Dizzy and psychological scales in BPPV-suspicious patients without characteristic nystagmus

Hong, Seok Min; Kim, Sung Kyun; Kim, Heejin; Hong, Seok Jin; Kim, Yong Bok; Park, Il-seok; Oh, Dawoon

Research in Vestibular Science > Accepted Articles

Seok Min Hong¹, Sung Kyun Kim¹, Heejin Kim¹, Seok Jin Hong¹, Yong Bok Kim¹, Il-seok Park¹, Dawoon Oh²

¹Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea
²Department of Anesthesiology and pain medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea

Correspondence

Seok Min Hong ,Tel: 031-8086-2852, Fax: 031-8086-2681, Email: thecell20@gmail.com

Received: July 29, 2017; Accepted: August 19, 2017. Published online: August 19, 2017.

ABSTRACT

Objectives Patients, who have had a history of BPPV-like symptoms, but no characteristic nystagmus, were often present. They are diagnosed as having a resolved state from BPPV or normal, and tend to be overlooked. We investigated the dizzy and psychological scales in BPPV-suspicious patients. Study Design : prospective study Methods Thirty-nine patients, which they had vertigo of a short duration at the specific head position, and clinically suspicious BPPV, but no nystagmus in positional tests, were enrolled. We compared dizzy and psychological scales of suspicious BPPV patients with 138 BPPV patients, using DHI, BDI and STAI. Additionally, among the BPPV-suspicious group, patients with a BPPV history were compared with those with no previous BPPV. Results No differences in the all scales were found between the two groups. However, DHI scores of patients with a previous BPPV attack were significantly higher than those of patients with no BPPV-like symptoms; in particular, there was a significant difference in emotional scores. Conclusion Although the patients had no characteristic nystagmus, if they have a BPPV-like history and symptoms, emotional support and periodic follow up are needed. In particular, careful observation should be performed in patients with previous BPPV attack.

Keywords: BPPV; anxiety; depression