Clinical features of benign paroxysmal positional vertigo in the elderly
ObjectivesThe typical age of benign paroxysmal positional vertigo (BPPV) is between 50 and 60 years. With the development of diagnostic techniques and the growth of the elderly, the number of elderly patients has been on the rise gradually. This study compared the clinical characteristics, treatment...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-06-01
|
| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2025.1623914/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850101750968614912 |
|---|---|
| author | Ran Zhou Huan Wang Jiachen Shan Chengcheng Li Lin Han Lin Han |
| author_facet | Ran Zhou Huan Wang Jiachen Shan Chengcheng Li Lin Han Lin Han |
| author_sort | Ran Zhou |
| collection | DOAJ |
| description | ObjectivesThe typical age of benign paroxysmal positional vertigo (BPPV) is between 50 and 60 years. With the development of diagnostic techniques and the growth of the elderly, the number of elderly patients has been on the rise gradually. This study compared the clinical characteristics, treatments, and prognoses with patients.MethodsPatients were divided into two age groups based on age at onset of the disease: middle-aged BPPV (50–59 years) and elderly BPPV (60–80 years old). We compared clinical characteristics, treatment, prognosis, BPPV location, questionnaires between the two groups.ResultsFemale patients constituted a high proportion in both the middle-aged BPPV group (21, 75.0%) and the elderly BPPV group (39, 67.2%). The elderly group had significantly higher median scores in the DHI impact than the middle-aged group (24 vs. 16, p = 0.008). In contrast, the BBS score decreased (44 vs. 49, p = 0.019), and the elderly group exhibited higher fall rates (6.9% vs. 0%, p = 0.381) at the last follow-up. However, the elderly BPPV group had lower rates of maneuver (82.8% vs. 89.3%, p = 0.638). Age at onset was positively correlated with the DHI score (r = 0.316, p = 0.005) and negatively correlated with the BBS score (r = −0.330, p = 0.002).ConclusionCompared to the middle-aged BPPV group, elderly patients with BPPV exhibited a higher DHI score, increased fall rates, lower BBS scores, and lower rate maneuver, which had a more significant negative impact on daily life. |
| format | Article |
| id | doaj-art-d24af0cdaddc42a4b7d9dd7278b7991c |
| institution | DOAJ |
| issn | 1664-2295 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj-art-d24af0cdaddc42a4b7d9dd7278b7991c2025-08-20T02:39:55ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-06-011610.3389/fneur.2025.16239141623914Clinical features of benign paroxysmal positional vertigo in the elderlyRan Zhou0Huan Wang1Jiachen Shan2Chengcheng Li3Lin Han4Lin Han5Department of Anesthesiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurology, West China School of Public Health and West China Forth Hospital, Sichuan University, Chengdu, ChinaDepartment of Anesthesiology, Fuwai Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, ChinaDepartment of Medical Cosmetology, Beijing Ji Shui Tan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurology, West China School of Public Health and West China Forth Hospital, Sichuan University, Chengdu, ChinaDepartment of Neurology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaObjectivesThe typical age of benign paroxysmal positional vertigo (BPPV) is between 50 and 60 years. With the development of diagnostic techniques and the growth of the elderly, the number of elderly patients has been on the rise gradually. This study compared the clinical characteristics, treatments, and prognoses with patients.MethodsPatients were divided into two age groups based on age at onset of the disease: middle-aged BPPV (50–59 years) and elderly BPPV (60–80 years old). We compared clinical characteristics, treatment, prognosis, BPPV location, questionnaires between the two groups.ResultsFemale patients constituted a high proportion in both the middle-aged BPPV group (21, 75.0%) and the elderly BPPV group (39, 67.2%). The elderly group had significantly higher median scores in the DHI impact than the middle-aged group (24 vs. 16, p = 0.008). In contrast, the BBS score decreased (44 vs. 49, p = 0.019), and the elderly group exhibited higher fall rates (6.9% vs. 0%, p = 0.381) at the last follow-up. However, the elderly BPPV group had lower rates of maneuver (82.8% vs. 89.3%, p = 0.638). Age at onset was positively correlated with the DHI score (r = 0.316, p = 0.005) and negatively correlated with the BBS score (r = −0.330, p = 0.002).ConclusionCompared to the middle-aged BPPV group, elderly patients with BPPV exhibited a higher DHI score, increased fall rates, lower BBS scores, and lower rate maneuver, which had a more significant negative impact on daily life.https://www.frontiersin.org/articles/10.3389/fneur.2025.1623914/fullbenign paroxysmal positional vertigoBPPVvertigobalanceelderly |
| spellingShingle | Ran Zhou Huan Wang Jiachen Shan Chengcheng Li Lin Han Lin Han Clinical features of benign paroxysmal positional vertigo in the elderly Frontiers in Neurology benign paroxysmal positional vertigo BPPV vertigo balance elderly |
| title | Clinical features of benign paroxysmal positional vertigo in the elderly |
| title_full | Clinical features of benign paroxysmal positional vertigo in the elderly |
| title_fullStr | Clinical features of benign paroxysmal positional vertigo in the elderly |
| title_full_unstemmed | Clinical features of benign paroxysmal positional vertigo in the elderly |
| title_short | Clinical features of benign paroxysmal positional vertigo in the elderly |
| title_sort | clinical features of benign paroxysmal positional vertigo in the elderly |
| topic | benign paroxysmal positional vertigo BPPV vertigo balance elderly |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2025.1623914/full |
| work_keys_str_mv | AT ranzhou clinicalfeaturesofbenignparoxysmalpositionalvertigointheelderly AT huanwang clinicalfeaturesofbenignparoxysmalpositionalvertigointheelderly AT jiachenshan clinicalfeaturesofbenignparoxysmalpositionalvertigointheelderly AT chengchengli clinicalfeaturesofbenignparoxysmalpositionalvertigointheelderly AT linhan clinicalfeaturesofbenignparoxysmalpositionalvertigointheelderly AT linhan clinicalfeaturesofbenignparoxysmalpositionalvertigointheelderly |