Subjective benign paroxysmal positional vertigo in patients with osteoporosis or migraine.
Identifieur interne : 000066 ( Main/Corpus ); précédent : 000065; suivant : 000067Subjective benign paroxysmal positional vertigo in patients with osteoporosis or migraine.
Auteurs : Rocío González-Aguado ; Esther Domènech-Vadillo ; María Guadalupe Álvarez-Morujo De Sande ; Gloria Guerra-Jiménez ; Emilio Domínguez-DuránSource :
- Brazilian journal of otorhinolaryngology [ 1808-8686 ]
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Benign Paroxysmal Positional Vertigo (complications), Benign Paroxysmal Positional Vertigo (drug therapy), Benign Paroxysmal Positional Vertigo (physiopathology), Betahistine (therapeutic use), Case-Control Studies (MeSH), Child (MeSH), Child, Preschool (MeSH), Female (MeSH), Humans (MeSH), Infant (MeSH), Infant, Newborn (MeSH), Male (MeSH), Middle Aged (MeSH), Migraine Disorders (complications), Migraine Disorders (physiopathology), Nystagmus, Physiologic (physiology), Osteoporosis (complications), Osteoporosis (physiopathology), Physical Therapy Modalities (MeSH), Posture (physiology), Prospective Studies (MeSH), Sulpiride (therapeutic use), Young Adult (MeSH).
- MESH :
- chemical , therapeutic use : Betahistine, Sulpiride.
- complications : Benign Paroxysmal Positional Vertigo, Migraine Disorders, Osteoporosis.
- drug therapy : Benign Paroxysmal Positional Vertigo.
- physiology : Nystagmus, Physiologic, Posture.
- physiopathology : Benign Paroxysmal Positional Vertigo, Migraine Disorders, Osteoporosis.
- Adolescent, Adult, Case-Control Studies, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Middle Aged, Physical Therapy Modalities, Prospective Studies, Young Adult.
Abstract
INTRODUCTION
Subjective benign paroxysmal positional vertigo is a form of benign paroxysmal positional vertigo in which during the diagnostic positional maneuvers patients only present vertigo symptoms with no nystagmus.
OBJECTIVE
To study the characteristics of subjects with subjective benign paroxysmal positional vertigo.
METHODS
Prospective multicenter case-control study. All patients presenting with vertigo in the Dix-Hallpike test that presented to the participating hospitals were included. The patients were separated into two groups depending on whether nystagmus was present or not. An Epley Maneuver of the affected side was performed. In the follow-up visit, patients were checked to see if nystagmus and vertigo were present. Both groups of patients were compared to assess the success rate of the Epley maneuver and also to compare the presence of 19 variables.
RESULTS
259 patients were recruited, of which 64 belonged to the subjective group. Nystagmus was eliminated in 67.2% of the patients with benign paroxysmal positional vertigo. 89.1% of the patients with subjective benign paroxysmal positional vertigo remained unaffected by nystagmus, thus showing a significant difference (p=0.001). Osteoporosis and migraine were the variables which reached the closest to the significance level. In those patients who were taking vestibular suppressors, the percentage of subjective benign paroxysmal positional vertigo was not significantly higher.
CONCLUSIONS
Subjective benign paroxysmal positional vertigo should be treated using the Epley maneuver. More studies are needed to establish a relationship between osteoporosis, migraine and subjective benign paroxysmal positional vertigo. The use of vestibular suppressants does not affect the detection of nystagmus.
