Benign paroxysmal positional vertigo natural history, complications and prognosis: Difference between revisions
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===Natural History=== | ===Natural History=== | ||
*The symptoms of BPPV usually develop after 40-50 years of life start with vertigo that last less than one minute and starts after specific head movements. | *The symptoms of BPPV usually develop after 40-50 years of life start with vertigo that last less than one minute and starts after specific head movements.<ref name="pmid3822129">{{cite journal |vauthors=Baloh RW, Honrubia V, Jacobson K |title=Benign positional vertigo: clinical and oculographic features in 240 cases |journal=Neurology |volume=37 |issue=3 |pages=371–8 |date=March 1987 |pmid=3822129 |doi= |url=}}</ref> | ||
*If left untreated, almost 100% of patients with BPPV may experience spontaneous recovery.<ref name="del RioArriaga2016" /> | *If left untreated, almost 100% of patients with BPPV may experience spontaneous recovery.<ref name="del RioArriaga2016" /> | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
Overview
If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
OR
Common complications of [disease name] include [complication 1], [complication 2], and [complication 3].
OR
Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
Natural History, Complications, and Prognosis
Natural History
- The symptoms of BPPV usually develop after 40-50 years of life start with vertigo that last less than one minute and starts after specific head movements.[1]
- If left untreated, almost 100% of patients with BPPV may experience spontaneous recovery.[2]
Complications
- Common complications of BPPV include:[3][4]
- Nausea
- Vomiting
- Fainting
- Canal conversion
- Cervical spine and neurological complications following dix hallpike or epley maneuvers.
Prognosis
- Prognosis is generally excellent, and almost always BPPV will resolve over days to weeks on its own even without maneuvers or medications.[2]
- Resolving of the BPPV which is the result of head trauma or structural abnormalities might take a little more time.
- Recurrence is common and happens in more than 30% of patients.
- Patients older than 40 years of age, with horizontal BPPV or post traumatic BPPV are more susceptible to recurrence.
References
- ↑ Baloh RW, Honrubia V, Jacobson K (March 1987). "Benign positional vertigo: clinical and oculographic features in 240 cases". Neurology. 37 (3): 371–8. PMID 3822129.
- ↑ 2.0 2.1 del Rio, Maria; Arriaga, Moisés A. (2016). "Benign Positional Vertigo: Prognostic Factors". Otolaryngology-Head and Neck Surgery. 130 (4): 426–429. doi:10.1016/j.otohns.2003.12.015. ISSN 0194-5998.
- ↑ Bergin M, Bird P, Wright A (May 2010). "Internal carotid artery dissection following canalith repositioning procedure". J Laryngol Otol. 124 (5): 575–6. doi:10.1017/S0022215109991356. PMID 19785929.
- ↑ Hughes, C. Anthony; Proctor, Leonard (1997). "Benign Paroxysmal Positional Vertigo". The Laryngoscope. 107 (5): 607–613. doi:10.1097/00005537-199705000-00010. ISSN 0023-852X.