Risk factors for the recurrence of post-semicircular canal benign paroxysmal positional vertigo after canalith repositioning

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• 作者：Peijen Su ; Yun-Chih Liu ; Hung-Ching Lin
• 关键词：Sleep disorders ; Post ; semicircular canal benign paroxysmal positional vertigo (PSC ; BPPV) ; Canalith repositioning procedure (CRP) ; Epley’s maneuver
• 刊名：Journal of Neurology
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：263
• 期：1
• 页码：45-51
• 全文大小：665 KB
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• 作者单位：Peijen Su (1) (2)
  Yun-Chih Liu (3)
  Hung-Ching Lin (1) (4)
  
  1. Department of Audiology and Speech-Language Pathology, Mackay Medical College, No. 46, Sec. 3, Zhongzheng Rd., Sanzhi Dist., New Taipei City, 252, Taiwan
  2. Department of Family Medicine, Mackay Memorial Hospital, Taipei, Taiwan
  3. Department of Otolaryngology, Cathay General Hospital, Department of Speech Hearing Disorders and Science, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
  4. Department of Otolaryngology, Mackay Memorial Hospital, Taipei, Taiwan
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Neurology
  Neurosciences
  Neuroradiology
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-1459

文摘

This retrospective study was conducted to determine the relationship between variable factors and the recurrence rate of post-semicircular canal benign paroxysmal positional vertigo (PSC-BPPV) after canalith repositioning procedure (CRP). Patients with PSC-BPPV were diagnosed by history and the presence of a positive Dix–Hallpike maneuver between 2008 and 2010. In total, 243 patients (47 males and 196 females, average age = 57.5 years) treated with Epley’s maneuver or canalith repositioning procedure (CRP) were included in the study. The demographic factors studied were age, sex, sleep disorders, inner ear diseases, head trauma history, and cardiovascular diseases. Multivariate statistics using SPSS version 15, Pearson’s Chi-squared test (χ 2), Kaplan–Meier analysis, log-rank test, and Cox proportional hazards regression model were used for the analysis. The success rate of vertigo control after the initial CRP was 83.1 %. Pearson’s χ 2 test results showed that females and participants with sleep disorders exhibited a significant difference in the recurrence of vertigo after the initial CRP. In addition, the Kaplan–Meier analysis and log-rank test survival analysis revealed that the recurrence was associated with females and participants with sleep disorders and inner ear diseases. However, Cox proportional hazards regression showed no differences in recurrences associated with old age, sex, sleep disorders, inner ear diseases, head trauma, and cardiovascular diseases. Epley’s maneuver or CRP is an effective, safe, and simple treatment for BPPV. Females and participants with sleep disorders and inner ear diseases are likely associated with the recurrence of BPPV after CRP.