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Titre : | Traumatic benign paroxysmal positional vertigo: personal experience and comparison with idiopathic BPPV (2021) |
Auteurs : | Tiziana Di Cesare ; Laura Tricarico ; Giulio Cesare Passali ; Bruno Sergi ; G. Paludetti ; Jacopo Galli ; P.M. Picciotti |
Type de document : | Article |
Dans : | International Journal of Audiology IJA (Vol. 60, n°5, Mai 2021) |
Article en page(s) : | p. 393-397 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Trauma ; Vertige positionnel paroxystique bénin (VPPB) (BPPV) |
Résumé : |
Objective
Benign paroxysmal positional vertigo (BPPV) is the most common cause of vestibular vertigo, with post-traumatic origin in about 15% of cases. Management and prognosis of traumatic BPPV (T-BPPV) are still debated, especially about recurrence. The aim was to compare T-BPPV to idiopathic (I-BPPV). Design and study sample We analysed data about 795 BPPV patients: 716 idiopathic (90%) and 79 post-traumatic (10%), evaluating clinical history and bedside-examination, treating all patients with repositioning manoeuvres and reassessing them until the resolution of symptoms and nystagmus. Results Persistence rate in T-BPPV and I-BPPV patients was significantly different (p = 0.0074, OR = 2.31), respectively 12.6% and 5%. Also the rate of bilateral disease (p = 0.0063, OR = 4.72) and multicanalar involvement (p = 0.0183; OR = 4.67) were significantly higher in T-BPPV patients . There were no significant differences in age and sex distribution, side and canal interested. In T-BPPV group, the resolution rate with one manoeuvre was lower than I-BPPV (p = 0.0132: OR: 0,56). Recurrence rate was 38% in the T-BPPV group and 30.6% in the I-BPPV group, without significant difference. Conclusions T-BPPV resulted different from I-BPPV in the resolution rate, bilateral or multiple canal involvement and persistence rate. T-BPPV and I-BPPV does not differ for recurrence rate, suggesting that, after resolution, the natural course of post-traumatic and idiopathic BPPV is similar. |
Accès : | Contactez la bibliothèque d'Ixelles si le lien vers la ressource électronique ne fonctionne plus |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.tandfonline.com/doi/pdf/10.1080/14992027.2020.1821253?needAccess=true |