Probable Benign Paroxysmal Positional Vertigo Converts into Definite BPPV in One in Six Patients.
Identifieur interne : 000080 ( Main/Exploration ); précédent : 000079; suivant : 000081Probable Benign Paroxysmal Positional Vertigo Converts into Definite BPPV in One in Six Patients.
Auteurs : Hester Van Der Zaag-Loonen [Pays-Bas] ; Tjasse Bruintjes [Pays-Bas] ; Roeland Van Leeuwen [Pays-Bas]Source :
- The journal of international advanced otology [ 1308-7649 ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Probabilité (MeSH), Récidive (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vertige positionnel paroxystique bénin (anatomopathologie), Vertige positionnel paroxystique bénin (diagnostic), Épreuves vestibulaires (statistiques et données numériques), Études de suivi (MeSH), Évolution de la maladie (MeSH).
- MESH :
- anatomopathologie : Vertige positionnel paroxystique bénin.
- diagnostic : Vertige positionnel paroxystique bénin.
- statistiques et données numériques : Épreuves vestibulaires.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Mâle, Probabilité, Récidive, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de suivi, Évolution de la maladie.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Benign Paroxysmal Positional Vertigo (diagnosis), Benign Paroxysmal Positional Vertigo (pathology), Disease Progression (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Probability (MeSH), Recurrence (MeSH), Vestibular Function Tests (statistics & numerical data).
- MESH :
- diagnosis : Benign Paroxysmal Positional Vertigo.
- pathology : Benign Paroxysmal Positional Vertigo.
- statistics & numerical data : Vestibular Function Tests.
- Adult, Aged, Aged, 80 and over, Disease Progression, Female, Follow-Up Studies, Humans, Male, Middle Aged, Probability, Recurrence.
Abstract
OBJECTIVE
Patients with positional vertigo who have a positive Dix-Hallpike (DH) test are diagnosed as having definite benign paroxysmal positional vertigo (BPPV), and those who have a negative DH test as having probable BPPV. Little is known about the course of the disease in the latter group. The aim of the present study was to assess how many patients with probable BPPV convert into having a positive DH test during follow-up.
MATERIALS AND METHODS
We included new patients who had experienced typical positional vertigo within the past 4 weeks and had a negative DH test. Patients were followed up over a period of 8 weeks. If the symptoms re-occurred, they were invited to return to the clinic for diagnostic DH test and, if positive, treated with a canalith repositioning maneuver.
RESULTS
During the inclusion period of 18 months, 167 patients had probable BPPV, in which 43 fulfilled the inclusion criteria. The mean age of the patients was 57 (SD 14.5) years. Of the patients, 27 (63%) were females. During follow-up, 25 (58%) patients suffered from recurring positional vertigo, in which 13 underwent the DH test. Of the 13 patients, 8 were positive in 7 (16%) patients; 1 patient had a positive DH test twice.
CONCLUSION
Among patients with a history of BPPV but a negative DH test at the first consultation, more than half (58%) experienced positional vertigo within 8 weeks. In 1 of 6 patients, the diagnosis was changed from probable to definite BPPV. Our advice to professionals who are confronted with a patient with symptoms of BPPV, but with a negative DH test, is to adopt a policy of low-threshold access for patients with recurring symptoms.
DOI: 10.5152/iao.2018.4862
PubMed: 30644375
PubMed Central: PMC6354532
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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sort="Bruintjes, Tjasse" uniqKey="Bruintjes T" first="Tjasse" last="Bruintjes">Tjasse Bruintjes</name><affiliation wicri:level="1"><nlm:affiliation>Clinic of Otorhinolaryngology, Gelre ziekenhuizen, Apeldoorn, Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Clinic of Otorhinolaryngology, Gelre ziekenhuizen, Apeldoorn</wicri:regionArea><wicri:noRegion>Apeldoorn</wicri:noRegion></affiliation></author><author><name sortKey="Leeuwen, Roeland Van" sort="Leeuwen, Roeland Van" uniqKey="Leeuwen R" first="Roeland Van" last="Leeuwen">Roeland Van Leeuwen</name><affiliation wicri:level="1"><nlm:affiliation>Clinic of Neurology, Gelre ziekenhuizen, Apeldoorn, Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Clinic of Neurology, Gelre ziekenhuizen, Apeldoorn</wicri:regionArea><wicri:noRegion>Apeldoorn</wicri:noRegion></affiliation></author></analytic><series><title level="j">The journal of international advanced otology</title><idno type="ISSN">1308-7649</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><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 (pathology)</term><term>Disease Progression (MeSH)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Probability (MeSH)</term><term>Recurrence (MeSH)</term><term>Vestibular Function Tests (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Probabilité (MeSH)</term><term>Récidive (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Vertige positionnel paroxystique bénin (anatomopathologie)</term><term>Vertige positionnel paroxystique bénin (diagnostic)</term><term>Épreuves vestibulaires (statistiques et données numériques)</term><term>Études de suivi (MeSH)</term><term>Évolution de la maladie (MeSH)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Vertige positionnel paroxystique bénin</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="pathology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Épreuves vestibulaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Disease Progression</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Probability</term><term>Recurrence</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Probabilité</term><term>Récidive</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études de suivi</term><term>Évolution de la maladie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Patients with positional vertigo who have a positive Dix-Hallpike (DH) test are diagnosed as having definite benign paroxysmal positional vertigo (BPPV), and those who have a negative DH test as having probable BPPV. Little is known about the course of the disease in the latter group. The aim of the present study was to assess how many patients with probable BPPV convert into having a positive DH test during follow-up.