Benign paroxysmal positional vertigo in pregnancy: Our experiences at a tertiary care teaching hospital of Eastern India

S. Swain, S. Vivek
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Abstract

Background: Benign paroxysmal positional vertigo (BPPV) is a common clinical condition characterized by sudden, brief paroxysmal attacks of rotation vertigo occurred by changing the head position. BPPV is the most common peripheral vestibular pathology and is found frequently in females. There are very limited data on the association between BPPV and pregnancy. Objective: The objective of this study was to study the BPPV during pregnancy along with details of clinical manifestations and management. Patients and Methods: This is a cross-sectional study where pregnant women with BPPV were enrolled. The study was conducted between April 2020 and May 2022. Detailed neurological examinations were done at the vertigo clinic. Results: There were seven cases of BPPV associated with pregnancy in this study. The most common symptom was rotatory vertigo. All were diagnosed with the Dix–Hallpike test. All underwent Epley maneuver and symptoms resolved. Out of seven cases, two showed low 25-hydroxyvitamin D levels. Conclusion: Vertigo is a morbid symptom during pregnancy that affects both pregnant women and fetal status. To improve the quality of life during gestation, clinicians should consider this BPPV as an important clinical entity in their differential diagnosis of vertigo.
妊娠期良性阵发性体位性眩晕:我们在东印度三级保健教学医院的经验
背景:良性阵发性位置性眩晕(BPPV)是一种常见的临床疾病,其特征是通过改变头部位置而发生的旋转性眩晕的突然、短暂发作。BPPV是最常见的外周前庭病理,常见于女性。关于BPPV与妊娠之间的关系,目前的数据非常有限。目的:本研究的目的是研究妊娠期BPPV的临床表现和治疗细节。患者和方法:这是一项横断面研究,纳入患有BPPV的孕妇。该研究于2020年4月至2022年5月期间进行。在眩晕症诊所进行了详细的神经系统检查。结果:本研究中有7例BPPV与妊娠相关。最常见的症状是旋转性眩晕。所有人都被诊断为Dix-Hallpike测试。所有患者均接受了埃普利手法治疗,症状得到缓解。在7例病例中,有2例显示25-羟基维生素D水平较低。结论:眩晕是一种影响孕妇和胎儿状态的妊娠期疾病。为了提高妊娠期的生活质量,临床医生应将BPPV视为眩晕鉴别诊断的重要临床实体。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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