Benign paroxysmal positioning vertigo: A long-term follow-up (6-17 years) of 125 patients

被引:123
作者
Brandt, T [1 ]
Huppert, D [1 ]
Hecht, J [1 ]
Karch, C [1 ]
Strupp, M [1 ]
机构
[1] Univ Munich, Dept Neurol, D-81377 Munich, Germany
关键词
BPPV; recurrence rate; relapse; canalolithiasis; liberatory maneuver;
D O I
10.1080/00016480500280140
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Conclusions. The study disclosed a few predictive factors for benign paroxysmal positioning vertigo (BPPV) recurrences, which are clinically relevant and essential for patient awareness of the often long-term course of the condition. Objectives. To determine the long-term recurrence rate of posterior canal BPPV after successful liberatory maneuvers. Methods. A retrospective self-evaluation questionnaire with a structured interview was conducted 6 - 17 years after assessment of the diagnosis in 125 patients. Results. The recurrence rate in patients with a mean follow-up of 10 years was 50%. Most recurrences (80%) were within the first year after treatment, irrespective of the liberatory maneuver applied. None of the patients observed a recurrence after a symptom-free period of 8 years. Recurrences were seen significantly more often in women (58% versus 39%). The recurrence rate of patients in the seventh decade was half that of those in the sixth decade ( p = 0.0009). A history of three or more BPPV attacks prior to treatment indicated a higher risk of impending multiple recurrences in about two-thirds of the patients.
引用
收藏
页码:160 / 163
页数:4
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