Benign Paroxysmal Positional Vertigo Secondary to Mild Head Trauma
| Autor: | George Koukoutsis, Dimitrios G. Balatsouras, Antonis Moukos, Nicolas C. Economou, Andreas Aspris, Michael Katotomichelakis, Alexandros Fassolis |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Nystagmography Benign paroxysmal positional vertigo Hearing loss Treatment outcome Severity of Illness Index Nystagmus Pathologic Head trauma 03 medical and health sciences Young Adult 0302 clinical medicine Recurrence Vertigo otorhinolaryngologic diseases medicine Humans Benign Paroxysmal Positional Vertigo 030223 otorhinolaryngology Aged Retrospective Studies Aged 80 and over biology business.industry Age Factors General Medicine Middle Aged biology.organism_classification medicine.disease Semicircular Canals Surgery Paresis Otorhinolaryngology Brain Injuries Case-Control Studies Female sense organs Radiology medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | The Annals of otology, rhinology, and laryngology. 126(1) |
| ISSN: | 1943-572X |
| Popis: | Objectives: We studied the clinical characteristics, nystagmographic findings, and treatment outcome of a group of patients with benign paroxysmal positional vertigo (BPPV) secondary to mild head trauma and compared them with a group of patients with idiopathic BPPV. Methods: The medical records of 33 patients with BPPV associated with mild head trauma were reviewed. Data of a complete otolaryngological, audiological, neurotologic, and imaging evaluation were available for all patients. Three hundred and twenty patients with idiopathic BPPV were used as a control group. Results: The patients with BPPV secondary to mild head trauma presented the following features, in which they differed from the patients with idiopathic BPPV: (1) lower mean age, with more intense symptoms; (2) increased rate of horizontal and anterior semicircular canal involvement and frequent multiple canal and bilateral involvement; (3) greater incidence of canal paresis and presence of spontaneous nystagmus; (4) poorer treatment results, attributed mainly to coexisting canal paresis in many patients, and higher rate of recurrence. Conclusions: Benign paroxysmal positional vertigo associated with mild head trauma differs from idiopathic BPPV in terms of several epidemiological and clinical features; it responds less effectively to treatment and is prone to recurrence. |
| Databáze: | OpenAIRE |
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