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Bilateral Benign Paroxysmal Positional Vertigo Occurred during Dancing
Rehearsal
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Dong Gu Hur, Joon Seok Ko, Jin Yong Kim, Seong Ki Ahn
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Res Vestib Sci. 2015;14(3):93-96.
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 Abstract
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- Benign paroxysmal positional vertigo (BPPV) is the most common cause of
recurrent vestibular vertigo. The etiology of BPPV is unidentified in 50%?70%
of patients. However in secondary BPPV, the etiologies are well known a head
injury as an example. And it has been reported that even minor head trauma can
evoke BPPV. The authors experienced a case of bilateral BPPV occurred during
a dancing rehearsal in a school thereby we report the case with a review of the
related literatures.
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Long-Term Follow-Up of Patients with Benign Paroxysmal Positional
Vertigo
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Jin Yong Kim, Joon Seok Ko, Ho Joong Lee, Dong Gu Hur, Seong Ki Ahn
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Res Vestib Sci. 2015;14(3):83-86.
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Abstract
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- Objective: Benign paroxysmal positional vertigo (BPPV) is one of most common
peripheral vestibular disorders. The aim of this study was to identify recurrence
in the long-term follow-up of patients with BPPV after successful canalith
repositioning maneuvers, and to determine which factors contribute to recurrence.
Methods
The authors reviewed the medical records of 202 consecutive patients
with BPPV during the period January 2002 to December 2004 and investigated
112 patients with BPPV treated over the same period. Finally, 71 patients were
enrolled in this study. The estimated risk of recurrence used a Kaplan-Meier
analysis. For long-term follow-up, patients were contacted by telephone for further
information by one experienced doctor.
Results
A total of 71 patients with idiopathic BPPV fulfilled the inclusion criteria.
Forty-two patients had posterior semicircular canal-BPPV and 29 patients
lateral semicircular canal-BPPV. Recurrence rates in the posterior semicircular
canal-and lateral semicircular canal-BPPV were 24% (18/42) and 41% (12/29),
respectively (p＞0.05). Recurrence following successful treatment during a longterm
follow-up period was 23 out of 30 patients within 1 year, 5 patients between
1 and 3 years, 1 patient at between 3 and 5 years, 1 patient after 5 years, respectively.
Conclusion
The authors found no significant difference between the posterior
semicircular canal and lateral semicircular canal-BPPV regarding recurrence.
Recurrence mostly occurred within the first 3 years (93%) following successful
canalith repositioning procedure.
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Assessment of Anxiety using Beck's Anxiety Inventory in Patients with Vestibular Neuritis
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Jin Yong Kim, Seong Ki Ahn, Oh Jin Kwon, Soo Yeon Cho, Dong Gu Hur, Sea Yuong Jeon, Dae Woo Kim
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Res Vestib Sci. 2010;9(2):70-75.
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Abstract
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- Background and Objectives The intimate relationship of vertigo and anxiety has been previously recognized. Anxiety may have an important influence on recovery of symptoms in vestibular neuritis (VN). The aim of study was to evaluate subjective anxiety of the pre-VN, at the time of onset of VN, and just after vestibular rehabilitation therapy (VRT) using Beck Anxiety Inventory (BAI) questionnaire, respectively.
Materials and Methods Twenty-eight patients with VN were asked to complete the BAI and dizziness handicap inventory (DHI). Each of the BAI and DHI was scored. We also evaluated the relationship between the DHI and BAI scores.
Results The VN patients at the time of attack had significantly more anxiety with vertigo and related symptoms (p<0.05). In most patients, anxiety level decreased following VRT. Conclusion These findings indicate that almost every VN patients can recovery from anxiety as vertigo regressed. However, the emotional support as well as physical and/or functional rehabilitation may be required to provide a more rapid and complete return to normal daily lives for these patients.
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Assessment of Subjective Symptoms Using Dizziness Handicap Inventory in Patients with Vestibular Neuritis
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Jin Yong Kim, Dong Gu Hur, Sea Yuong Jeon, Jin Pyeong Kim
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Res Vestib Sci. 2009;8(1):27-31.
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Abstract
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- Background and Objectives Vestibular neuritis (VN) is one of critical life events that can affect physical, emotional, and function aspects of quality of life. Most patients recover well from VN within 6 months following the onset of the disease. However, they can still interfere with their daily lives in some patient with VN. Dizziness Handicap Inventory (DHI) was developed to assess the self-perceived handicapping effects imposed by vestibular system diseases. The aim of study was to evaluate subjective symptoms among the pre-VN, at the time of onset of VN, and post-VN using DHI questionnaire, respectively.
Materials and Methods Twenty patients with VN were asked to complete the DHI by mailed survey. Each of the DHI was scored. We also evaluated the relationship between the DHI scores and degree of the canal paresis on the caloric test.
Results Almost every patients had substantially improved its subjective symptoms in 6 months after VN. There was no correlation between the canal paresis in the lesion ear and DHI scores at the time of VN.
Conclusion The results of this study suggest that most patients recovery well from VN without any handicap, but the emotional support in combination with physical and/or functional rehabilitation should be required to provide early resumption of normal activity.
Key Words: Vertigo; Vestibular Neuronitis; Questionnaires
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