Factors Affecting Treatment of Benign Paroxysmal Positional Vertigo.
- Author:
Yoon Kyoung SO
1
;
Won Ho CHUNG
;
Sung Hyun BOO
;
Young Jun CHUNG
;
Hyun Seok LEE
;
Woo Young LEE
;
Ki Nam PARK
Author Information
1. Department of Otorhinolaryngology- Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. whchung@smc.samsung.co.kr
- Publication Type:Original Article
- Keywords:
Vertigo;
Benign paroxysmal positional vertigo;
BPPV, Canalith repositioning procedures;
Trauma
- MeSH:
Craniocerebral Trauma;
Dizziness;
Ear, Middle;
Humans;
Hypertension;
Otitis Media;
Retrospective Studies;
Semicircular Canals;
Vertigo*
- From:Journal of the Korean Balance Society
2005;4(2):230-237
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Benign paroxysmal positional vertigo (BPPV) is one of the most common clinical entities encountered in a dizziness clinic. Treatment of this disease, canalith repositioning procedures, have been reported to be successful in 44-90%. Treatment requires only one treatment visit in most patients. However, there are significant numbers of patients who require multiple treatment visits for relief. The goal of this study is to identify variables that may be associated with these difficult to treat cases. METHODS: Retrospective review was performed for the patients diagnosed as BPPV at Samsung medical center. Variables for statistical analysis included age, sex, involved canal, presence of bilateral disease, involvement of unilateral multiple canals, presence of recent head trauma, presence of chronic otitis media, history of middle ear surgery, history of otologic surgery, unilateral vestibular loss, accompanying sudden SNHL, underlying disease such as hypertension or diabetes, change of involved canal during treatment course and number of treatment visits. Statistical analysis using Pearson chi-square test was performed. RESULTS: Three hundred thirty-one patients with BPPV who received treatment were identified from 2001 to 2005. 85.2% required one treatment visit, 12.4% required a second treatment visit, and 98.2% were successfully treated after three treatment visits. Variables such as bilateral disease, anterior canal BPPV, post-traumatic BPPV, duration of symptom before treatment and change of involved canal during treatment were significantly related with number of treatments. CONCLUSION: Patients with anterior semicircular canal BPPV or bilateral BPPV or with recent head trauma or longer duration of symptom are more likely to require multiple visits for canalith repositioning.
