[Clinical characteristics and short term outcome of very old benign paroxysmal positional vertigo patients]

J Ju; J R Li; S Z Zou

doi:10.13201/j.issn.1001-1781.2017.24.002

[Clinical characteristics and short term outcome of very old benign paroxysmal positional vertigo patients]

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Dec 20;31(24):1872-1874. doi: 10.13201/j.issn.1001-1781.2017.24.002.

[Article in Chinese]

Authors

J Ju¹, J R Li¹, S Z Zou¹

Affiliation

¹ Department of Otolaryngology Head and Neck Surgery, Navy General Hospital, Beijing, 100048, China.

PMID: 29798306
DOI: 10.13201/j.issn.1001-1781.2017.24.002

Abstract

Objective:To provide evidence and strategy for treatment of very old patients with benign paroxysmal positional vertigo (v-BPPV) by retrospective analysis of v-BPPV patients. Method:According to the criteria, 19 v-BPPV patients were collected, aging from 80 to 91 years old, including 10 horizontal semicircular canal BPPV (HC-BPPV), 4 posterior semicircular canal (PC-BPPV) and 5 mutiple semicircular canal BPPV patients. PC-BPPV patients were treated by Epley or Li maneuver, and HC-BPPV patients were treated by Barbecue or Li maneuver. Each patient was treated twice, with an interval of 5 to 10 minutes. Result:Rates of 3-day cure and efficacy were 63.16% and 94.74%, respectively. Rates of 1-week cure and efficacy were 89.47% and 100.00%, respectively. Conclusion:v-BPPV can have good outcomes via proper treatment. Age should not influence BPPV outcomes, while we should pay more attention to v-BPPV patients' physiclal status and systematic diseases which may increase risk to diagnosis and treatment.

Keywords: aged, 80 and over; treatment effectiveness; vertigo.

MeSH terms

Aged, 80 and over
Benign Paroxysmal Positional Vertigo / diagnosis
Benign Paroxysmal Positional Vertigo / therapy*
Humans
Retrospective Studies
Semicircular Canals