Benign paroxysmal positional vertigo in outpatient practice: Diagnosis and treatment
Dizziness is one of the common reasons for visits to physicians of various specialties; the data of foreign investigations show that benign paroxysmal positional vertigo (BPPV) is most frequently encountered.Objective: to study the causes of dizziness, to analyze the frequency of BPPV and the effici...
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IMA-PRESS LLC
2014-12-01
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| Series: | Неврология, нейропсихиатрия, психосоматика |
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| Online Access: | https://nnp.ima-press.net/nnp/article/view/449 |
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| author | N. V. Bestuzheva V. A. Parfenov L. M. Antonenko |
| author_facet | N. V. Bestuzheva V. A. Parfenov L. M. Antonenko |
| author_sort | N. V. Bestuzheva |
| collection | DOAJ |
| description | Dizziness is one of the common reasons for visits to physicians of various specialties; the data of foreign investigations show that benign paroxysmal positional vertigo (BPPV) is most frequently encountered.Objective: to study the causes of dizziness, to analyze the frequency of BPPV and the efficiency of its treatment in outpatient practice.Patients and methods. The investigation enrolled 80 patients, including 55 (68.7%) women and 25 (31.3%) men, aged 18 to 75 years (mean age 53.8±12.8 years), who complained of dizziness and sought for medical advice in the Therapeutic-and-Diagnostic Unit, A.Ya. Kozhevnikov Clinic of Nervous System Diseases, I.M. Sechenov First Moscow State Medical University.Results. The most common causes of dizziness in outpatient practice were BPPV (46.2%) and postural phobic vertigo (35%). The diagnosis of VPPV, if special positional testing (Dix-Hallpike and McClure-Pagnini tests) was carried out, was shown to create no significant difficulties. The diagnosis was not established in the majority (97.5%) of the patients; effective treatment was performed in one of the patients. Combined treatment, by performing the positional tests and using betaserc for 2 months, led to complete resolution of positional vertigo in most (97.3%) patients.Discussion. The findings indicate the efficiency of examining patients with complaints of dizziness, by using the special otoneurological tests to detect BPPV. The purposeful questioning of patients with BPPV can suspect this disease in the majority of cases. Our investigation shows the high efficiency of rehabilitation maneuvers for BPPV, which agrees well with the data of other authors. Physicians’ poor awareness of BPPV among physicians and the high efficiency of its treatment in outpatient practice are noted. |
| format | Article |
| id | doaj-art-a19ee9de8e5f4d3297e62d3fda060368 |
| institution | OA Journals |
| issn | 2074-2711 2310-1342 |
| language | Russian |
| publishDate | 2014-12-01 |
| publisher | IMA-PRESS LLC |
| record_format | Article |
| series | Неврология, нейропсихиатрия, психосоматика |
| spelling | doaj-art-a19ee9de8e5f4d3297e62d3fda0603682025-08-20T02:16:14ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422014-12-0164263010.14412/2074-2711-2014-4-26-30433Benign paroxysmal positional vertigo in outpatient practice: Diagnosis and treatmentN. V. Bestuzheva0V. A. Parfenov1L. M. Antonenko2Department of Nervous System Diseases and Neurosurgery, Faculty of Therapeutics, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia; 11, Rossolimo St., Build. 1, Moscow 119435Department of Nervous System Diseases and Neurosurgery, Faculty of Therapeutics, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia; 11, Rossolimo St., Build. 1, Moscow 119435Department of Nervous System Diseases and Neurosurgery, Faculty of Therapeutics, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia; 11, Rossolimo St., Build. 1, Moscow 119435Dizziness is one of the common reasons for visits to physicians of various specialties; the data of foreign investigations show that benign paroxysmal positional vertigo (BPPV) is most frequently encountered.Objective: to study the causes of dizziness, to analyze the frequency of BPPV and the efficiency of its treatment in outpatient practice.Patients and methods. The investigation enrolled 80 patients, including 55 (68.7%) women and 25 (31.3%) men, aged 18 to 75 years (mean age 53.8±12.8 years), who complained of dizziness and sought for medical advice in the Therapeutic-and-Diagnostic Unit, A.Ya. Kozhevnikov Clinic of Nervous System Diseases, I.M. Sechenov First Moscow State Medical University.Results. The most common causes of dizziness in outpatient practice were BPPV (46.2%) and postural phobic vertigo (35%). The diagnosis of VPPV, if special positional testing (Dix-Hallpike and McClure-Pagnini tests) was carried out, was shown to create no significant difficulties. The diagnosis was not established in the majority (97.5%) of the patients; effective treatment was performed in one of the patients. Combined treatment, by performing the positional tests and using betaserc for 2 months, led to complete resolution of positional vertigo in most (97.3%) patients.Discussion. The findings indicate the efficiency of examining patients with complaints of dizziness, by using the special otoneurological tests to detect BPPV. The purposeful questioning of patients with BPPV can suspect this disease in the majority of cases. Our investigation shows the high efficiency of rehabilitation maneuvers for BPPV, which agrees well with the data of other authors. Physicians’ poor awareness of BPPV among physicians and the high efficiency of its treatment in outpatient practice are noted.https://nnp.ima-press.net/nnp/article/view/449dizzinesssystemic vertigovestibular disordersbenign paroxysmal positional vertigobetaserctherapeutic positional maneuver |
| spellingShingle | N. V. Bestuzheva V. A. Parfenov L. M. Antonenko Benign paroxysmal positional vertigo in outpatient practice: Diagnosis and treatment Неврология, нейропсихиатрия, психосоматика dizziness systemic vertigo vestibular disorders benign paroxysmal positional vertigo betaserc therapeutic positional maneuver |
| title | Benign paroxysmal positional vertigo in outpatient practice: Diagnosis and treatment |
| title_full | Benign paroxysmal positional vertigo in outpatient practice: Diagnosis and treatment |
| title_fullStr | Benign paroxysmal positional vertigo in outpatient practice: Diagnosis and treatment |
| title_full_unstemmed | Benign paroxysmal positional vertigo in outpatient practice: Diagnosis and treatment |
| title_short | Benign paroxysmal positional vertigo in outpatient practice: Diagnosis and treatment |
| title_sort | benign paroxysmal positional vertigo in outpatient practice diagnosis and treatment |
| topic | dizziness systemic vertigo vestibular disorders benign paroxysmal positional vertigo betaserc therapeutic positional maneuver |
| url | https://nnp.ima-press.net/nnp/article/view/449 |
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