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Correlation Between the Sleep-Position Habits and the Affected Posterior Semicircular Canal in Patients with Benign Paroxysmal Positional Vertigo.

Identifieur interne : 000027 ( Main/Corpus ); précédent : 000026; suivant : 000028

Correlation Between the Sleep-Position Habits and the Affected Posterior Semicircular Canal in Patients with Benign Paroxysmal Positional Vertigo.

Auteurs : Ruth Yousovich ; Shay I. Duvdevani ; Noga Lipschitz ; Michael Wolf ; Lela Migirov ; Arkadi Yakirevitch

Source :

RBID : pubmed:31713357

English descriptors

Abstract

BACKGROUND

Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo. It is assumed that sleep is involved in the pathogenesis of BPPV, and that habitual head-lying side during sleep correlates with the affected side in the posterior semicircular canal BPPV.

OBJECTIVES

To investigate the relationship between the preferred sleeping position and the affected semicircular canal in patients with BPPV.

METHODS

We performed a retrospective data review of patients seeking help for vertigo/dizziness who had undergone clinical evaluation including a Dix-Hallpike test. Patients diagnosed with posterior canal BPPV (p-BPPV) were asked to define their preferred lying side (right, left, supine, or variable) during the night sleep. Affected semicircular canal (right posterior or left posterior) was registered along with demographic data.

RESULTS

In all, 237 patients were diagnosed with p-BPPV. Patients with horizontal semicircular canal BPPV (n=11) were excluded. Patient mean age was 57 years (range 14-87). There were 150 patients with right p-BPPV and 87 patients with left p-BPPV. Among the patients, 122 (52%) habitually slept on the right side. Of those, 102 (84%) were diagnosed with right p-BPPV (P = 0.0006), while 82 patients (34%) habitually slept on the left side. Fifty-three (65%) were diagnosed with left p-BPPV (P < 0.0001). There were no differences in right vs. left p-BPPV in the 33 patients (14%) who expressed no preference concerning their sleeping positions.

CONCLUSIONS

Our study highlights the etiology of BPPV and showed that changing sleep position habits might be helpful in preventing recurrent BPPV.


PubMed: 31713357

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pubmed:31713357

Le document en format XML

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<name sortKey="Yousovich, Ruth" sort="Yousovich, Ruth" uniqKey="Yousovich R" first="Ruth" last="Yousovich">Ruth Yousovich</name>
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<nlm:affiliation>Department of Otorhinolaryngology - Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.</nlm:affiliation>
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<name sortKey="Duvdevani, Shay I" sort="Duvdevani, Shay I" uniqKey="Duvdevani S" first="Shay I" last="Duvdevani">Shay I. Duvdevani</name>
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<name sortKey="Lipschitz, Noga" sort="Lipschitz, Noga" uniqKey="Lipschitz N" first="Noga" last="Lipschitz">Noga Lipschitz</name>
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<name sortKey="Wolf, Michael" sort="Wolf, Michael" uniqKey="Wolf M" first="Michael" last="Wolf">Michael Wolf</name>
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<name sortKey="Migirov, Lela" sort="Migirov, Lela" uniqKey="Migirov L" first="Lela" last="Migirov">Lela Migirov</name>
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<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Benign Paroxysmal Positional Vertigo (physiopathology)</term>
<term>Female (MeSH)</term>
<term>Habits (MeSH)</term>
<term>Head Movements (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Posture (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Semicircular Canals (physiopathology)</term>
<term>Sleep (MeSH)</term>
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<term>Benign Paroxysmal Positional Vertigo</term>
<term>Semicircular Canals</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Habits</term>
<term>Head Movements</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Posture</term>
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<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo. It is assumed that sleep is involved in the pathogenesis of BPPV, and that habitual head-lying side during sleep correlates with the affected side in the posterior semicircular canal BPPV.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVES</b>
</p>
<p>To investigate the relationship between the preferred sleeping position and the affected semicircular canal in patients with BPPV.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We performed a retrospective data review of patients seeking help for vertigo/dizziness who had undergone clinical evaluation including a Dix-Hallpike test. Patients diagnosed with posterior canal BPPV (p-BPPV) were asked to define their preferred lying side (right, left, supine, or variable) during the night sleep. Affected semicircular canal (right posterior or left posterior) was registered along with demographic data.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>In all, 237 patients were diagnosed with p-BPPV. Patients with horizontal semicircular canal BPPV (n=11) were excluded. Patient mean age was 57 years (range 14-87). There were 150 patients with right p-BPPV and 87 patients with left p-BPPV. Among the patients, 122 (52%) habitually slept on the right side. Of those, 102 (84%) were diagnosed with right p-BPPV (P = 0.0006), while 82 patients (34%) habitually slept on the left side. Fifty-three (65%) were diagnosed with left p-BPPV (P < 0.0001). There were no differences in right vs. left p-BPPV in the 33 patients (14%) who expressed no preference concerning their sleeping positions.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Our study highlights the etiology of BPPV and showed that changing sleep position habits might be helpful in preventing recurrent BPPV.</p>
</div>
</front>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo. It is assumed that sleep is involved in the pathogenesis of BPPV, and that habitual head-lying side during sleep correlates with the affected side in the posterior semicircular canal BPPV.</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To investigate the relationship between the preferred sleeping position and the affected semicircular canal in patients with BPPV.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We performed a retrospective data review of patients seeking help for vertigo/dizziness who had undergone clinical evaluation including a Dix-Hallpike test. Patients diagnosed with posterior canal BPPV (p-BPPV) were asked to define their preferred lying side (right, left, supine, or variable) during the night sleep. Affected semicircular canal (right posterior or left posterior) was registered along with demographic data.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In all, 237 patients were diagnosed with p-BPPV. Patients with horizontal semicircular canal BPPV (n=11) were excluded. Patient mean age was 57 years (range 14-87). There were 150 patients with right p-BPPV and 87 patients with left p-BPPV. Among the patients, 122 (52%) habitually slept on the right side. Of those, 102 (84%) were diagnosed with right p-BPPV (P = 0.0006), while 82 patients (34%) habitually slept on the left side. Fifty-three (65%) were diagnosed with left p-BPPV (P < 0.0001). There were no differences in right vs. left p-BPPV in the 33 patients (14%) who expressed no preference concerning their sleeping positions.</AbstractText>
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