Benign paroxysmal positional vertigo in patients after mild traumatic brain injury.
Identifieur interne : 000091 ( Main/Exploration ); précédent : 000090; suivant : 000092Benign paroxysmal positional vertigo in patients after mild traumatic brain injury.
Auteurs : Magdalena J Zefowicz-Korczy Ska [Pologne] ; Anna Pajor [Pologne] ; Wojciech Sk Ra [Pologne]Source :
- Advances in clinical and experimental medicine : official organ Wroclaw Medical University [ 1899-5276 ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Commotion de l'encéphale (MeSH), Humains (MeSH), Lésions encéphaliques (complications), Pologne (épidémiologie), Sensation vertigineuse (physiopathologie), Sensation vertigineuse (étiologie), Traumatismes cranioencéphaliques (épidémiologie), Vertige (complications), Vertige (diagnostic), Vertige (physiopathologie), Vertige positionnel paroxystique bénin (épidémiologie).
- MESH :
- diagnostic : Vertige.
- physiopathologie : Sensation vertigineuse, Vertige.
- épidémiologie : Lésions encéphaliques, Pologne, Traumatismes cranioencéphaliques, Vertige, Vertige positionnel paroxystique bénin.
- étiologie : Sensation vertigineuse.
- Adulte d'âge moyen, Commotion de l'encéphale, Humains.
- Wicri :
- geographic : Pologne.
English descriptors
- KwdEn :
- Benign Paroxysmal Positional Vertigo (epidemiology), Brain Concussion (MeSH), Brain Injuries (complications), Craniocerebral Trauma (epidemiology), Dizziness (etiology), Dizziness (physiopathology), Humans (MeSH), Middle Aged (MeSH), Poland (epidemiology), Vertigo (complications), Vertigo (diagnosis), Vertigo (physiopathology).
- MESH :
- geographic , epidemiology : Poland.
- complications : Brain Injuries, Vertigo.
- diagnosis : Vertigo.
- epidemiology : Benign Paroxysmal Positional Vertigo, Craniocerebral Trauma.
- etiology : Dizziness.
- physiopathology : Dizziness, Vertigo.
- Brain Concussion, Humans, Middle Aged.
Abstract
BACKGROUND
Post-traumatic vertigo, dizziness and balance disorders following head trauma range from 15% to 78% in the general population. Benign paroxysmal positional vertigo (BPPV) is the most common vestibular disorder in such patients.
OBJECTIVES
The aim of the study was to assess the occurrence of BPPV in patients with mild traumatic brain injury (MTBI) and determine the outcome of treatment.
MATERIAL AND METHODS
A group of 179 patients, with a mean age of 45.2 years, complaining of vertigo/ /dizziness and balance instability after MTBI, was enrolled into the study. All these patients were diagnosed and treated in the Department of Otolaryngology (Medical University of Lodz, Poland) between the years 2012 and 2014. Anamnesis and otoneurological examination were conducted in each patient. The diagnosis was based on the medical history, the Dix-Hallpike test or the rollover test. The treatment comprised the Epley, barbecue and particle repositioning (RM) maneuvers.
RESULTS
Nineteen patients (10.6%) complained about attacks of vertigo elicited by positional changes. The diagnosis of BPPV was confirmed in 9 (47.4%) patients: 8 cases with a positive Dix-Hallpike test and 1 with the roll test. In 10 cases, a high probability of BPPV was diagnosed based on the medical history. Eight patients were treated by a single Epley maneuver and 1 patient by the barbecue roll. In 4 (44.4%) patients, the maneuvers were repeated. On the follow-up examination, the patients were not found to have vertigo.
CONCLUSIONS
Benign paroxysmal positional vertigo should be diagnosed and treated successfully in patients after head trauma.
