CLINICAL AND SUBCLINICAL CHARACTERISTICS IN PATIENTS WITH BENIGN PAROXYSMAL POSITIONAL VERTIGO

Văn Quân Nguyễn1,, Hồng Khôi Võ2,3,4, Thị Liên Bùi2, Huyền Trang Khúc2
1 Cua Dong General Hospital
2 Bach Mai Hospital
3 Hanoi Medical University
4 VNU Hanoi-University of Medicine and Pharmacy

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Abstract

Background: Description of some clinical and subclinical characteristics in patients with benign paroxysmal positional vertigo (BPPV). Objective: 23 patients with BPPV were treated in Neurology Department of Cua Dong General Hospital and Neurology Center of Bach Mai Hospital from February 2022 to October 2022. Method: Cross – sectional study. Result: The average age of patients with BPPV was 66.50±12.30, female accounting for 78.3%, percentage of patients with relapses of 69.6%, average BMI: 22.37±1.60. Up to 91.4% of patients with BPPV were primary. Some common medical histories and pathologies included: dyslipidemia (60.9%), type 2 diabetes (43.5%), hypertension (44.0%), anxiety disorders- depression (39.1%). Lesions were more common on the right side (78.3%), on the left (17.4%) and on both sides (4.3%). Features of nystagmus when doing Dix-Halpike test include latency duration: 3.43±1.34 seconds, nystagmus duration: 9±2.71 seconds. The average T-Score was -2.73±0.71 in which 47.8% of the patients had osteoporosis (T-Score: < -2.5); 43.5% of patients had osteopenia (T-Score: -1 to -2.5) and 8.7% of patients had normal bone density (T-Score > -1). Conclusion: BPPV is a common disease, especially in female (78.3%), with 69.6% of patients having many relapses in their history. Some common comorbidities include: High blood pressure, diabetes, dyslipidemia, obesity, osteoporosis.

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References

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