Preceding Benign Paroxysmal Positional Vertigo as a Trigger for Persistent Postural–Perceptual Dizziness: Which Clinical Predictors?
Objective: Persistent postural–perceptual dizziness (PPPD) is a syndrome described as secondary, when it is the consequence of an organic disorder (s-PPPD), or primary, when no somatic triggers can be identified. We evaluated a group of patients diagnosed as s-PPPD, with Benign Positional Paroxysmal...
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| Format: | Article |
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MDPI AG
2023-12-01
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| Series: | Audiology Research |
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| Online Access: | https://www.mdpi.com/2039-4349/13/6/82 |
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| author | Augusto Pietro Casani Nicola Ducci Francesco Lazzerini Nicola Vernassa Luca Bruschini |
| author_facet | Augusto Pietro Casani Nicola Ducci Francesco Lazzerini Nicola Vernassa Luca Bruschini |
| author_sort | Augusto Pietro Casani |
| collection | DOAJ |
| description | Objective: Persistent postural–perceptual dizziness (PPPD) is a syndrome described as secondary, when it is the consequence of an organic disorder (s-PPPD), or primary, when no somatic triggers can be identified. We evaluated a group of patients diagnosed as s-PPPD, with Benign Positional Paroxysmal Vertigo (BPPV) as the main somatic trigger, with the aim of identifying the predictive clinical elements of evolution towards PPPD. Study Design: Retrospective case review. Setting: Tertiary referral center. Patients: We evaluated 126 patients diagnosed with PPPD; 54 patients were classified as p-PPPD (43%) and 72 as s-PPPD (57%). Of these, 51 patients had BPPV as a somatic trigger of PPPD, and in this group, we evaluated the prevalence of some clinical features (age, sex, latency between the onset of BPPV and the final diagnosis, recurrence of BPPV and the presence of migraine headache) for comparison with a group of patients who suffered from BPPV without an evolution towards PPPD (control group). Results: In the group with PPPD secondary to BPPV, we found a significantly higher mean age and a longer latency between the onset of BPPV and the final diagnosis compared to the control group. No difference between the two groups was found regarding sex, recurrence rate and the presence of migraine headache. Conclusions: The parameters most involved as potential precipitants of PPPD after BPPV were the age of the patients and a long latency between the onset of BPPV and the final diagnosis; the mean age of the subjects who developed PPPD following BPPV was significantly higher. These findings lead us to emphasize the importance of the early identification and treatment of BPPV, especially in older patients. |
| first_indexed | 2024-03-08T21:01:06Z |
| format | Article |
| id | doaj.art-e27c6a9c16eb41aca025b5f138878a58 |
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| issn | 2039-4349 |
| language | English |
| last_indexed | 2024-03-08T21:01:06Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Audiology Research |
| spelling | doaj.art-e27c6a9c16eb41aca025b5f138878a582023-12-22T13:53:05ZengMDPI AGAudiology Research2039-43492023-12-0113694295110.3390/audiolres13060082Preceding Benign Paroxysmal Positional Vertigo as a Trigger for Persistent Postural–Perceptual Dizziness: Which Clinical Predictors?Augusto Pietro Casani0Nicola Ducci1Francesco Lazzerini2Nicola Vernassa3Luca Bruschini4Department of Surgical and Medical Pathology, ENT Section, Pisa University Hospital, 56122 Pisa, ItalyDepartment of Surgical and Medical Pathology, ENT Section, Pisa University Hospital, 56122 Pisa, ItalyDepartment of Surgical and Medical Pathology, ENT Section, Pisa University Hospital, 56122 Pisa, ItalyDepartment of Surgical and Medical Pathology, ENT Section, Pisa University Hospital, 56122 Pisa, ItalyDepartment of Surgical and Medical Pathology, ENT Section, Pisa University Hospital, 56122 Pisa, ItalyObjective: Persistent postural–perceptual dizziness (PPPD) is a syndrome described as secondary, when it is the consequence of an organic disorder (s-PPPD), or primary, when no somatic triggers can be identified. We evaluated a group of patients diagnosed as s-PPPD, with Benign Positional Paroxysmal Vertigo (BPPV) as the main somatic trigger, with the aim of identifying the predictive clinical elements of evolution towards PPPD. Study Design: Retrospective case review. Setting: Tertiary referral center. Patients: We evaluated 126 patients diagnosed with PPPD; 54 patients were classified as p-PPPD (43%) and 72 as s-PPPD (57%). Of these, 51 patients had BPPV as a somatic trigger of PPPD, and in this group, we evaluated the prevalence of some clinical features (age, sex, latency between the onset of BPPV and the final diagnosis, recurrence of BPPV and the presence of migraine headache) for comparison with a group of patients who suffered from BPPV without an evolution towards PPPD (control group). Results: In the group with PPPD secondary to BPPV, we found a significantly higher mean age and a longer latency between the onset of BPPV and the final diagnosis compared to the control group. No difference between the two groups was found regarding sex, recurrence rate and the presence of migraine headache. Conclusions: The parameters most involved as potential precipitants of PPPD after BPPV were the age of the patients and a long latency between the onset of BPPV and the final diagnosis; the mean age of the subjects who developed PPPD following BPPV was significantly higher. These findings lead us to emphasize the importance of the early identification and treatment of BPPV, especially in older patients.https://www.mdpi.com/2039-4349/13/6/82persistent postural–perceptual dizzinessvertigobenign paroxysmal positional vertigoprecipitant conditionsolder patientsvestibular migraine |
| spellingShingle | Augusto Pietro Casani Nicola Ducci Francesco Lazzerini Nicola Vernassa Luca Bruschini Preceding Benign Paroxysmal Positional Vertigo as a Trigger for Persistent Postural–Perceptual Dizziness: Which Clinical Predictors? Audiology Research persistent postural–perceptual dizziness vertigo benign paroxysmal positional vertigo precipitant conditions older patients vestibular migraine |
| title | Preceding Benign Paroxysmal Positional Vertigo as a Trigger for Persistent Postural–Perceptual Dizziness: Which Clinical Predictors? |
| title_full | Preceding Benign Paroxysmal Positional Vertigo as a Trigger for Persistent Postural–Perceptual Dizziness: Which Clinical Predictors? |
| title_fullStr | Preceding Benign Paroxysmal Positional Vertigo as a Trigger for Persistent Postural–Perceptual Dizziness: Which Clinical Predictors? |
| title_full_unstemmed | Preceding Benign Paroxysmal Positional Vertigo as a Trigger for Persistent Postural–Perceptual Dizziness: Which Clinical Predictors? |
| title_short | Preceding Benign Paroxysmal Positional Vertigo as a Trigger for Persistent Postural–Perceptual Dizziness: Which Clinical Predictors? |
| title_sort | preceding benign paroxysmal positional vertigo as a trigger for persistent postural perceptual dizziness which clinical predictors |
| topic | persistent postural–perceptual dizziness vertigo benign paroxysmal positional vertigo precipitant conditions older patients vestibular migraine |
| url | https://www.mdpi.com/2039-4349/13/6/82 |
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