DOI: 10.17219/acem/69708
PubMed: 30058780
Affiliations:
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Lodz</wicri:regionArea><wicri:noRegion>Medical University of Lodz</wicri:noRegion></affiliation></author><author><name sortKey="Pajor, Anna" sort="Pajor, Anna" uniqKey="Pajor A" first="Anna" last="Pajor">Anna Pajor</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology, Medical University of Lodz, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Otolaryngology, Medical University of Lodz</wicri:regionArea><wicri:noRegion>Medical University of Lodz</wicri:noRegion></affiliation></author><author><name sortKey="Sk Ra, Wojciech" sort="Sk Ra, Wojciech" uniqKey="Sk Ra W" first="Wojciech" last="Sk Ra">Wojciech Sk Ra</name><affiliation wicri:level="1"><nlm:affiliation>Otolaryngology Department, The Stanisław Rybicki Memorial Regional Hospital, Skierniewice, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Otolaryngology Department, The Stanisław Rybicki Memorial Regional Hospital, Skierniewice</wicri:regionArea><wicri:noRegion>Skierniewice</wicri:noRegion></affiliation></author></analytic><series><title level="j">Advances in clinical and experimental medicine : official organ Wroclaw Medical University</title><idno type="ISSN">1899-5276</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo (epidemiology)</term><term>Brain Concussion (MeSH)</term><term>Brain Injuries (complications)</term><term>Craniocerebral Trauma (epidemiology)</term><term>Dizziness (etiology)</term><term>Dizziness (physiopathology)</term><term>Humans (MeSH)</term><term>Middle Aged (MeSH)</term><term>Poland (epidemiology)</term><term>Vertigo (complications)</term><term>Vertigo (diagnosis)</term><term>Vertigo (physiopathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Commotion de l'encéphale (MeSH)</term><term>Humains (MeSH)</term><term>Lésions encéphaliques (complications)</term><term>Pologne (épidémiologie)</term><term>Sensation vertigineuse (physiopathologie)</term><term>Sensation vertigineuse (étiologie)</term><term>Traumatismes cranioencéphaliques (épidémiologie)</term><term>Vertige (complications)</term><term>Vertige (diagnostic)</term><term>Vertige (physiopathologie)</term><term>Vertige positionnel paroxystique bénin (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Poland</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Brain Injuries</term><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Vertige</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Craniocerebral Trauma</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dizziness</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Sensation vertigineuse</term><term>Vertige</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dizziness</term><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lésions encéphaliques</term><term>Pologne</term><term>Traumatismes cranioencéphaliques</term><term>Vertige</term><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Sensation vertigineuse</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Brain Concussion</term><term>Humans</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge 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Benign paroxysmal positional vertigo (BPPV) is the most common vestibular disorder in such patients.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>The aim of the study was to assess the occurrence of BPPV in patients with mild traumatic brain injury (MTBI) and determine the outcome of treatment.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b></p><p>A group of 179 patients, with a mean age of 45.2 years, complaining of vertigo/ /dizziness and balance instability after MTBI, was enrolled into the study. All these patients were diagnosed and treated in the Department of Otolaryngology (Medical University of Lodz, Poland) between the years 2012 and 2014. Anamnesis and otoneurological examination were conducted in each patient. The diagnosis was based on the medical history, the Dix-Hallpike test or the rollover test. The treatment comprised the Epley, barbecue and particle repositioning (RM) maneuvers.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Nineteen patients (10.6%) complained about attacks of vertigo elicited by positional changes. The diagnosis of BPPV was confirmed in 9 (47.4%) patients: 8 cases with a positive Dix-Hallpike test and 1 with the roll test. In 10 cases, a high probability of BPPV was diagnosed based on the medical history. Eight patients were treated by a single Epley maneuver and 1 patient by the barbecue roll. In 4 (44.4%) patients, the maneuvers were repeated. On the follow-up examination, the patients were not found to have vertigo.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Benign paroxysmal positional vertigo should be diagnosed and treated successfully in patients after head trauma.