DOI: 10.1016/j.bjorl.2018.10.003
PubMed: 30482521
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pubmed:30482521Le document en format XML
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Electronic address: rocigonzagua@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Domenech Vadillo, Esther" sort="Domenech Vadillo, Esther" uniqKey="Domenech Vadillo E" first="Esther" last="Domènech-Vadillo">Esther Domènech-Vadillo</name><affiliation><nlm:affiliation>Hospital Universitario Joan XXIII, Tarragona, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Alvarez Morujo De Sande, Maria Guadalupe" sort="Alvarez Morujo De Sande, Maria Guadalupe" uniqKey="Alvarez Morujo De Sande M" first="María Guadalupe" last="Álvarez-Morujo De Sande">María Guadalupe Álvarez-Morujo De Sande</name><affiliation><nlm:affiliation>Hospital Universitario Puerta del Mar, Cádiz, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Guerra Jimenez, Gloria" sort="Guerra Jimenez, Gloria" uniqKey="Guerra Jimenez G" first="Gloria" last="Guerra-Jiménez">Gloria Guerra-Jiménez</name><affiliation><nlm:affiliation>Complejo Hospitalario Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Dominguez Duran, Emilio" sort="Dominguez Duran, Emilio" uniqKey="Dominguez Duran E" first="Emilio" last="Domínguez-Durán">Emilio Domínguez-Durán</name><affiliation><nlm:affiliation>Hospital Infanta Luisa, Sevilla, Spain.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020 Jan - Feb</date><idno type="RBID">pubmed:30482521</idno><idno type="pmid">30482521</idno><idno type="doi">10.1016/j.bjorl.2018.10.003</idno><idno type="wicri:Area/Main/Corpus">000066</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000066</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Subjective benign paroxysmal positional vertigo in patients with osteoporosis or migraine.</title><author><name sortKey="Gonzalez Aguado, Rocio" sort="Gonzalez Aguado, Rocio" uniqKey="Gonzalez Aguado R" first="Rocío" last="González-Aguado">Rocío González-Aguado</name><affiliation><nlm:affiliation>Hospital Universitario Marqués de Valdecilla, Santander, Spain. Electronic address: rocigonzagua@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Domenech Vadillo, Esther" sort="Domenech Vadillo, Esther" uniqKey="Domenech Vadillo E" first="Esther" last="Domènech-Vadillo">Esther Domènech-Vadillo</name><affiliation><nlm:affiliation>Hospital Universitario Joan XXIII, Tarragona, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Alvarez Morujo De Sande, Maria Guadalupe" sort="Alvarez Morujo De Sande, Maria Guadalupe" uniqKey="Alvarez Morujo De Sande M" first="María Guadalupe" last="Álvarez-Morujo De Sande">María Guadalupe Álvarez-Morujo De Sande</name><affiliation><nlm:affiliation>Hospital Universitario Puerta del Mar, Cádiz, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Guerra Jimenez, Gloria" sort="Guerra Jimenez, Gloria" uniqKey="Guerra Jimenez G" first="Gloria" last="Guerra-Jiménez">Gloria Guerra-Jiménez</name><affiliation><nlm:affiliation>Complejo Hospitalario Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Dominguez Duran, Emilio" sort="Dominguez Duran, Emilio" uniqKey="Dominguez Duran E" first="Emilio" last="Domínguez-Durán">Emilio Domínguez-Durán</name><affiliation><nlm:affiliation>Hospital Infanta Luisa, Sevilla, Spain.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Brazilian journal of otorhinolaryngology</title><idno type="eISSN">1808-8686</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Benign Paroxysmal Positional Vertigo (complications)</term><term>Benign Paroxysmal Positional Vertigo (drug therapy)</term><term>Benign Paroxysmal Positional Vertigo (physiopathology)</term><term>Betahistine (therapeutic use)</term><term>Case-Control Studies (MeSH)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Infant (MeSH)</term><term>Infant, Newborn (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Migraine Disorders (complications)</term><term>Migraine Disorders (physiopathology)</term><term>Nystagmus, Physiologic (physiology)</term><term>Osteoporosis (complications)</term><term>Osteoporosis (physiopathology)</term><term>Physical Therapy Modalities (MeSH)</term><term>Posture (physiology)</term><term>Prospective Studies (MeSH)</term><term>Sulpiride (therapeutic use)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Betahistine</term><term>Sulpiride</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Migraine Disorders</term><term>Osteoporosis</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Nystagmus, Physiologic</term><term>Posture</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Migraine Disorders</term><term>Osteoporosis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Case-Control Studies</term><term>Child</term><term>Child, Preschool</term><term>Female</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Male</term><term>Middle Aged</term><term>Physical Therapy Modalities</term><term>Prospective Studies</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>Subjective benign paroxysmal positional vertigo is a form of benign paroxysmal positional vertigo in which during the diagnostic positional maneuvers patients only present vertigo symptoms with no nystagmus.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To study the characteristics of subjects with subjective benign paroxysmal positional vertigo.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Prospective multicenter case-control study. All patients presenting with vertigo in the Dix-Hallpike test that presented to the participating hospitals were included. The patients were separated into two groups depending on whether nystagmus was present or not. An Epley Maneuver of the affected side was performed. In the follow-up visit, patients were checked to see if nystagmus and vertigo were present. Both groups of patients were compared to assess the success rate of the Epley maneuver and also to compare the presence of 19 variables.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>259 patients were recruited, of which 64 belonged to the subjective group. Nystagmus was eliminated in 67.2% of the patients with benign paroxysmal positional vertigo. 89.1% of the patients with subjective benign paroxysmal positional vertigo remained unaffected by nystagmus, thus showing a significant difference (p=0.001). Osteoporosis and migraine were the variables which reached the closest to the significance level. In those patients who were taking vestibular suppressors, the percentage of subjective benign paroxysmal positional vertigo was not significantly higher.