Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (5): 22-25.doi: 10.6040/j.issn.1673-3770.1.2019.041

• Clinical Report • Previous Articles     Next Articles

Correlation analysis between benign paroxysmal positional vertigo and associated comorbidities

Qiaomei DENG,Yueqi ZHANG,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:2019-06-20 Revised:2019-07-30 Online:2019-09-20 Published:2019-10-15
  • Contact: Taisheng CHEN E-mail:cts501@sina.com

RichHTML

814

PDF (PC)

153

Abstract: Objective

To investigate the etiology and risk factors of benign paroxysmal positional vertigo (BPPV).

Methods

We retrospectively analyzed and statistically compared the incidence, etiology, and possible risk factors in 450 cases of BPPV in the Department of Otolaryngology Head and Neck Surgery at our hospital from 2017.

 Results

The average age of BPPV patients was 55.52±13.89 years, and the ratio of males to females was 1∶2.21. Of these cases, 159 patients (35.33%) did not have any comorbidities, while 291 patients (64.67%) presented with associated comorbidities. Among them, 78 (17.33%) patients presented with a clear cause such as idiopathic sudden hearing loss, head trauma, vestibular neuritis, or vestibular migraine. A total of 253 (56.22%) patients had associated risk factors such as hypertension, diabetes mellitus, cervical spondylosis, and coronary heart disease. Hypertension and diabetes were the most common comorbidities present in the group, accounting for 32.44% and 11.56%, respectively. However, using binary logistic analysis, only cervical spondylosis appeared to have a significant correlation with the occurrence of BPPV.

 Conclusion

About 64.67% of patients presenting with BPPV in this study also had a comorbidity. The majority of patients with BPPV had idiopathic BPPV. After otolith reduction, pathological injury still existed. Treatment of comorbidities should be considered carefully so as to prevent the occurrence and recurrence of BPPV.

Key words: Vertigo, Benign paroxysmal positional vertigo, Cause

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 Bhattacharyya N , Gubbels SP , Schwartz SR , et al . Clinical practice guideline: benign paroxysmal positional vertigo (update)[J]. Otolaryngol Head Neck Surg, 2017, 156(3_suppl)S1-S47. doi:10.1177/0194599816689667 .
doi: 10.1177/0194599816689667
3 De Stefano A , Dispenza F , Suarez H , et al . A multicenter observational study on the role of comorbidities in the recurrent episodes of benign paroxysmal positional vertigo[J]. Auris Nasus Larynx, 2014, 41(1): 31-36. doi:10.1016/j.anl.2013.07.007 .
doi: 10.1016/j.anl.2013.07.007
4 Dispenza F , De Stefano A , Mathur N , et al . Benign paroxysmal positional vertigo following whiplash injury: a myth or a reality?[J]. Am J Otolaryngol, 2011, 32(5): 376-380. doi:10.1016/j.amjoto.2010.07.009 .
doi: 10.1016/j.amjoto.2010.07.009
5 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
6 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
7 薛海龙, 李仓霞, 段立欣, 等 . 军事训练伤后良性发作性位置性眩晕24例诊治分析[J]. 人民军医, 2017, 60(1): 16-17.
8 El-Saied S , Joshua BZ , Segal N , et al . Sudden hearing loss with simultaneous posterior semicircular canal BPPV: possible etiology and clinical implications[J]. Am J Otolaryngol, 2014, 35(2): 180-185. doi:10.1016/j.amjoto.2013.08.021 .
doi: 10.1016/j.amjoto.2013.08.021
9 Kim YH , Kim KS , Kim KJ , et al . Recurrence of vertigo in patients with vestibular neuritis[J]. Acta Otolaryngol, 2011, 131(11): 1172-1177. doi:10.3109/00016489 .2011.593551.
doi: 10.3109/00016489
10 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. doi:10.1007/s00405-013-2484-2 .
doi: 10.1007/s00405-013-2484-2
11 Chu CH , Liu CJ , Lin LY , et al . Migraine is associated with an increased risk for benign paroxysmal positional vertigo: a nationwide population-based study[J]. J Headache Pain, 2015, 16: 62. doi:10.1186/s10194-015-0547-z .
doi: 10.1186/s10194-015-0547-z
[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] Yueqi ZHANG, Qiaomei DENG, Wei WANG, Kaixu XU, Chao WEN, Qiang LIU, Taisheng CHEN, Peng LIN. Analysis of the proportion of benign paroxysmal positional vertigo in patients with vertigo and dizziness [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 18-21.
[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] 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.
[9] 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.
[10] 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.
[11] 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.
[12] 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.
[13] . Exploration of diagnostic strategy for atypical PSC-BPPV with negative DHM. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(1): 88-90.
[14] 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.
[15] ZHANG Yunbo, XI Guoping, JIN Hongfang, WANG Caijun. Non-surgical serialization treatment of unilateral Meniere disease in 48 cases. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 73-76.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] YANG Changliang,HUANG Zhiwu,YAO Hangqi,ZHU Yong,SNU Yi . Study on auditory brainstem response[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 9 -13 .
[2] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 89 -89 .
[3] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 90 -91 .
[4] LIU Da-yu,PAN Xin-liang,LEI Da-peng,ZHANG Li-qiang,LUAN Xin-yong . Surgical treatment for medial wall pyriform sinus cancer[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2007, 21(1): 8 -11 .
[5] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(2): 188 -188 .
[6] LIU Yan,LIU Xin-yi,WANG Jin-ping,LI Da-jian . Measurement of the posterior tympanum and its clinical significance [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 218 -221 .
[7] ZHAO Min,WANG Shou-sen,ZHEN Ze-nian,CHEN Xian-ming,WANG Mao-xin . Sphenoid sinus and trans-sphenoid surgery under nasal endoscopy and microscopy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 244 -245 .
[8] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 252 -252 .
[9] WANG Hong-xia,WANG Peng-cheng . Expression of NSE,S100 and GFAP in retinoblastoma and its clinical significance[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 263 -264 .
[10] HUANG Fang,HUANG Hai-qiong,HUANG Jian-qiang,HE He-fan . Bronchoscopic video supervision system in infant bronchial foreign bodies[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 276 -277 .
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