Efficacy of Repositioning Therapy in Patients With Benign Paroxysmal Positional Vertigo and Preexisting Central Neurologic Disorders
With the exception of migraines, benign paroxysmal positional vertigo (BPPV) in patients with preexisting central neurologic disorders (CND) is rarely discussed in the literature. Demographic features of this patient group and the efficacy of repositioning therapy are still unknown. We hypothesized...
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Frontiers Media S.A.
2018-06-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2018.00486/full |
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| author | Chih-Chung Chen Chih-Chung Chen Chih-Chung Chen Hsiao-Shan Cho Hsun-Hua Lee Hsun-Hua Lee Hsun-Hua Lee Chaur-Jong Hu Chaur-Jong Hu |
| author_facet | Chih-Chung Chen Chih-Chung Chen Chih-Chung Chen Hsiao-Shan Cho Hsun-Hua Lee Hsun-Hua Lee Hsun-Hua Lee Chaur-Jong Hu Chaur-Jong Hu |
| author_sort | Chih-Chung Chen |
| collection | DOAJ |
| description | With the exception of migraines, benign paroxysmal positional vertigo (BPPV) in patients with preexisting central neurologic disorders (CND) is rarely discussed in the literature. Demographic features of this patient group and the efficacy of repositioning therapy are still unknown. We hypothesized that a CND may alter the function of the central vestibular pathway, thus changing the pattern of BPPV and outcomes of repositioning. In this study, we enrolled 93 consecutive idiopathic BPPV patients and categorized them into two groups according to the presence or absence of a CND. In our series, 31.2% of BPPV cases had a CND. The most common associated CNDs were cerebrovascular disease and migraines. The two groups showed similar age distributions, canal involvement, success rates of repositioning, and cycles of treatment used to achieve complete resolution. The major differences were the proportion of females (89.7%) and a right-side predominance (75.9%) in the CND group. There was a trend of more residual dizziness (RD) after successful repositioning in the CND group, but the difference was not significant. The reason for the female and right-side predominance in the CND group is unclear. We concluded that the efficacy of repositioning therapy was excellent (with a success rate of 80.6% with one cycle and 93.5% within two cycles of treatment) for BPPV with or without a preexisting CND. Clinicians are encouraged to diagnose and treat BPPV in patients with a preexisting CND as early as possible to improve patients' quality of life, avoid complications, and reduce medical costs. |
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| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-10T20:36:32Z |
| publishDate | 2018-06-01 |
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| series | Frontiers in Neurology |
| spelling | doaj.art-9db08c852a33415ba784e7d7d9bf7fad2022-12-22T01:34:31ZengFrontiers Media S.A.Frontiers in Neurology1664-22952018-06-01910.3389/fneur.2018.00486388262Efficacy of Repositioning Therapy in Patients With Benign Paroxysmal Positional Vertigo and Preexisting Central Neurologic DisordersChih-Chung Chen0Chih-Chung Chen1Chih-Chung Chen2Hsiao-Shan Cho3Hsun-Hua Lee4Hsun-Hua Lee5Hsun-Hua Lee6Chaur-Jong Hu7Chaur-Jong Hu8Department of Neurology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanDepartment of Neurology, Taipei Medical University–Shuang Ho Hospital, New Taipei City, TaiwanDizziness and Balance Disorder Center, Taipei Medical University–Shuang Ho Hospital, New Taipei City, TaiwanDepartment of Neurology, Taipei Medical University–Shuang Ho Hospital, New Taipei City, TaiwanDepartment of Neurology, Taipei Medical University–Shuang Ho Hospital, New Taipei City, TaiwanDizziness and Balance Disorder Center, Taipei Medical University–Shuang Ho Hospital, New Taipei City, TaiwanGraduate Institute of Clinical Medicine, Taipei Medical University, Taipei, TaiwanDepartment of Neurology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanDepartment of Neurology, Taipei Medical University–Shuang Ho Hospital, New Taipei City, TaiwanWith the exception of migraines, benign paroxysmal positional vertigo (BPPV) in patients with preexisting central neurologic disorders (CND) is rarely discussed in the literature. Demographic features of this patient group and the efficacy of repositioning therapy are still unknown. We hypothesized that a CND may alter the function of the central vestibular pathway, thus changing the pattern of BPPV and outcomes of repositioning. In this study, we enrolled 93 consecutive idiopathic BPPV patients and categorized them into two groups according to the presence or absence of a CND. In our series, 31.2% of BPPV cases had a CND. The most common associated CNDs were cerebrovascular disease and migraines. The two groups showed similar age distributions, canal involvement, success rates of repositioning, and cycles of treatment used to achieve complete resolution. The major differences were the proportion of females (89.7%) and a right-side predominance (75.9%) in the CND group. There was a trend of more residual dizziness (RD) after successful repositioning in the CND group, but the difference was not significant. The reason for the female and right-side predominance in the CND group is unclear. We concluded that the efficacy of repositioning therapy was excellent (with a success rate of 80.6% with one cycle and 93.5% within two cycles of treatment) for BPPV with or without a preexisting CND. Clinicians are encouraged to diagnose and treat BPPV in patients with a preexisting CND as early as possible to improve patients' quality of life, avoid complications, and reduce medical costs.https://www.frontiersin.org/article/10.3389/fneur.2018.00486/fullbenign paroxysmal positional vertigorepositioningEpley maneuverbarbecue roll maneuverGufoni maneuverresidual dizziness |
| spellingShingle | Chih-Chung Chen Chih-Chung Chen Chih-Chung Chen Hsiao-Shan Cho Hsun-Hua Lee Hsun-Hua Lee Hsun-Hua Lee Chaur-Jong Hu Chaur-Jong Hu Efficacy of Repositioning Therapy in Patients With Benign Paroxysmal Positional Vertigo and Preexisting Central Neurologic Disorders Frontiers in Neurology benign paroxysmal positional vertigo repositioning Epley maneuver barbecue roll maneuver Gufoni maneuver residual dizziness |
| title | Efficacy of Repositioning Therapy in Patients With Benign Paroxysmal Positional Vertigo and Preexisting Central Neurologic Disorders |
| title_full | Efficacy of Repositioning Therapy in Patients With Benign Paroxysmal Positional Vertigo and Preexisting Central Neurologic Disorders |
| title_fullStr | Efficacy of Repositioning Therapy in Patients With Benign Paroxysmal Positional Vertigo and Preexisting Central Neurologic Disorders |
| title_full_unstemmed | Efficacy of Repositioning Therapy in Patients With Benign Paroxysmal Positional Vertigo and Preexisting Central Neurologic Disorders |
| title_short | Efficacy of Repositioning Therapy in Patients With Benign Paroxysmal Positional Vertigo and Preexisting Central Neurologic Disorders |
| title_sort | efficacy of repositioning therapy in patients with benign paroxysmal positional vertigo and preexisting central neurologic disorders |
| topic | benign paroxysmal positional vertigo repositioning Epley maneuver barbecue roll maneuver Gufoni maneuver residual dizziness |
| url | https://www.frontiersin.org/article/10.3389/fneur.2018.00486/full |
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