026
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Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction
Published on: August 30, 2019
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Long-Term Benign Paroxysmal Positional Vertigo: Recurrence, Residual Symptoms and Risk of Falls
Eduardo Martin-Sanz1,2, Marta Chaure-Cordero1, Carlos Fernández-Navarro1
1Department of Otolaryngology, Getafe University Hospital, Madrid, Spain.
Summary
Benign paroxysmal positional vertigo (BPPV) often recurs, with nearly half of patients experiencing it again within 7 years. Residual symptoms significantly increase fall risk and impact quality of life, necessitating ongoing care.
Area of Science:
- Neurology
- Otolaryngology
- Vestibular Disorders
Background:
- Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder.
- Successful initial treatment does not guarantee long-term resolution.
Purpose of the Study:
- To evaluate long-term outcomes in BPPV patients.
- Focus on recurrence, residual symptoms, fall risk, and quality of life over 7 years.
Main Methods:
- Ambispective cohort study of 361 BPPV patients.
- Included canal-specific repositioning maneuvers, posturography, and vestibular rehabilitation.
- Long-term follow-up via telephone and clinical evaluations.
Main Results:
- Recurrence rate was 47.1% over 7 years.
- Residual dizziness affected 37.6% long-term, associated with increased fall risk (OR=5.7).
- Multiple maneuvers and vestibular rehabilitation predicted recurrence.
Conclusions:
- BPPV has significant long-term morbidity despite initial treatment.
- High recurrence and persistent symptoms impact quality of life and fall risk.
- Elderly patients require ongoing monitoring and rehabilitation.
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