scholarly journals Inner Ear Disease and Benign Paroxysmal Positional Vertigo: A Critical Review of Incidence, Clinical Characteristics, and Management

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
M. Riga ◽  
A. Bibas ◽  
J. Xenellis ◽  
S. Korres

Background. This study is a review of the incidence, clinical characteristics, and management of secondary BPPV. The different subtypes of secondary BPPV are compared to each other, as well as idiopathic BPPV. Furthermore, the study highlights the coexistence of BPPV with other inner ear pathologies.Methods. A comprehensive search for articles including in the abstract information on incidence, clinical characteristics, and management of secondary BPPV was conducted within the PubMed library.Results. Different referral patterns, different diagnostic criteria used for inner ear diseases, and different patient populations have led to greatly variable incidence results. The differences regarding clinical characteristics and treatment outcomes may support the hypothesis that idiopathic BPPV and the various subtypes of secondary BPPV do not share the exact same pathophysiological mechanisms.Conclusions. Secondary BPPV is often under-diagnosed, because dizziness may be atypical and attributed to the primary inner ear pathology. Reversely, a limited number of BPPV patients may not be subjected to a full examination and characterized as idiopathic, while other inner ear diseases are underdiagnosed. A higher suspicion index for the coexistence of BPPV with other inner ear pathologies, may lead to a more integrated diagnosis and consequently to a more efficient treatment of these patients.

2010 ◽  
Vol 143 (3) ◽  
pp. 413-417 ◽  
Author(s):  
No-Hee Lee ◽  
Jae-Ho Ban ◽  
Kyung-Chul Lee ◽  
Su Mi Kim

2019 ◽  
Vol 7 (21) ◽  
pp. 3626-3629
Author(s):  
Marina Davcheva-Chakar ◽  
Gabriela Kopacheva-Barsova ◽  
Nikola Nikolovski

BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is one of the most common clinical entities, which develops spontaneously in most of the cases, but it can be secondary as a result of different conditions such as head injuries, viral neurolabyrinthitis, Meniere’s disease and vertebrobasilar ischemia. The aim of presenting this case is to point out to the need of taking a precise clinical history and performing Dix-Hallpike manoeuvre in all patients who complain about vertigo regardless of the previously diagnosed primary disease of the inner ear. CASE PRESENTATION: A 63-year-old female patient presented with the classical triad of symptoms for Meniere’s disease (fluctuating sensorineural hearing loss in the right ear, tinnitus and fullness in the same ear and rotary vertigo), two years later complained of brief episodes of vertigo linked to changes in head position relative to gravity. Dix-Hallpike manoeuvre showed a classical response in the head-hanging right position. Benign paroxysmal positional vertigo (BPPV) in the same ear was diagnosed in this patient. After treatment with Epley’s canal repositioning manoeuvre for a few days, the symptoms of positional vertigo resolved. CONCLUSION: The authors recommend complete audiological and otoneurological evaluation in all patients with vertigo for timely recognition/diagnosis of any inner ear associated pathology.


2018 ◽  
pp. 61-65
Author(s):  
L. L. Korsunska ◽  
A. V. Meshcheryakova

The article presents the structural features of benign positional paroxysmal vertigo (BPPV) to gender differences in the comprehensive assessment of the epidemiology of vestibular dysfunction in women of perimenopausal period, allowing for flow of advanced reproductive disorders and medical background correction dishormonal states.


Author(s):  
Robert W. Baloh

The inner ear contains three major sensory receptors: the crista of the semicircular canals for sensing angular acceleration, the macule of the utricle and saccule for sensing linear acceleration, and the organ of Corti of the cochlea for sensing sound. Vertigo is an illusion of movement—usually spinning or turning but occasionally linear movement or tilt. Abnormalities of the inner ear or its connections in the brain cause an illusion of movement—vertigo. Benign paroxysmal positional vertigo (BPPV) is by far the most common cause of vertigo. Sudden violent spells of spinning are triggered by a change in position, such as turning over in bed, getting in and out of bed, and extending the head back to look up. This book tells the story of how the cause of BPPV was discovered and how a simple bedside cure was developed.


2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Dong-Kee Kim

Nanoparticles are promising therapeutic options for inner ear disease. In this report, we review in vivo animal studies in the otologic field using nanoparticles over the past 5 years. Many studies have used nanoparticles to deliver drugs, genes, and growth factors, and functional and morphological changes have been observed. The constituents of nanoparticles are also diversifying into various biocompatible materials, including poly(lactic-co-glycolic acid) (PLGA). The safe and effective delivery of drugs or genes in the inner ear will be a breakthrough for the treatment of inner ear diseases, including age-related hearing loss.


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