Objective Benign paroxysmal positional vertigo (BPPV) is the most common cause of vestibular vertigo, with post-traumatic origin in about 15% of cases. Management and prognosis of traumatic BPPV (T-BPPV) are still debated, especially about recurrence. The aim was to compare T-BPPV to idiopathic (I-BPPV). Design and study sample We analysed data about 795 BPPV patients: 716 idiopathic (90%) and 79 post-traumatic (10%), evaluating clinical history and bedside-examination, treating all patients with repositioning manoeuvres and reassessing them until the resolution of symptoms and nystagmus. Results Persistence rate in T-BPPV and I-BPPV patients was significantly different (p = 0.0074, OR = 2.31), respectively 12.6% and 5%. Also the rate of bilateral disease (p = 0.0063, OR = 4.72) and multicanalar involvement (p = 0.0183; OR = 4.67) were significantly higher in T-BPPV patients . There were no significant differences in age and sex distribution, side and canal interested. In T-BPPV group, the resolution rate with one manoeuvre was lower than I-BPPV (p = 0.0132: OR: 0,56). Recurrence rate was 38% in the T-BPPV group and 30.6% in the I-BPPV group, without significant difference. Conclusions T-BPPV resulted different from I-BPPV in the resolution rate, bilateral or multiple canal involvement and persistence rate. T-BPPV and I-BPPV does not differ for recurrence rate, suggesting that, after resolution, the natural course of post-traumatic and idiopathic BPPV is similar.

Di Cesare, T., Tricarico, L., Passali, G. C., Sergi, B., Paludetti, G., Galli, J., Picciotti, P. M., Traumatic benign paroxysmal positional vertigo: personal experience and comparison with idiopathic BPPV, <<INTERNATIONAL JOURNAL OF AUDIOLOGY>>, 2021; 60 (5): 393-397. [doi:10.1080/14992027.2020.1821253] [http://hdl.handle.net/10807/214745]

Traumatic benign paroxysmal positional vertigo: personal experience and comparison with idiopathic BPPV

Di Cesare, Tiziana
;
Tricarico, Laura;Passali, Giulio Cesare;Sergi, Bruno;Paludetti, Gaetano;Galli, Jacopo;Picciotti, Pasqualina Maria
2021

Abstract

Objective Benign paroxysmal positional vertigo (BPPV) is the most common cause of vestibular vertigo, with post-traumatic origin in about 15% of cases. Management and prognosis of traumatic BPPV (T-BPPV) are still debated, especially about recurrence. The aim was to compare T-BPPV to idiopathic (I-BPPV). Design and study sample We analysed data about 795 BPPV patients: 716 idiopathic (90%) and 79 post-traumatic (10%), evaluating clinical history and bedside-examination, treating all patients with repositioning manoeuvres and reassessing them until the resolution of symptoms and nystagmus. Results Persistence rate in T-BPPV and I-BPPV patients was significantly different (p = 0.0074, OR = 2.31), respectively 12.6% and 5%. Also the rate of bilateral disease (p = 0.0063, OR = 4.72) and multicanalar involvement (p = 0.0183; OR = 4.67) were significantly higher in T-BPPV patients . There were no significant differences in age and sex distribution, side and canal interested. In T-BPPV group, the resolution rate with one manoeuvre was lower than I-BPPV (p = 0.0132: OR: 0,56). Recurrence rate was 38% in the T-BPPV group and 30.6% in the I-BPPV group, without significant difference. Conclusions T-BPPV resulted different from I-BPPV in the resolution rate, bilateral or multiple canal involvement and persistence rate. T-BPPV and I-BPPV does not differ for recurrence rate, suggesting that, after resolution, the natural course of post-traumatic and idiopathic BPPV is similar.
Inglese
Di Cesare, T., Tricarico, L., Passali, G. C., Sergi, B., Paludetti, G., Galli, J., Picciotti, P. M., Traumatic benign paroxysmal positional vertigo: personal experience and comparison with idiopathic BPPV, <<INTERNATIONAL JOURNAL OF AUDIOLOGY>>, 2021; 60 (5): 393-397. [doi:10.1080/14992027.2020.1821253] [http://hdl.handle.net/10807/214745]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/214745
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