JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2017, Vol. 31 ›› Issue (5): 57-61.doi: 10.6040/j.issn.1673-3770.0.2017.066

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Clinical characteristics and short-term outcomes of traumatic benign paroxysmal positional vertigo.

JU Jun, LI Jinrang, ZOU Shizhen, JIA Manyu   

  1. Otolaryngology Head and Neck Center, Navy General Hospital, Beijing 100048, China
  • Received:2017-02-18 Online:2017-10-16 Published:2017-10-16

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Abstract: Objective To determine whether there is a statistically significant difference in clinical characteristics and outcomes between idiopathic and traumatic benign paroxysmal positional vertigo(i-BPPV and t-BPPV, respectively). Methods A retrospective study including 307 i-BPPV and 25 t-BPPV patients between July 2014 and September 2016 was conducted. Data regarding sex, age, and clinical symptoms including, nausea, vomiting, tinnitus, and hearing loss were collected. Laterality of the vertigo, affected part of the semicircular canal, and short-term outcomes were evaluated. Results No statistical difference was found between the two groups in terms of sex, age, complications, and the side involved(P>0.05). Short-term outcomes of t-BPPV were poor(P<0.001). The prevalence of anterior semicircular canal involvement was higher in t-BPPV(P=0.024). Conclusion Short-term outcomes in t-BPPV were significantly worse than those associated with i-BPPV. Appropriate diagnosis and treatment of anterior semicircular canal BPPV is more important in t-BPPV patients.

Key words: Trauma, Short-term outcome, Benign paroxysmal positional vertigo

CLC Number: 

