Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (5): 18-21.doi: 10.6040/j.issn.1673-3770.1.2019.040

• Clinical Report • Previous Articles     Next Articles

Analysis of the proportion of benign paroxysmal positional vertigo in patients with vertigo and dizziness

Yueqi ZHANG,Qiaomei DENG,Wei WANG(),Kaixu XU,Chao WEN,Qiang LIU,Taisheng CHEN,Peng LIN   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Tianjin First Central Hospital, Tianjin 300192, China
  • Received:2019-07-25 Revised:2019-07-29 Online:2019-09-20 Published:2019-10-15
  • Contact: Wei WANG E-mail:wwei1106@hotmail.com

RichHTML

1145

PDF (PC)

915

Abstract: Objective

The occurrence and proportion of benign paroxysmal positional vertigo (BPPV) in patients presenting with vertigo and dizziness were analyzed.

Methods

A retrospective analysis of medical records, including patients’ complaints, symptom characteristics, medical history and related test results, preliminary diagnosis, etc. of 4 227 patients was conducted from June 2017 to May 2018 at the otolaryngology, head and neck surgery and vertigo clinic at our hospital. Based on the collected data, the patients were divided into two groups, a dizziness group and a vertigo group. We performed a statistical analysis of the above data and calculated the proportion of BPPV patients in the total number of cases, and in cases of vertigo or dizziness.

 Results

Among the 4 227 patients in the analysis, 3 188 (approximately 74.54%) were patients with vertigo and 1 039 (approximately 24.59%) were patients with dizziness. Among all patients, there were 450 cases (approximately 10.65%) of BPPV of which 437 (approximately 13.66% of the total cases) BPPV patients belonged to the vertigo group, and the remaining 13 patients with BPPV (approximately 1.26% of the total) belonged to the dizziness group.

 Conclusion

The proportion of BPPV cases in the vertigo and dizziness groups were 13.66% and 1.26%, respectively; middle-aged and older women accounted for the majority of the cases.

Key words: Vertigo, Dizziness, Benign paroxysmal positional vertigo, Proportion

CLC Number: 

