The Risk of Benign Paroxysmal Positional Vertigo After Head Trauma

Objectives Head trauma may cause dislodgement of otoconia and development of benign paroxysmal positional vertigo (BPPV). The risk of developing BPPV is expected to be highest shortly after the trauma, then decrease and approach the risk seen in the general population. The aim of this study was to e...

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Veröffentlicht in:The Laryngoscope 2022-02, Vol.132 (2), p.443-448
Hauptverfasser: Andersson, Helene, Jablonski, Greg Eigner, Nordahl, Stein Helge Glad, Nordfalk, Karl, Helseth, Eirik, Martens, Camilla, Røysland, Kjetil, Goplen, Frederik Kragerud
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container_end_page 448
container_issue 2
container_start_page 443
container_title The Laryngoscope
container_volume 132
creator Andersson, Helene
Jablonski, Greg Eigner
Nordahl, Stein Helge Glad
Nordfalk, Karl
Helseth, Eirik
Martens, Camilla
Røysland, Kjetil
Goplen, Frederik Kragerud
description Objectives Head trauma may cause dislodgement of otoconia and development of benign paroxysmal positional vertigo (BPPV). The risk of developing BPPV is expected to be highest shortly after the trauma, then decrease and approach the risk seen in the general population. The aim of this study was to estimate the risk‐time curve of BPPV development after head trauma. Study Design Prospective observational study. Methods Patients with minimal, mild, or moderate head trauma treated at the Department of Neurosurgery or the Department of Orthopedic Emergency at Oslo University Hospital, were interviewed and examined for BPPV using the Dix‐Hallpike and supine roll maneuvers. BPPV was diagnosed according to the International diagnostic criteria of the Bárány Society. Telephone interviews were conducted at 2, 6, and 12 weeks after the first examination. Results Out of 117 patients, 21% developed traumatic BPPV within 3 months after the trauma. The corresponding numbers were 12% with minimal trauma, 24% with mild, and 40% with moderate trauma. The difference in prevalence between the groups was significant (P = .018). During the first 4 weeks after the trauma, it was observed 20, 3, 0, and 1 BPPV onsets, respectively. No BPPV cases were seen for the remainder of the 3‐month follow‐up. Conclusion The risk of developing BPPV after minimal‐to‐moderate head trauma is considerable and related to trauma severity. Most cases occur within few days after the trauma, but any BPPV occurring within the first 2 weeks after head trauma are likely due to the traumatic event. Level of Evidence 3 Laryngoscope, 132:443–448, 2022
doi_str_mv 10.1002/lary.29851
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The risk of developing BPPV is expected to be highest shortly after the trauma, then decrease and approach the risk seen in the general population. The aim of this study was to estimate the risk‐time curve of BPPV development after head trauma. Study Design Prospective observational study. Methods Patients with minimal, mild, or moderate head trauma treated at the Department of Neurosurgery or the Department of Orthopedic Emergency at Oslo University Hospital, were interviewed and examined for BPPV using the Dix‐Hallpike and supine roll maneuvers. BPPV was diagnosed according to the International diagnostic criteria of the Bárány Society. Telephone interviews were conducted at 2, 6, and 12 weeks after the first examination. Results Out of 117 patients, 21% developed traumatic BPPV within 3 months after the trauma. The corresponding numbers were 12% with minimal trauma, 24% with mild, and 40% with moderate trauma. The difference in prevalence between the groups was significant (P = .018). During the first 4 weeks after the trauma, it was observed 20, 3, 0, and 1 BPPV onsets, respectively. No BPPV cases were seen for the remainder of the 3‐month follow‐up. Conclusion The risk of developing BPPV after minimal‐to‐moderate head trauma is considerable and related to trauma severity. Most cases occur within few days after the trauma, but any BPPV occurring within the first 2 weeks after head trauma are likely due to the traumatic event. Level of Evidence 3 Laryngoscope, 132:443–448, 2022</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.29851</identifier><identifier>PMID: 34487348</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Benign paroxysmal positional vertigo ; Benign Paroxysmal Positional Vertigo - epidemiology ; Benign Paroxysmal Positional Vertigo - etiology ; Craniocerebral Trauma - complications ; Female ; Head injuries ; head trauma ; Humans ; Injury Severity Score ; Laryngoscopy ; Male ; Middle Aged ; Prospective Studies ; Risk Assessment ; time criteria ; Time Factors ; traumatic benign paroxysmal positional vertigo</subject><ispartof>The Laryngoscope, 2022-02, Vol.132 (2), p.443-448</ispartof><rights>2021 The Authors. published by Wiley Periodicals LLC on behalf of The American Laryngological, Rhinological and Otological Society, Inc.