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b></p><p>We included new patients who had experienced typical positional vertigo within the past 4 weeks and had a negative DH test. Patients were followed up over a period of 8 weeks. If the symptoms re-occurred, they were invited to return to the clinic for diagnostic DH test and, if positive, treated with a canalith repositioning maneuver.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>During the inclusion period of 18 months, 167 patients had probable BPPV, in which 43 fulfilled the inclusion criteria. The mean age of the patients was 57 (SD 14.5) years. Of the patients, 27 (63%) were females. During follow-up, 25 (58%) patients suffered from recurring positional vertigo, in which 13 underwent the DH test. Of the 13 patients, 8 were positive in 7 (16%) patients; 1 patient had a positive DH test twice.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Among patients with a history of BPPV but a negative DH test at the first consultation, more than half (58%) experienced positional vertigo within 8 weeks. In 1 of 6 patients, the diagnosis was changed from probable to definite BPPV. Our advice to professionals who are confronted with a patient with symptoms of BPPV, but with a negative DH test, is to adopt a policy of low-threshold access for patients with recurring symptoms.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30644375</PMID><DateCompleted><Year>2019</Year><Month>09</Month><Day>23</Day></DateCompleted><DateRevised><Year>2020</Year><Month>02</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1308-7649</ISSN><JournalIssue CitedMedium="Print"><Volume>14</Volume><Issue>3</Issue><PubDate><Year>2018</Year><Month>Dec</Month></PubDate></JournalIssue><Title>The journal of international advanced otology</Title><ISOAbbreviation>J Int Adv Otol</ISOAbbreviation></Journal><ArticleTitle>Probable Benign Paroxysmal Positional Vertigo Converts into Definite BPPV in One in Six Patients.</ArticleTitle><Pagination><MedlinePgn>456-458</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5152/iao.2018.4862</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Patients with positional vertigo who have a positive Dix-Hallpike (DH) test are diagnosed as having definite benign paroxysmal positional vertigo (BPPV), and those who have a negative DH test as having probable BPPV. Little is known about the course of the disease in the latter group. The aim of the present study was to assess how many patients with probable BPPV convert into having a positive DH test during follow-up.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">We included new patients who had experienced typical positional vertigo within the past 4 weeks and had a negative DH test. Patients were followed up over a period of 8 weeks. If the symptoms re-occurred, they were invited to return to the clinic for diagnostic DH test and, if positive, treated with a canalith repositioning maneuver.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">During the inclusion period of 18 months, 167 patients had probable BPPV, in which 43 fulfilled the inclusion criteria. The mean age of the patients was 57 (SD 14.5) years. Of the patients, 27 (63%) were females. During follow-up, 25 (58%) patients suffered from recurring positional vertigo, in which 13 underwent the DH test. Of the 13 patients, 8 were positive in 7 (16%) patients; 1 patient had a positive DH test twice.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Among patients with a history of BPPV but a negative DH test at the first consultation, more than half (58%) experienced positional vertigo within 8 weeks. In 1 of 6 patients, the diagnosis was changed from probable to definite BPPV. 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Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D023362">Evaluation Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Turkey</Country><MedlineTA>J Int Adv Otol</MedlineTA><NlmUniqueID>101522982</NlmUniqueID><ISSNLinking>1308-7649</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><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 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UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>1</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>1</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>9</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30644375</ArticleId><ArticleId IdType="doi">10.5152/iao.2018.4862</ArticleId><ArticleId IdType="pmc">PMC6354532</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Otolaryngol Head Neck Surg. 2000 May;122(5):630-4</Citation><ArticleIdList><ArticleId IdType="pubmed">10793337</ArticleId></ArticleIdList></Reference><Reference><Citation>Eur Arch Otorhinolaryngol. 2005 Jun;262(6):507-11</Citation><ArticleIdList><ArticleId IdType="pubmed">15942805</ArticleId></ArticleIdList></Reference><Reference><Citation>J Neurol Neurosurg Psychiatry. 2007 Jul;78(7):710-5</Citation><ArticleIdList><ArticleId IdType="pubmed">17135456</ArticleId></ArticleIdList></Reference><Reference><Citation>Cochrane Database Syst Rev. 2014 Dec 08;(12):CD003162</Citation><ArticleIdList><ArticleId IdType="pubmed">25485940</ArticleId></ArticleIdList></Reference><Reference><Citation>J Orthop Sports Phys Ther. 2015 May;45(5):413</Citation><ArticleIdList><ArticleId IdType="pubmed">25929161</ArticleId></ArticleIdList></Reference><Reference><Citation>J Vestib Res. 2015;25(3-4):105-17</Citation><ArticleIdList><ArticleId IdType="pubmed">26756126</ArticleId></ArticleIdList></Reference><Reference><Citation>Clin Med (Lond). 2016 Aug;16(4):335-8</Citation><ArticleIdList><ArticleId IdType="pubmed">27481376</ArticleId></ArticleIdList></Reference><Reference><Citation>Otolaryngol Head Neck Surg. 2017 Mar;156(3_suppl):S1-S47</Citation><ArticleIdList><ArticleId IdType="pubmed">28248609</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Zaag Loonen, Hester Van Der" sort="Zaag Loonen, Hester Van Der" uniqKey="Zaag Loonen H" first="Hester Van Der" last="Zaag-Loonen">Hester Van Der Zaag-Loonen</name></noRegion><name sortKey="Bruintjes, Tjasse" sort="Bruintjes, Tjasse" uniqKey="Bruintjes T" first="Tjasse" last="Bruintjes">Tjasse Bruintjes</name><name sortKey="Leeuwen, Roeland Van" sort="Leeuwen, Roeland Van" uniqKey="Leeuwen R" first="Roeland Van" last="Leeuwen">Roeland Van Leeuwen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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