Posttraumatic benign paroxysmal positional vertigo: analysis of 23 cases.
- Author:
Xiangdong GUO
1
;
Fanglei YE
;
Zhicheng ZHANG
;
Ying LI
;
Xiao YANG
Author Information
1. Department of Otolaryngology, the First Affiliated Hospital of Henan Traditional Chinese Medical College, Zhengzhou, 450000, China. guoxiangdong0618@126.com
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Aged;
Aged, 80 and over;
Benign Paroxysmal Positional Vertigo;
Female;
Humans;
Male;
Middle Aged;
Prognosis;
Retrospective Studies;
Vertigo;
diagnosis;
etiology;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2010;24(16):738-742
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the clinical presentation and outcome between patients with traumatic-BPPV (t-BPPV) and idiopathic-BBPV(i-BPPV).
METHOD:The clinical records of 186 patients with posterior canal BPPV were reviewed retrospectively. All patients were diagnosed using the Dix-Hallpike test and treated with the canalith repositioning procedure. The outcome of patients with t-BPPV was compared with patients with i-BPPV.
RESULT:Twenty-three of 186 patients with BPPV fulfilled the diagnostic criteria for t-BPPV. Women were affected i-BBPV more often than men (2.3:1), and women and men were equally affected t-BBPV (1:1). After one physical treatment, 34.8% of patients with t-BPPV had complete resolution of signs and symptoms in comparison to 85.3% of patients with i-BPPV (P < 0.05). During the 2-year follow-up, 56.5% of t-BPPV patients and 19.0% of i-BPPV patients had recurrent attacks (P < 0.05).
CONCLUSION:The nature and severity of the traumas causing t-BPPV are diverse. It appears that t-BPPV is more difficult to treat than i-BPPV, and also has a greater tendency to recur.