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Subjective benign paroxysmal positional vertigo should be treated using the Epley maneuver. More studies are needed to establish a relationship between osteoporosis, migraine and subjective benign paroxysmal positional vertigo. The use of vestibular suppressants does not affect the detection of nystagmus.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30482521</PMID><DateCompleted><Year>2020</Year><Month>04</Month><Day>15</Day></DateCompleted><DateRevised><Year>2020</Year><Month>04</Month><Day>15</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1808-8686</ISSN><JournalIssue CitedMedium="Internet"><Volume>86</Volume><Issue>1</Issue><PubDate><MedlineDate>2020 Jan - Feb</MedlineDate></PubDate></JournalIssue><Title>Brazilian journal of otorhinolaryngology</Title><ISOAbbreviation>Braz J Otorhinolaryngol</ISOAbbreviation></Journal><ArticleTitle>Subjective benign paroxysmal positional vertigo in patients with osteoporosis or migraine.</ArticleTitle><Pagination><MedlinePgn>83-90</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1808-8694(18)30293-3</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bjorl.2018.10.003</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Subjective benign paroxysmal positional vertigo is a form of benign paroxysmal positional vertigo in which during the diagnostic positional maneuvers patients only present vertigo symptoms with no nystagmus.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To study the characteristics of subjects with subjective benign paroxysmal positional vertigo.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Prospective multicenter case-control study. All patients presenting with vertigo in the Dix-Hallpike test that presented to the participating hospitals were included. The patients were separated into two groups depending on whether nystagmus was present or not. An Epley Maneuver of the affected side was performed. In the follow-up visit, patients were checked to see if nystagmus and vertigo were present. Both groups of patients were compared to assess the success rate of the Epley maneuver and also to compare the presence of 19 variables.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">259 patients were recruited, of which 64 belonged to the subjective group. Nystagmus was eliminated in 67.2% of the patients with benign paroxysmal positional vertigo. 89.1% of the patients with subjective benign paroxysmal positional vertigo remained unaffected by nystagmus, thus showing a significant difference (p=0.001). Osteoporosis and migraine were the variables which reached the closest to the significance level. In those patients who were taking vestibular suppressors, the percentage of subjective benign paroxysmal positional vertigo was not significantly higher.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Subjective benign paroxysmal positional vertigo should be treated using the Epley maneuver. More studies are needed to establish a relationship between osteoporosis, migraine and subjective benign paroxysmal positional vertigo. The use of vestibular suppressants does not affect the detection of nystagmus.</AbstractText><CopyrightInformation>Copyright © 2018 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>González-Aguado</LastName><ForeName>Rocío</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Hospital Universitario Marqués de Valdecilla, Santander, Spain. Electronic address: rocigonzagua@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Domènech-Vadillo</LastName><ForeName>Esther</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Hospital Universitario Joan XXIII, Tarragona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Álvarez-Morujo de Sande</LastName><ForeName>María Guadalupe</ForeName><Initials>MG</Initials><AffiliationInfo><Affiliation>Hospital Universitario Puerta del Mar, Cádiz, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guerra-Jiménez</LastName><ForeName>Gloria</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Complejo Hospitalario Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Domínguez-Durán</LastName><ForeName>Emilio</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Hospital Infanta Luisa, Sevilla, Spain.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>11</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>Brazil</Country><MedlineTA>Braz J Otorhinolaryngol</MedlineTA><NlmUniqueID>101207337</NlmUniqueID><ISSNLinking>1808-8686</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>7MNE9M8287</RegistryNumber><NameOfSubstance UI="D013469">Sulpiride</NameOfSubstance></Chemical><Chemical><RegistryNumber>X32KK4201D</RegistryNumber><NameOfSubstance UI="D001621">Betahistine</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001621" MajorTopicYN="N">Betahistine</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008881" MajorTopicYN="N">Migraine Disorders</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009760" MajorTopicYN="N">Nystagmus, Physiologic</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010024" MajorTopicYN="N">Osteoporosis</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="N">Physical Therapy Modalities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="N">Posture</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013469" MajorTopicYN="N">Sulpiride</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">BPPV</Keyword><Keyword MajorTopicYN="N">Distúrbios da migrânea</Keyword><Keyword MajorTopicYN="N">Migraine disorders</Keyword><Keyword MajorTopicYN="N">Osteoporose</Keyword><Keyword MajorTopicYN="N">Osteoporosis</Keyword><Keyword MajorTopicYN="N">VPPB</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>05</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2018</Year><Month>09</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>10</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>11</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>4</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>11</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30482521</ArticleId><ArticleId IdType="pii">S1808-8694(18)30293-3</ArticleId><ArticleId IdType="doi">10.1016/j.bjorl.2018.10.003</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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