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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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Clinical Characteristics and Course of Recurrent Vestibulopathy Following Diuretics Medication
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Joon Seok Ko, Ho Yeop Kim, Dong Gu Hur, Seong Ki Ahn
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Res Vestib Sci. 2014;13(1):7-11.
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Abstract
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- et, and the characteristics of vertigo. Results: Median follow-up was 29 months (range, 27−37 months). Patients had a mean age at onset of 48.2 years and a mean duration of 2.75 years. An obvious female predilection was found, and unilateral caloric paresis (≥25%) was seen in 23.3%. Of the 30 patients, symptoms resolved in 80% but were unchanged in 20%. No patient with RV developed a central nervous system disease or benign paroxysmal positional vertigo during follow-up. Conclusion: The present study shows that in the majority of cases, vertigo resolved following diuretics medication. In cases of the patients with severe or disabling recurrent vestibulopathy, the diuretics medication may be effective in reducing the frequency of vertigo attacks.
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Clinical Characteristics and Natural Course of Benign Paroxysmal Vertigo of Childhood: A Long-Term Follow-Up Study
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Eun Jae Lee, Seong Ki Ahn, Dong Gu Hur, Joon Seok Ko
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Res Vestib Sci. 2013;12(3):93-98.
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Abstract
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- Background and Objectives: It is suggested that some patients with benign paroxysmal vertigo of childhood (BPVC) go on to develop migraine. However, neither the natural course nor the clinical features of BPVC have been determined, and therefore, the aim of this study was to investigate the clinical characteristics and the natural course of BPVC. Materials and Methods: During the period January 2002 to December 2009, we reviewed the clinical records of 58 patients diagnosed with BPVC. All patients were approached by telephone and using a questionnaire. The clinical characteristics of vertigo, such as sex and age distribution, duration and frequency of vertigo, associated symptoms, development of migraine, and neurologic abnormalities, were analyzed. Results: Mean follow- up duration was 73.2 months (range, 31-119 months). Patients had a mean age at onset of 11.8 years and a mean duration of 6.1 years. An obvious female predilection was found, and 40% of BPVC developed to migraine had a family history of migraine. Of the 32 patients, symptoms resolved in 68.7% but were unchanged in five patients (15.6%). BPVC developed to migraine in five patients (15.6%). Conclusion: This study suggests that vertigo spontaneously resolves in the majority of cases. However, the incidence of development to migraine in the BPVC patients is higher than that in general population.
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