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February 7, 2024Ceylon Journal of OtolaryngologyOpen Access

Demography, aetiology, and positional test findings of 187 consecutive patients diagnosed as having BPPV at ENT unit, Teaching Hospital Anuradhapura

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Key result

Among 187 patients diagnosed with BPPV, posterior semi-circular canal involvement was the most common variant (70%), while 24.6% of patients experienced positional vertigo without clear nystagmus.

Why the study?

Diagnosis of BPPV can be complicated due to multiple subtypes and negative physical examination findings.

Population

187 consecutive patients with symptoms suggestive of BPPV at ENT clinic, Teaching Hospital Anuradhapura

Design

Subgroup analysis of a cross-sectional descriptive study

Authors

DDD. A. D. G. DamindaKJK. D. N. U. D. JayasenaUAU. B. Abeysundara

Discussion

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Overview

Highlights frequent nystagmus-negative positional vertigo; leaves open whether video Frenzel goggles or repeated testing improve subtype detection.

Study Design

Type

Cross-Sectional (n=187)

Multicenter

No

Structured PICO

P
Population
187 patients with short-lasting positional vertigo diagnosed with BPPV at a single tertiary ENT clinic in Sri Lanka.
E
Exposure
Positional testing (including Dix-Hallpike test and supine roll test)
O
Outcome
Demographic pattern and positional test findings

In patients with suspected BPPV, posterior canal involvement is most common, but a significant proportion have negative positional test findings in light, highlighting the potential need for video Frenzel recording.

Limitations

  • Video Frenzel was not routinely used during examination, which may have led to underdiagnosis of subtle nystagmus.
  • Single-center study design limits generalizability.
  • Delayed presentation of BPPV patients to the ENT department in the Sri Lankan setting may affect the observed prevalence of certain subtypes like lateral canal BPPV.

Cite This Study

Daminda et al. (2024) conducted a cross-sectional in Benign Paroxysmal Positional Vertigo (BPPV) (n=187). Benign Paroxysmal Positional Vertigo (BPPV) was evaluated on Frequency of BPPV subtypes and positional test findings. Among 187 patients diagnosed with BPPV, posterior semi-circular canal involvement was the most common variant (70%), while 24.6% of patients experienced positional vertigo without clear nystagmus.

synapsesocial.com/papers/6a9ced25ccf76bb89d97ac2ehttps://doi.org/10.4038/cjo.v13i1.5366
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo2008 · 1,061 citations
  2. 2Benign paroxysmal positional vertigo: Diagnostic criteria2015 · 794 citations
  3. 3Sitting-up vertigo and trunk retropulsion in patients with benign positional vertigo but without positional nystagmus2010 · 68 citations
  4. 4Clinical Characteristics of Benign Paroxysmal Positional Vertigo in Korea: A Multicenter Study2006 · 135 citations
  5. 5Cost‐effective management of benign positional vertigo using canalith repositioning2000 · 79 citations