  • R766.9
[1] Bhattacharyya N, Baugh RF, Orvidas L, et al. Clinical practice guideline: benign paroxysmal positional vertigo [J]. Otolaryngol Head Neck Surg, 2008, 139(5 suppl 4):S47-S81.
[2] Korres SG, Balatsouras DG, Kaberos A, et al. Occurrence of semicircular canal involvement in benign paroxysmal positional vertigo [J]. Otol Neurotol, 2002, 23(6):926-932.
[3] Parnes LS,Agrawal K,Atlas J. Diagnosis and management of benign paroxysmal positional vertigo(BPPV)[J]. CAMJ, 2003, 169(7):681-693.
[4] Balatsouras DG, Koukoutsis G, Aspris A, et al. Benign paroxysmal positional vertigo secondary to mild head trauma [J]. Ann Otol Rhinol Laryngol, 2017, 126(1):54-60.
[5] Balatsouras DG, Koukoutsis G, Ganelis P, et al. Benign paroxysmal positional vertigo secondary to vestibular neuritis[J]. Eur Arch Otorhinolaryngol, 2014, 271(5):919-924.
[6] Riga M, Bibas A, Xenellis J, et al. Inner ear disease and benign paroxysmal positional vertigo: a critical review of incidence, clinical characteristics, and management[J]. Int J Otolaryngol, 2011, 2011:709469-709469.
[7] Karlberg M, Hall K, Quickert N, et al. What inner ear diseases cause benign paroxysmal positional vertigo[J]. Acta Otolaryngol, 2000, 120(3):380-385.
[8] 邹世桢, 李进让, 王志斌, 等. 李氏复位法治疗水平离地性眼震BPPV的短期疗效[J]. 中华耳科学杂志, 2016, 14(4):481-485. ZOU Shizhen, LI Jinrang, WANG Zhibin, et al. Short-term outcomes of Lis repositioning maneuver for apogeotropic nystagmus horizontal semicircular benign paroxysmal positional vertigo[J]. Chin J Otol, 2016, 14(4):481-485.
[9] Kim JS, Oh SY, Lee SH, et al. Randomized clinical trial for apogeo. tropic horizontal canal benign paroxysmal positional vertigo[J]. Neurology, 2012, 78(3):159-166.
[10] 郭向东, 叶放蕾, 张治成, 等. 23例外伤后良性阵发性位置性眩晕临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2010, 24(16):738-742. GUO Xiangdong, YE Fanglei, ZHANG Zhicheng, et al. Posttraumatic benign paroxysmal positional vertigo: analysis of 23 cases[J]. J Clin Otorhinolaryngol Head Neck Surg, 2010, 24(16):738-742.
[11] 庄建华, 黄坚, 赵忠新, 等. 外伤性良性发作性位置性眩晕的临床表现与预后[J]. 中华神经科杂志,2007,23(9):588-591. ZHUANG Jianhua, HUANG Jian, ZHAO Zhongxin, et al. Traumatic benign paroxysmal positional vertigo: clinical features and prognosis[J]. Chin J Neurol, 2007, 23(9):588-591.
[12] Suarez H, Alonso R, Arocena M, et al. Clinical characteristics of positional vertigo after mild head trauma[J]. Acta Otolaryngol, 2011, 131(4):377-381.
[13] Ahn SK, Jeon SY, Kim JP, et al. Clinical characteristics and treatment of benign paroxysmal positional vertigo after traumatic brain injury[J]. J Trauma, 2011, 70(2):442-446.
[14] 中华耳鼻咽喉头颈外科杂志编委会,中华医学会耳鼻咽喉科学分会. 良性阵发性位置性眩晕的诊断依据和疗效评估[J]. 中华耳鼻咽喉头颈外科杂志, 2007, 42(3):163-164.
[15] Balatsouras DG, Koukoutsis G, Ganelis P, et al. Diagnosis of single- or multiple-canal benign paroxysmal positional vertigo according to the type of nystagmus[J]. Int J Otolaryngol, 2011, 2011:483965.
[16] Chang TP, Lin YW, Sung PY, et al. Benign paroxysmal positional vertigo after dental procedures: a population-based case-control study[J]. PLoS One, 2016, 11(4):e0153092.
[17] Liu H. Presentation and outcome of post-traumatic benign paroxysmal positional vertigo[J]. Acta Otolaryngol, 2012, 132(8):803-806.
[18] Motin M, Keren O, Groswasser Z, et al. Benign paroxysmal positional vertigo as the cause of dizziness in patients after severe traumatic brain injury: diagnosis and treatment[J]. Brain Inj, 2005, 19(9):693-697
[19] 李进让, 李厚恩. 良性阵发性位置性眩晕的手法复位治疗[J]. 中国耳鼻咽喉头颈外科,2007,14(10):619-620.
[20] Gordon CR, Levite R, Joffe V, et al. Is posttraumatic benign paroxysmal positional vertigo different from the idiopathic form[J]. Arch Neurol, 2004, 61(10):1590-1593.
[21] Choi SJ, Lee JB, Lim HJ, et al. Clinical features of recurrent or persistent benign paroxysmal positional vertigo[J]. Otolaryngol Head Neck Surg, 2012, 147(5):919-924.
[22] Dlugaiczyk J, Siebert S, Hecker DJ, et al. Involvement of the anterior semicircular canal in posttraumatic benign paroxysmal positioning vertigo[J]. Otol Neurotol, 2011, 32(8):1285-1290.
[23] Baloh RW, Honrubia V, Jacobson K. Benign positional vertigo: clinical and oculographic features in 240 cases[J]. Neurol, 1987, 37(3):371-378.
[24] Cohen HS, Kimball KT, Stewart MG. Benign paroxysmal positional vertigo and comorbid conditions[J]. ORL J Otorhinolaryngol Relat Spec, 2004, 66(1):11-15.
[25] Sato G, Sekine K, Matsuda K, et al. Risk factors for poor outcome of a single Epley maneuver and residual positional vertigo in patients with benign paroxysmal positional vertigo[J]. Acta Otolaryngol, 2013, 133(11):1124-1127.
[26] Katsarkas A. Benign paroxysmal positional vertigo(BPPV): idiopathic versus post-traumatic[J]. Acta Otolaryngol, 1999, 119(7):745-749.
[27] Aron M, Lea J, Nakku D, et al. Symptom resolution rates of posttraumatic versus nontraumatic benign paroxysmal positional vertigo: a systematic review[J]. Otolaryngol Head Neck Surg, 2015, 153(5):721-730.
[28] Schuknecht HF. Mechanism of inner ear injuries from blows to the head[J]. Ann Otol Rhinol Laryngol, 1969, 78(2):253-262.
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