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">30058780</PMID><DateCompleted><Year>2019</Year><Month>07</Month><Day>15</Day></DateCompleted><DateRevised><Year>2019</Year><Month>07</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1899-5276</ISSN><JournalIssue CitedMedium="Print"><Volume>27</Volume><Issue>10</Issue><PubDate><Year>2018</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Advances in clinical and experimental medicine : official organ Wroclaw Medical University</Title><ISOAbbreviation>Adv Clin Exp Med</ISOAbbreviation></Journal><ArticleTitle>Benign paroxysmal positional vertigo in patients after mild traumatic brain injury.</ArticleTitle><Pagination><MedlinePgn>1355-1359</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.17219/acem/69708</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Post-traumatic vertigo, dizziness and balance disorders following head trauma range from 15% to 78% in the general population. Benign paroxysmal positional vertigo (BPPV) is the most common vestibular disorder in such patients.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The aim of the study was to assess the occurrence of BPPV in patients with mild traumatic brain injury (MTBI) and determine the outcome of treatment.</AbstractText><AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">A group of 179 patients, with a mean age of 45.2 years, complaining of vertigo/ /dizziness and balance instability after MTBI, was enrolled into the study. All these patients were diagnosed and treated in the Department of Otolaryngology (Medical University of Lodz, Poland) between the years 2012 and 2014. Anamnesis and otoneurological examination were conducted in each patient. The diagnosis was based on the medical history, the Dix-Hallpike test or the rollover test. The treatment comprised the Epley, barbecue and particle repositioning (RM) maneuvers.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Nineteen patients (10.6%) complained about attacks of vertigo elicited by positional changes. The diagnosis of BPPV was confirmed in 9 (47.4%) patients: 8 cases with a positive Dix-Hallpike test and 1 with the roll test. In 10 cases, a high probability of BPPV was diagnosed based on the medical history. Eight patients were treated by a single Epley maneuver and 1 patient by the barbecue roll. In 4 (44.4%) patients, the maneuvers were repeated. On the follow-up examination, the patients were not found to have vertigo.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Benign paroxysmal positional vertigo should be diagnosed and treated successfully in patients after head trauma.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Józefowicz-Korczyńska</LastName><ForeName>Magdalena</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Medical University of Lodz, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pajor</LastName><ForeName>Anna</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Medical University of Lodz, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Skóra</LastName><ForeName>Wojciech</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Otolaryngology Department, The Stanisław Rybicki Memorial Regional Hospital, Skierniewice, Poland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Poland</Country><MedlineTA>Adv Clin Exp Med</MedlineTA><NlmUniqueID>101138582</NlmUniqueID><ISSNLinking>1899-5276</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001924" MajorTopicYN="Y">Brain Concussion</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001930" MajorTopicYN="N">Brain Injuries</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006259" MajorTopicYN="N">Craniocerebral Trauma</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011044" MajorTopicYN="N" Type="Geographic">Poland</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">benign paroxysmal positional vertigo</Keyword><Keyword MajorTopicYN="N">mild traumatic brain injury</Keyword><Keyword MajorTopicYN="N">rehabilitation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>7</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>7</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>7</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30058780</ArticleId><ArticleId IdType="doi">10.17219/acem/69708</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Pologne</li></country></list><tree><country name="Pologne"><noRegion><name sortKey="J Zefowicz Korczy Ska, Magdalena" sort="J Zefowicz Korczy Ska, Magdalena" uniqKey="J Zefowicz Korczy Ska M" first="Magdalena" last="J Zefowicz-Korczy Ska">Magdalena J Zefowicz-Korczy Ska</name></noRegion><name sortKey="Pajor, Anna" sort="Pajor, Anna" uniqKey="Pajor A" first="Anna" last="Pajor">Anna Pajor</name><name sortKey="Sk Ra, Wojciech" sort="Sk Ra, Wojciech" uniqKey="Sk Ra W" first="Wojciech" last="Sk Ra">Wojciech Sk Ra</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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