A Retrospective Comparison of Clinical Characteristics of Post-Traumatic and Idiopathic Benign Paroxysmal Positional Vertigo.

IF 2.6 2区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Ear and Hearing Pub Date : 2025-04-30 DOI:10.1097/AUD.0000000000001675

Minheon Kim, Eun Kyung Jeon, Young Joon Seo, Tae Hoon Kong

{"title":"A Retrospective Comparison of Clinical Characteristics of Post-Traumatic and Idiopathic Benign Paroxysmal Positional Vertigo.","authors":"Minheon Kim, Eun Kyung Jeon, Young Joon Seo, Tae Hoon Kong","doi":"10.1097/AUD.0000000000001675","DOIUrl":null,"url":null,"abstract":"Objectives: This study aimed to assess the clinical and epidemiological characteristics of post-traumatic benign paroxysmal positional vertigo (BPPV) compared with idiopathic BPPV, with a focus on the impact of trauma severity on clinical outcomes.Design: The authors conducted a retrospective analysis at a regional trauma center, comparing 66 patients with post-traumatic BPPV to 105 patients with idiopathic BPPV. Trauma was defined as cases where patients presented to the regional trauma center following an injury. The severity of trauma was categorized based on whether the trauma team was activated. The diagnostic criteria included positional vertigo and nystagmus, as confirmed through standard positional tests. Patients were categorized based on the severity of their trauma and evaluated for the BPPV subtype, frequency of canalith repositioning maneuvers (CRMs) needed for resolution, and recurrence rates.Results: Patients with post-traumatic BPPV were younger than those with idiopathic BPPV (58.0 ± 15.2 versus 63.0 ± 13.1 yrs; p = 0.024) and showed no significant gender disparity. The most common BPPV subtype in the post-traumatic group was posterior canal BPPV (68.2%), followed by horizontal canal-BPPV (Geo) (22.7%), and horizontal canal-BPPV (Apo) (4.5%). Patients with post-traumatic BPPV required more CRMs for resolution compared with those with idiopathic BPPV (average: 2.0 versus 1.3; p = 0.001); however, the recurrence rates were similar between the two groups. Clinical presentations did not significantly differ between major and minor trauma cases.Conclusions: Post-traumatic BPPV differed from idiopathic BPPV regarding age distribution, CRM frequency, and subtype proportions, but not regarding recurrence rates. Trauma severity did not significantly alter the clinical course of post-traumatic BPPV, suggesting a uniform approach to BPPV management irrespective of trauma severity. However, diagnosing BPPV after major trauma may be delayed; therefore, early consideration of BPPV in the initial stages of trauma assessment is necessary.","PeriodicalId":55172,"journal":{"name":"Ear and Hearing","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ear and Hearing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/AUD.0000000000001675","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: This study aimed to assess the clinical and epidemiological characteristics of post-traumatic benign paroxysmal positional vertigo (BPPV) compared with idiopathic BPPV, with a focus on the impact of trauma severity on clinical outcomes.

Design: The authors conducted a retrospective analysis at a regional trauma center, comparing 66 patients with post-traumatic BPPV to 105 patients with idiopathic BPPV. Trauma was defined as cases where patients presented to the regional trauma center following an injury. The severity of trauma was categorized based on whether the trauma team was activated. The diagnostic criteria included positional vertigo and nystagmus, as confirmed through standard positional tests. Patients were categorized based on the severity of their trauma and evaluated for the BPPV subtype, frequency of canalith repositioning maneuvers (CRMs) needed for resolution, and recurrence rates.

Results: Patients with post-traumatic BPPV were younger than those with idiopathic BPPV (58.0 ± 15.2 versus 63.0 ± 13.1 yrs; p = 0.024) and showed no significant gender disparity. The most common BPPV subtype in the post-traumatic group was posterior canal BPPV (68.2%), followed by horizontal canal-BPPV (Geo) (22.7%), and horizontal canal-BPPV (Apo) (4.5%). Patients with post-traumatic BPPV required more CRMs for resolution compared with those with idiopathic BPPV (average: 2.0 versus 1.3; p = 0.001); however, the recurrence rates were similar between the two groups. Clinical presentations did not significantly differ between major and minor trauma cases.

Conclusions: Post-traumatic BPPV differed from idiopathic BPPV regarding age distribution, CRM frequency, and subtype proportions, but not regarding recurrence rates. Trauma severity did not significantly alter the clinical course of post-traumatic BPPV, suggesting a uniform approach to BPPV management irrespective of trauma severity. However, diagnosing BPPV after major trauma may be delayed; therefore, early consideration of BPPV in the initial stages of trauma assessment is necessary.

查看原文本刊更多论文

创伤后与特发性良性阵发性位置性眩晕临床特征的回顾性比较。

目的：本研究旨在评估创伤后良性阵发性体位性眩晕（BPPV）与特发性BPPV的临床和流行病学特征，并重点研究创伤严重程度对临床结果的影响。设计：作者在一个区域创伤中心进行了回顾性分析，比较66例创伤后BPPV患者和105例特发性BPPV患者。创伤被定义为患者在受伤后出现在区域创伤中心的病例。创伤的严重程度是根据创伤小组是否被激活来分类的。诊断标准包括体位性眩晕和眼球震颤，通过标准的体位试验证实。患者根据创伤的严重程度进行分类，并根据BPPV亚型、治疗所需的导管复位手术（CRMs）频率和复发率进行评估。结果：创伤后BPPV患者比特发性BPPV患者年轻(58.0±15.2∶63.0±13.1岁；P = 0.024)，性别差异不显著。创伤后组中最常见的BPPV亚型为后管BPPV(68.2%)，其次为水平管-BPPV (Geo)（22.7%）和水平管-BPPV (Apo)（4.5%）。与特发性BPPV患者相比，创伤后BPPV患者需要更多的crm来解决问题(平均：2.0比1.3；P = 0.001)；然而，两组的复发率相似。临床表现在严重和轻微创伤病例之间没有显著差异。结论：创伤后BPPV与特发性BPPV在年龄分布、CRM频率和亚型比例方面存在差异，但在复发率方面没有差异。创伤严重程度没有显著改变创伤后BPPV的临床病程，提示无论创伤严重程度如何，BPPV的治疗方法都是统一的。然而，在重大创伤后诊断BPPV可能会延迟；因此，在创伤评估的初始阶段早期考虑BPPV是必要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Ear and Hearing 医学-耳鼻喉科学

CiteScore

5.90

自引率

10.80%

发文量

207

审稿时长

6-12 weeks

期刊介绍： From the basic science of hearing and balance disorders to auditory electrophysiology to amplification and the psychological factors of hearing loss, Ear and Hearing covers all aspects of auditory and vestibular disorders. This multidisciplinary journal consolidates the various factors that contribute to identification, remediation, and audiologic and vestibular rehabilitation. It is the one journal that serves the diverse interest of all members of this professional community -- otologists, audiologists, educators, and to those involved in the design, manufacture, and distribution of amplification systems. The original articles published in the journal focus on assessment, diagnosis, and management of auditory and vestibular disorders.