Benign Paroxysmal Positional Vertigo in the Elderly: A Single-center Experience.
Identifieur interne : 000058 ( Main/Exploration ); précédent : 000057; suivant : 000059Benign Paroxysmal Positional Vertigo in the Elderly: A Single-center Experience.
Auteurs : Hyunjoo Nahm [Corée du Sud] ; Kyujin Han ; Jung Eun Shin ; Chang-Hee KimSource :
- Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [ 1537-4505 ] ; 2019.
Descripteurs français
- KwdFr :
- Canaux semicirculaires osseux (physiopathologie), Centres de soins tertiaires (MeSH), Femelle (MeSH), Humains (MeSH), Membrane des statoconies (physiopathologie), Mâle (MeSH), Nystagmus physiologique (MeSH), Positionnement du patient (MeSH), Résultat thérapeutique (MeSH), Sensation vertigineuse (physiopathologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Tête (physiopathologie), Vertige positionnel paroxystique bénin (diagnostic), Vertige positionnel paroxystique bénin (thérapie), Vertige positionnel paroxystique bénin (épidémiologie), Épreuves vestibulaires (MeSH), Études rétrospectives (MeSH).
- MESH :
- diagnostic : Vertige positionnel paroxystique bénin.
- physiopathologie : Canaux semicirculaires osseux, Membrane des statoconies, Sensation vertigineuse, Tête.
- thérapie : Vertige positionnel paroxystique bénin.
- épidémiologie : Vertige positionnel paroxystique bénin.
- Centres de soins tertiaires, Femelle, Humains, Mâle, Nystagmus physiologique, Positionnement du patient, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Épreuves vestibulaires, Études rétrospectives.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Benign Paroxysmal Positional Vertigo (diagnosis), Benign Paroxysmal Positional Vertigo (epidemiology), Benign Paroxysmal Positional Vertigo (therapy), Dizziness (physiopathology), Female (MeSH), Head (physiopathology), Humans (MeSH), Male (MeSH), Nystagmus, Physiologic (MeSH), Otolithic Membrane (physiopathology), Patient Positioning (MeSH), Retrospective Studies (MeSH), Semicircular Canals (physiopathology), Tertiary Care Centers (MeSH), Treatment Outcome (MeSH), Vestibular Function Tests (MeSH).
- MESH :
- diagnosis : Benign Paroxysmal Positional Vertigo.
- epidemiology : Benign Paroxysmal Positional Vertigo.
- physiopathology : Dizziness, Head, Otolithic Membrane, Semicircular Canals.
- therapy : Benign Paroxysmal Positional Vertigo.
- Aged, Aged, 80 and over, Female, Humans, Male, Nystagmus, Physiologic, Patient Positioning, Retrospective Studies, Tertiary Care Centers, Treatment Outcome, Vestibular Function Tests.
Abstract
OBJECTIVES
Dizziness and balance problems are common in the elderly, and benign paroxysmal positional vertigo (BPPV) is one of the most common causes of dizziness. The aim of this study is to investigate the subtype distribution of geriatric BPPV in a single tertiary referral center, and compare the treatment efficacy according to the subtype of BPPV.
STUDY DESIGN
Retrospective study.
SETTING
Tertiary referral academic center.
PATIENTS
The consecutive 316 elderly patients diagnosed with BPPV between March 2013 and March 2019 were included.
MAIN OUTCOME MEASURES
Using a head-roll and Dix-Hallpike tests, subtype of BPPV was determined. Once the diagnosis of BPPV was made, patients were treated by its corresponding canalith repositioning maneuver (CRM).
RESULTS
Among 316 elderly patients with BPPV, 143 patients (45%) were diagnosed with posterior semicircular canal BPPV, 46 patients (15%) were diagnosed with lateral semicircular canal (LSCC) canalolithiasis, 126 patients (40%) were diagnosed with LSCC cupulolithiasis, and 1 patient (0%) was diagnosed with anterior semicircular canal BPPV. While 66 and 63% of the patients with posterior semicircular canal BPPV and LSCC canalolithiasis recovered after one session of CRM, only 32% of the patients with LSCC cupulolithiasis recovered after one session of CRM.
CONCLUSION
The proportion of LSCC cupulolithiasis was higher in the elderly, and treatment efficacy by CRM is lower in LSCC cupulolithiasis than other subtypes of BPPV. High prevalence of LSCC cupulolithiasis may be explained by a delay between onset of BPPV and patient's presentation to the tertiary referral hospital or pathophysiology of ageotropic positional nystagmus other than otoconial attachment on the LSCC cupula in the elderly.
