Causes and treatment of idiopathic benign paroxysmal positional vertigo based on endocrinological and other metabolic factors

被引:14
作者
Guerra, Joaquin [1 ]
Devesa, Jesus [2 ]
机构
[1] Med Ctr Foltra, Otolaryngol, Travesia Montouto 24, Teo 15886, Spain
[2] Med Ctr Foltra, Sci Direct, Travesia Montouto 24, Teo 15886, Spain
关键词
Benign paroxysmal positional vertigo; Otoconia; Bone metabolism; Vitamin D; Estrogens; GH; VITAMIN-D; GROWTH-HORMONE; OSTEOPOROSIS; ASSOCIATION; THYROIDITIS; RECURRENCE;
D O I
10.1016/j.joto.2020.04.001
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The genesis of the Benign Paroxysmal Positional Vertigo (BPPV) seems to be related to some metabolic factors. These factors, such as vitamin D, glucocorticoids, and even thyroid and growth hormones, can affect bone metabolism and the mineralization of otoconia. It also seems to link to factors related to aging or nutritional habits. Besides, since the incidence of BPPV is quantitatively higher in women than in men, female sex steroids could be associated with this process. It could be useful to understand how these factors act in otoconial mineralization if we want to develop treatments aimed at preventing or delaying BPPV recurrences. In this review, we will analyze the role of these metabolic and hormonal factors in otoconial mineralization and in the treatment of BPPV. (c) 2020 PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Production and hosting by Elsevier (Singapore) Pte Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
引用
收藏
页码:155 / 160
页数:6
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