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

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Author(s)
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
Keimyung Author(s)
Lee, Hyung
Department
Dept. of Neurology (신경과학)
Journal Title
Auris Nasus Larynx
Issued Date
2014
Volume
41
Issue
1
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.
Keimyung Author(s)(Kor)
이형
Publisher
School of Medicine
Citation
Alessandro De Stefano et al. (2014). A Multicenter observational study on the role of comorbidities in the recurrent episodes of benign paroxysmal positional vertigo. Auris Nasus Larynx, 41(1), 31–36. doi: 10.1016/j.anl.2013.07.007
Type
Article
ISSN
0385-8146
Source
http://lps3.www.sciencedirect.com.proxy.dsmc.or.kr/science/article/pii/S0385814613001557?via%3Dihub
DOI
10.1016/j.anl.2013.07.007
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35140
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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