DOI: 10.1097/MAO.0000000000002385
PubMed: 31634274
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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K" first="Kyujin" last="Han">Kyujin Han</name></author><author><name sortKey="Shin, Jung Eun" sort="Shin, Jung Eun" uniqKey="Shin J" first="Jung Eun" last="Shin">Jung Eun Shin</name></author><author><name sortKey="Kim, Chang Hee" sort="Kim, Chang Hee" uniqKey="Kim C" first="Chang-Hee" last="Kim">Chang-Hee Kim</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019</date><idno type="RBID">pubmed:31634274</idno><idno type="pmid">31634274</idno><idno type="doi">10.1097/MAO.0000000000002385</idno><idno type="wicri:Area/Main/Corpus">000029</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000029</idno><idno type="wicri:Area/Main/Curation">000029</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000029</idno><idno type="wicri:Area/Main/Exploration">000029</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Benign Paroxysmal Positional Vertigo in the Elderly: A Single-center Experience.</title><author><name sortKey="Nahm, Hyunjoo" sort="Nahm, Hyunjoo" uniqKey="Nahm H" first="Hyunjoo" last="Nahm">Hyunjoo Nahm</name><affiliation wicri:level="3"><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Republic of Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Han, Kyujin" sort="Han, Kyujin" uniqKey="Han K" first="Kyujin" last="Han">Kyujin Han</name></author><author><name sortKey="Shin, Jung Eun" sort="Shin, Jung Eun" uniqKey="Shin J" first="Jung Eun" last="Shin">Jung Eun Shin</name></author><author><name sortKey="Kim, Chang Hee" sort="Kim, Chang Hee" uniqKey="Kim C" first="Chang-Hee" last="Kim">Chang-Hee Kim</name></author></analytic><series><title level="j">Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</title><idno type="eISSN">1537-4505</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><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>Dizziness (physiopathology)</term><term>Female (MeSH)</term><term>Head (physiopathology)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Nystagmus, Physiologic (MeSH)</term><term>Otolithic Membrane (physiopathology)</term><term>Patient Positioning (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Semicircular Canals (physiopathology)</term><term>Tertiary Care Centers (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>Vestibular Function Tests (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Canaux semicirculaires osseux (physiopathologie)</term><term>Centres de soins tertiaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Membrane des statoconies (physiopathologie)</term><term>Mâle (MeSH)</term><term>Nystagmus physiologique (MeSH)</term><term>Positionnement du patient (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Sensation vertigineuse (physiopathologie)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Tête (physiopathologie)</term><term>Vertige positionnel paroxystique bénin (diagnostic)</term><term>Vertige positionnel paroxystique bénin (thérapie)</term><term>Vertige positionnel paroxystique bénin (épidémiologie)</term><term>Épreuves vestibulaires (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Canaux semicirculaires osseux</term><term>Membrane des statoconies</term><term>Sensation vertigineuse</term><term>Tête</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dizziness</term><term>Head</term><term>Otolithic Membrane</term><term>Semicircular Canals</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Nystagmus, Physiologic</term><term>Patient Positioning</term><term>Retrospective Studies</term><term>Tertiary Care Centers</term><term>Treatment Outcome</term><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Centres de soins tertiaires</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Nystagmus physiologique</term><term>Positionnement du patient</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Épreuves vestibulaires</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>Dizziness and balance problems are common in the elderly, and benign paroxysmal positional vertigo (BPPV) is one of the most common causes of dizziness. The aim of this study is to investigate the subtype distribution of geriatric BPPV in a single tertiary referral center, and compare the treatment efficacy according to the subtype of BPPV.</p></div><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>Retrospective study.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Tertiary referral academic center.</p></div><div type="abstract" xml:lang="en"><p><b>PATIENTS</b></p><p>The consecutive 316 elderly patients diagnosed with BPPV between March 2013 and March 2019 were included.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b></p><p>Using a head-roll and Dix-Hallpike tests, subtype of BPPV was determined. Once the diagnosis of BPPV was made, patients were treated by its corresponding canalith repositioning maneuver (CRM).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Among 316 elderly patients with BPPV, 143 patients (45%) were diagnosed with posterior semicircular canal BPPV, 46 patients (15%) were diagnosed with lateral semicircular canal (LSCC) canalolithiasis, 126 patients (40%) were diagnosed with LSCC cupulolithiasis, and 1 patient (0%) was diagnosed with anterior semicircular canal BPPV. While 66 and 63% of the patients with posterior semicircular canal BPPV and LSCC canalolithiasis recovered after one session of CRM, only 32% of the patients with LSCC cupulolithiasis recovered after one session of CRM.