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

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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
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