Benign Paroxysmal Positional Vertigo in the Elderly

被引：65

作者：

Batuecas-Caletrio, Angel ^{[1
]}

Trinidad-Ruiz, Gabriel ^{[2
]}

Zschaeck, Christiane ^{[3
]}

del Pozo de Dios, Juan Carlos ^{[1
]}

de Toro Gil, Laura ^{[3
]}

Martin-Sanchez, Victor ^{[1
]}

Martin-Sanz, Eduardo ^{[3
]}

机构：

[1] Univ Hosp Salamanca, Otoneurol Unit, ES-37007 Salamanca, Spain

[2] Complejo Hosp Univ, Otoneurol Unit, Badajoz, Spain

[3] Hosp Univ Getafe, Otoneurol Unit, Getafe, Spain

来源：

GERONTOLOGY | 2013年 / 59卷 / 05期

关键词：

Benign paroxysmal positional vertigo; Unsteadiness; Imbalance; Vertigo; Falls;

D O I：

10.1159/000351204

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

030301 [社会学]; 100201 [内科学];

摘要：

Background: Benign paroxysmal positional vertigo (BPPV) is the most frequent peripheral vertigo in the elderly. It is a well-characterized entity and generally easy to treat. Objective: To evaluate the main symptoms, time to consult for the problem, vertigo characteristics, treatment and follow-up in patients over 70 with BPPV. Methods: This was a retrospective cohort study. Four hundred and four patients were diagnosed to have BPPV (between January 2006 and December 2012); 211 of them were >= 70 years old (mean 77.7 years) and 193 <70 years old (mean 53.82 years). Results: Patients over 70 with BPPV took longer to consult for the problem (Spearman rho, p = 0.01). The frequency of a clinical presentation consisting of unsteadiness or imbalance without vertigo sensation is higher among elderly patients (chi(2), p = 10(-6)). The effectiveness of the repositioning maneuver is lower than in patients under 70 (chi(2), p = 0.002), and the recurrences are more frequent (chi(2), p = 0.04). Conclusion: BPPV is a frequent entity in the elderly, and it is necessary to take it into account when older patients complain about imbalance. An appropriate treatment with repositioning maneuvers and prolonged follow-up are required in order to detect recurrences. Copyright (C) 2013 S. Karger AG, Basel

引用

页码：408 / 412

页数：5

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