Exploring the Link Between Traumatic Brain Injury and Benign Paroxysmal Positional Vertigo

Cureus, Год журнала: 2025, Номер unknown

Опубликована: Апрель 7, 2025

Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder, characterized by brief episodes of triggered changes in head position. While idiopathic cases are frequent, post-traumatic BPPV has been increasingly recognized, particularly individuals who have experienced traumatic brain injury (TBI). TBI, ranging from mild concussions to severe trauma, a significant cause neurological morbidity and often associated with dysfunction. The pathophysiology thought involve direct mechanical disruption otolithic organs, alterations endolymph dynamics, or vascular compromise affecting inner ear structures. Compared BPPV, tend more prolonged refractory course, requiring multiple repositioning maneuvers for symptom resolution. Additionally, concurrent pathologies, such as migraine, post-concussive dizziness, central dysfunction, may complicate diagnosis treatment. Early identification appropriate management crucial reducing disability improving quality life affected patients. This review explores epidemiology, pathophysiology, clinical characteristics, treatment considerations emphasizing importance multidisciplinary approach. Understanding relationship between TBI can enhance decision-making optimize rehabilitation strategies dysfunction following trauma.

Язык: Английский

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Atypical symptoms and delayed diagnosis are more common in elderly patients with benign paroxysmal positional vertigo: a single-center study

Frontiers in Neurology, Год журнала: 2025, Номер 16

Опубликована: Апрель 24, 2025

Objective To analyze the clinical characteristics of elderly patients with benign paroxysmal positional vertigo (BPPV), to provide a basis for accurate diagnosis BPPV patients. Methods A retrospective case-control study was conducted evaluate data 12,282 diagnosed who received treatment at Vertigo Clinical Diagnosis and Treatment Research Center Beijing Tiantan Hospital, affiliated Capital Medical University, between January 2020 June 2024. Patients were categorized into an group (≥65 years old) young-to-middle-aged (<65 old). Risk factors, manifestations, interval from symptom onset systematically compared analyzed. Results The mean age 71.2 ± 5.4 years, male-to-female ratio approximately 1:2. posterior semicircular canal most commonly affected site (62.3%) in patients, incidence horizontal canalolithiasis higher (16.2% vs. 13.6%, p < 0.001). prevalence arteriosclerosis-related risk factors (including hypertension, diabetes, hyperlipidemia, coronary heart disease) significantly ( Elderly more likely experience atypical (40.5% 35.5%, 0.001), isolated vestibular episodes lasting than 1 min (23.1% 21.4%, = 0.039), symptoms accompanied by tinnitus (21.0% 18.8%, 0.004) hearing loss (12.7% 8.6%, proportion whose triggered typical head or body position changes lower that younger (35.3% 39.7%, Additionally, time positively correlated (r 0.122, experienced diagnostic delay exceeding 14 days (35.4% 28.4%, Conclusion are present symptoms, fewer position-induced vertigo, longer duration. Delayed is prevalent among

Язык: Английский

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Editor’s view—advancing care in geriatrics

Age and Ageing, Год журнала: 2024, Номер 53(10)

Опубликована: Окт. 1, 2024

Язык: Английский

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