</rights><rights>2021 The Authors. The Laryngoscope published by Wiley Periodicals LLC on behalf of The American Laryngological, Rhinological and Otological Society, Inc.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). 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The risk of developing BPPV is expected to be highest shortly after the trauma, then decrease and approach the risk seen in the general population. The aim of this study was to estimate the risk‐time curve of BPPV development after head trauma. Study Design Prospective observational study. Methods Patients with minimal, mild, or moderate head trauma treated at the Department of Neurosurgery or the Department of Orthopedic Emergency at Oslo University Hospital, were interviewed and examined for BPPV using the Dix‐Hallpike and supine roll maneuvers. BPPV was diagnosed according to the International diagnostic criteria of the Bárány Society. Telephone interviews were conducted at 2, 6, and 12 weeks after the first examination. Results Out of 117 patients, 21% developed traumatic BPPV within 3 months after the trauma. The corresponding numbers were 12% with minimal trauma, 24% with mild, and 40% with moderate trauma. The difference in prevalence between the groups was significant (P = .018). During the first 4 weeks after the trauma, it was observed 20, 3, 0, and 1 BPPV onsets, respectively. No BPPV cases were seen for the remainder of the 3‐month follow‐up. Conclusion The risk of developing BPPV after minimal‐to‐moderate head trauma is considerable and related to trauma severity. Most cases occur within few days after the trauma, but any BPPV occurring within the first 2 weeks after head trauma are likely due to the traumatic event. 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Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Andersson, Helene</au><au>Jablonski, Greg Eigner</au><au>Nordahl, Stein Helge Glad</au><au>Nordfalk, Karl</au><au>Helseth, Eirik</au><au>Martens, Camilla</au><au>Røysland, Kjetil</au><au>Goplen, Frederik Kragerud</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Risk of Benign Paroxysmal Positional Vertigo After Head Trauma</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2022-02</date><risdate>2022</risdate><volume>132</volume><issue>2</issue><spage>443</spage><epage>448</epage><pages>443-448</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives Head trauma may cause dislodgement of otoconia and development of benign paroxysmal positional vertigo (BPPV). The risk of developing BPPV is expected to be highest shortly after the trauma, then decrease and approach the risk seen in the general population. The aim of this study was to estimate the risk‐time curve of BPPV development after head trauma. Study Design Prospective observational study. Methods Patients with minimal, mild, or moderate head trauma treated at the Department of Neurosurgery or the Department of Orthopedic Emergency at Oslo University Hospital, were interviewed and examined for BPPV using the Dix‐Hallpike and supine roll maneuvers. BPPV was diagnosed according to the International diagnostic criteria of the Bárány Society. Telephone interviews were conducted at 2, 6, and 12 weeks after the first examination. Results Out of 117 patients, 21% developed traumatic BPPV within 3 months after the trauma. The corresponding numbers were 12% with minimal trauma, 24% with mild, and 40% with moderate trauma. The difference in prevalence between the groups was significant (P = .018). During the first 4 weeks after the trauma, it was observed 20, 3, 0, and 1 BPPV onsets, respectively. No BPPV cases were seen for the remainder of the 3‐month follow‐up. Conclusion The risk of developing BPPV after minimal‐to‐moderate head trauma is considerable and related to trauma severity. Most cases occur within few days after the trauma, but any BPPV occurring within the first 2 weeks after head trauma are likely due to the traumatic event. Level of Evidence 3 Laryngoscope, 132:443–448, 2022</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>34487348</pmid><doi>10.1002/lary.29851</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-4108-5851</orcidid><orcidid>https://orcid.org/0000-0002-8022-9483</orcidid><orcidid>https://orcid.org/0000-0001-5395-7699</orcidid><oa>free_for_read</oa></addata></record>
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subjects Benign paroxysmal positional vertigo
Benign Paroxysmal Positional Vertigo - epidemiology
Benign Paroxysmal Positional Vertigo - etiology
Craniocerebral Trauma - complications
Female
Head injuries
head trauma
Humans
Injury Severity Score
Laryngoscopy
Male
Middle Aged
Prospective Studies
Risk Assessment
time criteria
Time Factors
traumatic benign paroxysmal positional vertigo
title The Risk of Benign Paroxysmal Positional Vertigo After Head Trauma
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