A Multicenter observational study on the role of comorbidities in the recurrent episodes of benign paroxysmal positional vertigo

Authors
Alessandro De StefanoFrancesco DispenzaHamlet SuarezNicolas Perez-FernandezRaquel Manrique-HuarteJae Ho BanMin Beom KimMichael StruppKatharina FeilCarlos A. OliveiraAndres L. SampaioMercedes F.S. AraujoFayez Bahmad JrMauricio M. GanancFernando F. GanancRicardo DoriguetoHyung LeeGautham KulamarvaNavneet MathurPamela Di GiovanniAnna Grazia PetruccimTommaso StanisciaLeonardo CitraroAdelchi Croce
Department
Dept. of Neurology (신경과학)
Issue Date
2014
Citation
Auris Nasus Larynx, Vol.41(1) : 31-36, 2014
ISSN
0385-8146
Abstract
Objective: Primary objective of this study was to find a statistical link between the most worldwide comorbidities affecting the elderly population (hypertension, diabetes, osteoarthrosis, osteoporosis and depression) and recurrent episodes of BPPV. Secondary objective was defining possible ‘‘groups of risk’’ for people suffering recurrent positional vertigo related to the presence of a well documented comorbidity. Methods: This was an observational, cross-sectional, multicenter, spontaneous, non-pharmacological study. Thedataof1092patientssufferingBPPVevaluatedin11differentDepartmentsofOtolaryngology,Otoneurology and Neurology, referring Centers for positional vertigo evaluation, were retrospectively collected. Results: Regarding evaluated comorbidities (hypertension, diabetes, osteoarthrosis, osteoporosis and depression), data analysis showed the presence of at least one comorbid disorder in 216 subjects (19.8%) and 2 or more in 408 subjects (37.4%). Moreover there was a statistical significant difference between the number of comorbidities and the number of recurrences, otherwise said as comorbidity disorders increased the number of relapses increased too. Conclusion: The presence of a systemic disease may worsen the status of the posterior labyrinth causing a more frequent otolith detachment. This condition increases the risk for patients suffering BPPV to have recurrent episodes, even if correctly managed by repositioning maneuvers. The combination of two or more of aforementioned comorbidities further increases the risk of relapsing BPPV, worsened by the presence of osteoporosis. On the basis of this results it was possible to define ‘‘groups of risk’’ useful for predicting BPPV recurrence in patients with one or more comorbidity. 2013 Published by Elsevier Ireland Ltd.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/35140
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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Full Text
http://lps3.www.sciencedirect.com.proxy.dsmc.or.kr/science/article/pii/S0385814613001557?via%3Dihub
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