  • R764.34
1 中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉头颈外科学分会 . 良性阵发性位置性眩晕诊断和治疗指南(2017)[J]. 中华耳鼻咽喉头颈外科杂志, 2017, 52(3): 173-177. doi:10.3760/cma.j.issn.1673-0860.2017.03.003 .
doi: 10.3760/cma.j.issn.1673-0860.2017.03.003
Editorial Board Of Chinese Journal Of Otorhinolary . Guideline of diagnosis and treatment of benign paroxysmal positional vertigo (2017)[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2017, 52(3): 173-177. doi:10.3760/cma.j.issn.1673-0860.2017.03.003 .
doi: 10.3760/cma.j.issn.1673-0860.2017.03.003
2 Bisdorff A , von Brevern M , Lempert T , et al . Classification of vestibular symptoms: towards an international classification of vestibular disorders[J]. J Vestib Res, 2009, 19(1/2): 1-13. doi:10.3233/VES-2009-0343 .
doi: 10.3233/VES-2009-0343
3 冯智英, 杨晓岚, 沈沸, 等 . 前庭症状的分类: 迈向前庭疾患的国际分类[J]. 神经病学与神经康复学杂志, 2012, 8(3): 127-137.
doi: 10.3969/j.issn.1672-7061.2012.03.010
FENG Zhiying , YANG Xiaolan , SHEN Fei , et al . Classification of vestibular symptoms: towards an international classification of vestibular disorders[J]. Journal of Neurology and Neurorehabilitation, 2012, 8(3): 127-137.doi:10.3969/j.issn.1672-7061.2012.03.010
doi: 10.3969/j.issn.1672-7061.2012.03.010
4 张卫东 . 良性阵发性位置性眩晕临床特点分析[J]. 中国卫生产业, 2014, 11(5): 133, 135. doi:10.16659/j.cnki. 1672-5654.2014.05.122 .
doi: 10.16659/j.cnki. 1672-5654.2014.05.122
5 Katsarkas A . Benign paroxysmal positional vertigo (BPPV): idiopathic versus post-traumatic[J]. Acta Otolaryngol, 1999, 119(7): 745-749. doi:10.1080/00016489950-180360 .
doi: 10.1080/00016489950-180360
6 王伟, 王林娥, 刘博, 等 . 耳鼻喉科门诊1 812例眩晕患者的临床特点分析[J]. 临床和实验医学杂志, 2014, 13(6): 471-473. doi:10.3969/j.issn.1671-4695.2014.06.016 .
doi: 10.3969/j.issn.1671-4695. 2014.06.016
WANG Wei , WANG Lin′e , LIU Bo , et al . Study on clinical features of 1 812 outpatients with vertigo in ENT department[J]. Journal of Clinical and Experimental Medicine, 2014, 13(6): 471-473. doi:10.3969/j.issn.1671-4695. 2014.06.016 .
doi: 10.3969/j.issn.1671-4695. 2014.06.016
7 Isaradisaikul S , Navacharoen N , Hanprasertpong C , et al . Causes and time-course of vertigo in an ear, nose, and throat clinic[J]. Eur Arch Otorhinolaryngol, 2010, 267(12): 1837-1841. doi:10.1007/s00405-010-1309-9 .
doi: 10.1007/s00405-010-1309-9
8 von Brevern M , Radtke A , Lezius F , et al . Epidemiology of benign paroxysmal positional vertigo: a population based study[J]. J Neurol Neurosurg Psychiatry, 2007, 78(7): 710-715. doi:10.1136/jnnp.2006.100420 .
doi: 10.1136/jnnp.2006.100420
9 李玉梅, 冯为菊, 李玲, 等 . 60岁以上老年眩晕临床分析[J]. 中外医疗, 2016, 35(31): 59-61. doi:10.16662/j.cnki.1674-0742.2016.31.059 .
doi: 10.16662/j.cnki.1674-0742.2016.31.059
LI Yumei , FENG Weiju , LI Ling , et al . Clinical analysis of vertigo in elderly patients over 60 years of age[J]. China Foreign Medical Treatment, 2016, 35(31): 59-61. doi:10.16662/j.cnki.1674-0742.2016.31.059 .
doi: 10.16662/j.cnki.1674-0742.2016.31.059
10 粟秀初, 孔繁元, 黄如训 . 进一步提升眩晕、头晕和头昏诊疗工作中的理性共识[J]. 中国神经精神疾病杂志, 2011, 37(11): 702-704. doi:10.3969/j.issn.1002-0152. 2011.11.015 .
doi: 10.3969/j.issn.1002-0152. 2011.11.015
11 马鑫, 张翔, 静媛媛, 等 . 特发性良性阵发性位置性眩晕患者双温试验的分析[J]. 临床耳鼻咽喉头颈外科杂志, 2009, 23(10): 439-442. doi:10.3969/j.issn.1001-1781.2009.10.003 .
doi: 10.3969/j.issn.1001-1781.2009.10.003
MA Xin , ZHANG Xiang , JING Yuanyuan , et al . The bithermal test in idiopathic benign paroxysmal positional vertigo[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2009, 23(10): 439-442. doi:10.3969/j.issn.1001-1781.2009.10.003 .
doi: 10.3969/j.issn.1001-1781.2009.10.003
12 张娜, 陈太生, 董红, 等 . 良性阵发性位置性眩晕病因学分析[J]. 临床耳鼻咽喉头颈外科杂志, 2011, 25(7): 307-311. doi:10.3969/j.issn.1001-1781.2011.07. 007 .
doi: 10.3969/j.issn.1001-1781.2011.07.007
ZHANG Na , CHEN Taisheng , DONG Hong , et al . To analyze the etiology of benign paroxysmal positional vertigo[J]. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 2011, 25(7): 307-311. doi:10.3969/j.issn.1001-1781.2011.07.007 .
doi: 10.3969/j.issn.1001-1781.2011.07.007
13 张云美, 杨振栋, 李万鑫, 等 . 绝经女性良性阵发性位置性眩晕的复发与骨密度及雌激素水平的关系[J]. 中华耳鼻咽喉头颈外科杂志, 2017, 52(12): 881-884. doi:10.3760/cma.j.issn.1673-0860.2017.12.001 .
doi: 10.3760/cma.j.issn.1673-0860.2017.12.001
ZHANG Yunmei , YANG Zhendong , LI Wanxin , et al . The relationship between the recurrence of benign paroxysmal positional vertigo and the level of bone mineral as well as estrogen in postmenopausal women[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2017, 52(12): 881-884. doi:10.3760/cma.j.issn.1673-0860.2017.12.001 .
doi: 10.3760/cma.j.issn.1673-0860.2017.12.001
14 Jeong SH , Lee JH , Lee AY . Reversible visual memory in transient splenial lesion[J]. Neurology, 2009, 73(8): 647. doi:10.1212/WNL.0b013e3181b38a16 .
doi: 10.1212/WNL.0b013e3181b38a16
15 季伟华, 邹静, 李颖, 等 . 3 270例门诊头晕患者的病因分析[J]. 神经病学与神经康复学杂志, 2009, 6(1): 9-12. doi:10.3969/j.issn.1672-7061.2009.01.003 .