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The proportion of LSCC cupulolithiasis was higher in the elderly, and treatment efficacy by CRM is lower in LSCC cupulolithiasis than other subtypes of BPPV. High prevalence of LSCC cupulolithiasis may be explained by a delay between onset of BPPV and patient's presentation to the tertiary referral hospital or pathophysiology of ageotropic positional nystagmus other than otoconial attachment on the LSCC cupula in the elderly.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31634274</PMID><DateCompleted><Year>2020</Year><Month>06</Month><Day>23</Day></DateCompleted><DateRevised><Year>2020</Year><Month>06</Month><Day>23</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1537-4505</ISSN><JournalIssue CitedMedium="Internet"><Volume>40</Volume><Issue>10</Issue><PubDate><Year>2019</Year><Month>12</Month></PubDate></JournalIssue><Title>Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</Title><ISOAbbreviation>Otol Neurotol</ISOAbbreviation></Journal><ArticleTitle>Benign Paroxysmal Positional Vertigo in the Elderly: A Single-center Experience.</ArticleTitle><Pagination><MedlinePgn>1359-1362</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/MAO.0000000000002385</ELocationID><Abstract><AbstractText Label="OBJECTIVES">Dizziness and balance problems are common in the elderly, and benign paroxysmal positional vertigo (BPPV) is one of the most common causes of dizziness. The aim of this study is to investigate the subtype distribution of geriatric BPPV in a single tertiary referral center, and compare the treatment efficacy according to the subtype of BPPV.</AbstractText><AbstractText Label="STUDY DESIGN">Retrospective study.</AbstractText><AbstractText Label="SETTING">Tertiary referral academic center.</AbstractText><AbstractText Label="PATIENTS">The consecutive 316 elderly patients diagnosed with BPPV between March 2013 and March 2019 were included.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES">Using a head-roll and Dix-Hallpike tests, subtype of BPPV was determined. Once the diagnosis of BPPV was made, patients were treated by its corresponding canalith repositioning maneuver (CRM).</AbstractText><AbstractText Label="RESULTS">Among 316 elderly patients with BPPV, 143 patients (45%) were diagnosed with posterior semicircular canal BPPV, 46 patients (15%) were diagnosed with lateral semicircular canal (LSCC) canalolithiasis, 126 patients (40%) were diagnosed with LSCC cupulolithiasis, and 1 patient (0%) was diagnosed with anterior semicircular canal BPPV. While 66 and 63% of the patients with posterior semicircular canal BPPV and LSCC canalolithiasis recovered after one session of CRM, only 32% of the patients with LSCC cupulolithiasis recovered after one session of CRM.</AbstractText><AbstractText Label="CONCLUSION">The proportion of LSCC cupulolithiasis was higher in the elderly, and treatment efficacy by CRM is lower in LSCC cupulolithiasis than other subtypes of BPPV. High prevalence of LSCC cupulolithiasis may be explained by a delay between onset of BPPV and patient's presentation to the tertiary referral hospital or pathophysiology of ageotropic positional nystagmus other than otoconial attachment on the LSCC cupula in the elderly.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Nahm</LastName><ForeName>HyunJoo</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Han</LastName><ForeName>Kyujin</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Shin</LastName><ForeName>Jung Eun</ForeName><Initials>JE</Initials></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Chang-Hee</ForeName><Initials>CH</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Otol Neurotol</MedlineTA><NlmUniqueID>100961504</NlmUniqueID><ISSNLinking>1531-7129</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006257" MajorTopicYN="N">Head</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009760" MajorTopicYN="Y">Nystagmus, Physiologic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010037" MajorTopicYN="N">Otolithic Membrane</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D056888" MajorTopicYN="N">Patient Positioning</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D062606" MajorTopicYN="N">Tertiary Care Centers</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>10</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>6</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>10</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31634274</ArticleId><ArticleId IdType="doi">10.1097/MAO.0000000000002385</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><noCountry><name sortKey="Han, Kyujin" sort="Han, Kyujin" uniqKey="Han K" first="Kyujin" last="Han">Kyujin Han</name><name sortKey="Kim, Chang Hee" sort="Kim, Chang Hee" uniqKey="Kim C" first="Chang-Hee" last="Kim">Chang-Hee Kim</name><name sortKey="Shin, Jung Eun" sort="Shin, Jung Eun" uniqKey="Shin J" first="Jung Eun" last="Shin">Jung Eun Shin</name></noCountry><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Nahm, Hyunjoo" sort="Nahm, Hyunjoo" uniqKey="Nahm H" first="Hyunjoo" last="Nahm">Hyunjoo Nahm</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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