The prevalence of benign paroxysmal positional vertigo in patients with osteoporosis.
Identifieur interne : 000073 ( Main/Corpus ); précédent : 000072; suivant : 000074The prevalence of benign paroxysmal positional vertigo in patients with osteoporosis.
Auteurs : Tjasse D. Bruintjes ; Hester J. Van Der Zaag-Loonen ; Frank Eggelmeijer ; Roeland B. Van LeeuwenSource :
- European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [ 1434-4726 ] ; 2018.
English descriptors
- KwdEn :
- Absorptiometry, Photon (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Benign Paroxysmal Positional Vertigo (diagnosis), Benign Paroxysmal Positional Vertigo (epidemiology), Benign Paroxysmal Positional Vertigo (therapy), Cohort Studies (MeSH), Dizziness (etiology), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Osteoporosis (complications), Prevalence (MeSH).
- MESH :
- complications : Osteoporosis.
- diagnosis : Benign Paroxysmal Positional Vertigo.
- epidemiology : Benign Paroxysmal Positional Vertigo.
- etiology : Dizziness.
- therapy : Benign Paroxysmal Positional Vertigo.
- Absorptiometry, Photon, Adult, Aged, Aged, 80 and over, Cohort Studies, Female, Humans, Male, Middle Aged, Prevalence.
Abstract
BACKGROUND
Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of dizziness. There is some evidence that osteoporosis is a risk factor for BPPV.
OBJECTIVE
To determine the prevalence of BPPV in patients with proven osteoporosis.
MATERIALS AND METHODS
We examined 187 new consecutive patients who attended our osteoporosis clinic. All patients had proven osteoporosis (DEXA scan resulting in a T score ≤ - 2.5). Patients completed a screening questionnaire assessing the presence of episodic vertigo provoked by changes in head position. When we suspected the presence of BPPV, we performed a Dix-Hallpike manoeuvre and a supine roll test. If the diagnostic procedure was positive, a (therapeutic) canalith repositioning manoeuvre (CRM) was performed.
RESULTS
Twelve out of 187 patients had a history of typical vertigo compatible with BPPV. In four patients, the presence of BPPV was confirmed by means of a positive Dix-Hallpike manoeuvre. The prevalence of BPPV in this population of patients with osteoporosis was 2.1% (95% CI 0.8-5.4%).
CONCLUSION
The prevalence of BPPV in patients with osteoporosis is low. Based on this study, we suggest that there does not seem to be a relation between osteoporosis and BPPV.
DOI: 10.1007/s00405-018-5164-4
PubMed: 30315360
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pubmed:30315360Le document en format XML
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<author><name sortKey="Bruintjes, Tjasse D" sort="Bruintjes, Tjasse D" uniqKey="Bruintjes T" first="Tjasse D" last="Bruintjes">Tjasse D. Bruintjes</name>
<affiliation><nlm:affiliation>Apeldoorn Dizziness Centre, Gelre Hospital Apeldoorn, P.O. Box 9014, 7300 DS, Apeldoorn, The Netherlands. t.bruintjes@gelre.nl.</nlm:affiliation>
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<author><name sortKey="Van Der Zaag Loonen, Hester J" sort="Van Der Zaag Loonen, Hester J" uniqKey="Van Der Zaag Loonen H" first="Hester J" last="Van Der Zaag-Loonen">Hester J. Van Der Zaag-Loonen</name>
<affiliation><nlm:affiliation>Apeldoorn Dizziness Centre, Gelre Hospital Apeldoorn, P.O. Box 9014, 7300 DS, Apeldoorn, The Netherlands.</nlm:affiliation>
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<author><name sortKey="Eggelmeijer, Frank" sort="Eggelmeijer, Frank" uniqKey="Eggelmeijer F" first="Frank" last="Eggelmeijer">Frank Eggelmeijer</name>
<affiliation><nlm:affiliation>Department of rheumatology, Gelre Hospital Apeldoorn, Apeldoorn, The Netherlands.</nlm:affiliation>
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<author><name sortKey="Van Leeuwen, Roeland B" sort="Van Leeuwen, Roeland B" uniqKey="Van Leeuwen R" first="Roeland B" last="Van Leeuwen">Roeland B. Van Leeuwen</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">The prevalence of benign paroxysmal positional vertigo in patients with osteoporosis.</title>
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<author><name sortKey="Van Der Zaag Loonen, Hester J" sort="Van Der Zaag Loonen, Hester J" uniqKey="Van Der Zaag Loonen H" first="Hester J" last="Van Der Zaag-Loonen">Hester J. Van Der Zaag-Loonen</name>
<affiliation><nlm:affiliation>Apeldoorn Dizziness Centre, Gelre Hospital Apeldoorn, P.O. Box 9014, 7300 DS, Apeldoorn, The Netherlands.</nlm:affiliation>
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<author><name sortKey="Eggelmeijer, Frank" sort="Eggelmeijer, Frank" uniqKey="Eggelmeijer F" first="Frank" last="Eggelmeijer">Frank Eggelmeijer</name>
<affiliation><nlm:affiliation>Department of rheumatology, Gelre Hospital Apeldoorn, Apeldoorn, The Netherlands.</nlm:affiliation>
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<author><name sortKey="Van Leeuwen, Roeland B" sort="Van Leeuwen, Roeland B" uniqKey="Van Leeuwen R" first="Roeland B" last="Van Leeuwen">Roeland B. Van Leeuwen</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 (diagnosis)</term>
<term>Benign Paroxysmal Positional Vertigo (epidemiology)</term>
<term>Benign Paroxysmal Positional Vertigo (therapy)</term>
<term>Cohort Studies (MeSH)</term>
<term>Dizziness (etiology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Osteoporosis (complications)</term>
<term>Prevalence (MeSH)</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dizziness</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cohort Studies</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of dizziness. There is some evidence that osteoporosis is a risk factor for BPPV.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To determine the prevalence of BPPV in patients with proven osteoporosis.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b>
</p>
<p>We examined 187 new consecutive patients who attended our osteoporosis clinic. All patients had proven osteoporosis (DEXA scan resulting in a T score ≤ - 2.5). Patients completed a screening questionnaire assessing the presence of episodic vertigo provoked by changes in head position. When we suspected the presence of BPPV, we performed a Dix-Hallpike manoeuvre and a supine roll test. If the diagnostic procedure was positive, a (therapeutic) canalith repositioning manoeuvre (CRM) was performed.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Twelve out of 187 patients had a history of typical vertigo compatible with BPPV. In four patients, the presence of BPPV was confirmed by means of a positive Dix-Hallpike manoeuvre. The prevalence of BPPV in this population of patients with osteoporosis was 2.1% (95% CI 0.8-5.4%).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>The prevalence of BPPV in patients with osteoporosis is low. Based on this study, we suggest that there does not seem to be a relation between osteoporosis and BPPV.</p>
</div>
</front>
</TEI>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of dizziness. There is some evidence that osteoporosis is a risk factor for BPPV.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the prevalence of BPPV in patients with proven osteoporosis.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">We examined 187 new consecutive patients who attended our osteoporosis clinic. All patients had proven osteoporosis (DEXA scan resulting in a T score ≤ - 2.5). Patients completed a screening questionnaire assessing the presence of episodic vertigo provoked by changes in head position. When we suspected the presence of BPPV, we performed a Dix-Hallpike manoeuvre and a supine roll test. If the diagnostic procedure was positive, a (therapeutic) canalith repositioning manoeuvre (CRM) was performed.</AbstractText>
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<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The prevalence of BPPV in patients with osteoporosis is low. Based on this study, we suggest that there does not seem to be a relation between osteoporosis and BPPV.</AbstractText>
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