doi: 10.3969/j.issn.1672-7061.2009.01.003
JI Weihua , ZHOU Jing , LI Ying , et al . Etiological Analysis of 3 270 Patients with Dizziness[J]. Journal of Neurology and Neurorehabilitation, 2009, 6(1): 9-12. doi:10.3969/j.issn.1672-7061.2009.01.003 .
doi: 10.3969/j.issn.1672-7061.2009.01.003
16 龙玲, 邓军 . 眩晕患者艾森克人格问卷调查分析[J]. 北京医学, 2008, 30(7): 442-443. doi:10.3969/j.issn. 0253-9713.2008.07.024 .
doi: 10.3969/j.issn. 0253-9713.2008.07.024
[1] Taisheng CHEN, Wei WANG, Kaixu XU, Peng LIN. Thoughts on benign paroxysmal positional vertigo and its diagnosis and treatment [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 1-5.
[2] Hui XIE. Understanding vertigo from a Chinese medicine perspective [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 11-17.
[3] Qiaomei DENG,Yueqi ZHANG,Wei WANG,Kaixu XU,Chao WEN,Qiang LIU,Taisheng CHEN,Peng LIN. Correlation analysis between benign paroxysmal positional vertigo and associated comorbidities [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 22-25.
[4] Chuanshuo LI,Yongtuan LI,Hainan CAO,Menglu ZHANG. Quantitative analysis of behavior pattern in vertiginous patients [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 32-36.
[5] Xiaolu LI. Differential diagnosis of vestibular migraines and several common types of peripheral vertigo [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 23-26.
[6] Dengyuan WANG,Zhibin CHEN,Miaolin WANG. An assessment of the clinical features of benign paroxysmal positional vertigo associated with Meniere' s disease [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 61-65.
[7] DING Jian, LIU Yiming. Effect of vestibular rehabilitation on residual dizziness in elderly patients with benign paroxysmal positional vertigo [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(6): 64-68.
[8] HOU Xiaobing, REN Tongli, ZHANG Yibo. Characteristics of tinnitus and the related influencing factors in patients with Menieres disease [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 37-40.
[9] ZHU Zijian, LIU Qiang. Clinical analysis of 35 cases of lateral semicircular canal benign paroxysmal positional vertigo with transformable-direction eye shock [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 53-57.
[10] LIU Bing, LI Bei, ZHANG Li, CHEN Min, ZHANG Jie. Clinical Analysis of Benign Paroxysmal Vertigo in preschool and school-age children [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 58-60.
[11] YAN Huiqin, WANG Hao. Clinical analysis of intractable benign paroxysmal positional vertigo [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 86-88.
[12] LI Guifang, WANG Chunhua, ZHANG Shuzhen. Curative effect of postural restriction on benign paroxysmal positional vertigo after manual reduction. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(6): 42-45.
[13] JU Jun, LI Jinrang, ZOU Shizhen, JIA Manyu. Clinical characteristics and short-term outcomes of traumatic benign paroxysmal positional vertigo. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 57-61.
[14] . Exploration of diagnostic strategy for atypical PSC-BPPV with negative DHM. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(1): 88-90.
[15] LIU Xuesheng, LI Xiaoyu, DENG Wei. The clinical manifestations of posterior semicircular canal benign paroxysmal positional vertigo at the time of acute onset. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 11-13.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 84 -87 .
[2] NIU Shanli,CHAI Maowen,LI Zhenxiu . Endoscopic rhinoplasty of inferior turbinate in 60 patients with chronic hypertrophic rhinitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 16 -18 .
[3] MENG Qing-guo,LU Yong-tian,FAN Xian-liang .

Association of killer cell immunoglobulin-like receptor gene polymorphisms with nasopharyngeal carcinoma

[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 196 -199 .
[4] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 199 -199 .
[5] WAN Li-jia,LU Hai-tao,JIANG Yi-dao,LIU Hui,LI Qin,SHE La-zhi . Effect of H-uvulopalatopharyngoplasty on obstructive sleep apnea
hypopnea syndrome[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 204 -205 .
[6] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 222 -224 .
[7] JI Xiao-bin,DENG Jia-de,ZANG Lin-quan,WANG Lei,XIE Jun . Blood histamine in guinea pigs with allergic rhinitis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 228 -230 .
[8] XIANG Deng,LU Yong-tian,SUN Huan-ji . Endoscopic repair for cerebrospinal fluid rhinorrhea in 19 cases and a literature review [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 234 -236 .
[9] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 253 -257 .
[10]
YIN Guo-hua,ZHONG Xiao . Long-term effect of laser reduction on lingua adenoids
[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 280 -282 .
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd