Characteristics and efficacy of canalith-repositioning maneuvers for benign paroxysmal positional vertigo in very elderly patients

BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is highly prevalent in very elderly patients (aged ≥80 years), who present complex comorbidities, atypical manifestations, poor mobility, and high fall risk, leading to diagnostic and therapeutic challenges. Evidence on this population is scarce. AIMS/OBJECTIVES: To clarify clinical features, treatment efficacy, recurrence patterns, and risk factors in very elderly BPPV patients. MATERIAL AND METHODS: Retrospective analysis of 128 very elderly patients with BPPV. CONCLUSIONS AND SIGNIFICANCE: Very elderly patients (aged ≥80 years) with BPPV show high treatment tolerance and favorable outcomes. Prior BPPV and sleep disturbance are independent predictors of recurrence. Individualized repositioning strategies are recommended.