Comparison between objective and subjective benign paroxysmal positional vertigo: clinical features and outcomes.
Conclusions:Objective benign paroxysmal positional vertigo (O-BPPV) and subjective BPPV (S-BPPV) have similar demographic and clinical features. Canalith repositioning manoeuvres (CRMs) can be an effective treatment for patients with S-BPPV, and a diagnosis of positional nystagmus is not essential f...
| Publicado en: | Acta Oto-Laryngologica Vol. 136; no. 12; pp. 1267 - 1273 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Dec2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119450880&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 119450880 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00016489 B6D jtl: Acta Oto-Laryngologica issn: 00016489 maglogo: Y pubinfo: dt: Dec2016 vid: 136 iid: 12 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 119450880 119450880 119450880 10.1080/00016489.2016.1203990 119450880 ppf: 1267 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Comparison between objective and subjective benign paroxysmal positional vertigo: clinical features and outcomes. aug: au: Jung, Jae Yun Kim, Se-Hyung affil: Department of Otolaryngology-Head & Neck Surgery, Dankook University Hospital, Cheonan, Republic of Korea sug: subj: Benign Paroxysmal Positional Vertigo Classification Treatment Outcomes Recurrence Semicircular Canals Vestibular Function Tests Demography Human Medical Records Nystagmus, Physiologic Retrospective Design Male Female Adult Middle Age Aged Descriptive Statistics Data Analysis Software One-Way Analysis of Variance T-Tests Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Conclusions:Objective benign paroxysmal positional vertigo (O-BPPV) and subjective BPPV (S-BPPV) have similar demographic and clinical features. Canalith repositioning manoeuvres (CRMs) can be an effective treatment for patients with S-BPPV, and a diagnosis of positional nystagmus is not essential for considering CRMs. This study supports the use of CRMs as the primary treatment for S-BPPV. Objective:To examine differences in demographic and clinical features, as well as treatment outcomes, between O-BPPV and S-BPPV. Methods:The medical records of 134 patients with BPPV were reviewed for demographic characteristics, past medical history, associated symptoms, response to CRMs, interval between symptom onset and the first medical visit, and recurrence rate. The O-BPPV group (n = 101) comprised patients who experienced vertigo and accompanying autonomic symptoms, and showed typical nystagmus. The S-BPPV group (n = 33) comprised patients who, when subjected to a provoking manoeuvre, showed all of the classic BPPV symptoms but did not show nystagmus. All patients had at least 3 years of follow-up. Results:The demographics (age and sex ratio), past medical history, and associated symptoms were not significantly different between the two groups. Posterior semi-circular canal BPPV appeared more than twice as often as horizontal semi-circular canal BPPV in patients with S-BPPV. However, both canals were affected to a similar proportion in patients with O-BPPV, and the difference was marginally significant (p = 0.073). Overall improvement was better in O-BPPV than in S-BPPV; however, there was no significant difference. The total numbers of manoeuvres for recovery and the interval between symptom onset and the first medical visit also did not show any significant inter-group differences. During a 3-year follow-up, the recurrence rate was 13.8% for O-BPPV and 21.2% for S-BPPV. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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