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 |
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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 |
format | Article |
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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</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 & 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”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3931-34875e5dd42e95a0e090262615d2a07618cd02ba7adae539d95792f8421c9e913</citedby><cites>FETCH-LOGICAL-c3931-34875e5dd42e95a0e090262615d2a07618cd02ba7adae539d95792f8421c9e913</cites><orcidid>0000-0002-4108-5851 ; 0000-0002-8022-9483 ; 0000-0001-5395-7699</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.29851$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.29851$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34487348$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Andersson, Helene</creatorcontrib><creatorcontrib>Jablonski, Greg Eigner</creatorcontrib><creatorcontrib>Nordahl, Stein Helge Glad</creatorcontrib><creatorcontrib>Nordfalk, Karl</creatorcontrib><creatorcontrib>Helseth, Eirik</creatorcontrib><creatorcontrib>Martens, Camilla</creatorcontrib><creatorcontrib>Røysland, Kjetil</creatorcontrib><creatorcontrib>Goplen, Frederik Kragerud</creatorcontrib><title>The Risk of Benign Paroxysmal Positional Vertigo After Head Trauma</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><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</description><subject>Benign paroxysmal positional vertigo</subject><subject>Benign Paroxysmal Positional Vertigo - epidemiology</subject><subject>Benign Paroxysmal Positional Vertigo - etiology</subject><subject>Craniocerebral Trauma - complications</subject><subject>Female</subject><subject>Head injuries</subject><subject>head trauma</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Laryngoscopy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Risk Assessment</subject><subject>time criteria</subject><subject>Time Factors</subject><subject>traumatic benign paroxysmal positional vertigo</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp9kFFLwzAQx4Mobk5f_AAS8EWEziRt2uZxG-qEgTKm6FPI2uvMbJuZtOi-vZmbPvjg0x3cj__d_RA6paRPCWFXpbLrPhMpp3uoS3lIg0gIvo-6fhgGKWfPHXTk3JIQmoScHKJOGEVpEkZpFw1nr4Cn2r1hU-Ah1HpR4wdlzefaVarED8bpRpvat09gG70weFA0YPEYVI5nVrWVOkYHhSodnOxqDz3eXM9G42Byf3s3GkyCLBT-Jr8u4cDzPGIguCJABGExiynPmSJJTNMsJ2yuEpUr4KHIBU8EK9KI0UyAoGEPXWxzV9a8t-AaWWmXQVmqGkzrJOOxiBklnHn0_A-6NK31X3gqpklC45iknrrcUpk1zlko5MrqysuUlMiNWbkxK7_NevhsF9nOK8h_0R-VHqBb4EOXsP4nSk4G05dt6BfN6IDX</recordid><startdate>202202</startdate><enddate>202202</enddate><creator>Andersson, Helene</creator><creator>Jablonski, Greg Eigner</creator><creator>Nordahl, Stein Helge Glad</creator><creator>Nordfalk, Karl</creator><creator>Helseth, Eirik</creator><creator>Martens, Camilla</creator><creator>Røysland, Kjetil</creator><creator>Goplen, Frederik Kragerud</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><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></search><sort><creationdate>202202</creationdate><title>The Risk of Benign Paroxysmal Positional Vertigo After Head Trauma</title><author>Andersson, Helene ; Jablonski, Greg Eigner ; Nordahl, Stein Helge Glad ; Nordfalk, Karl ; Helseth, Eirik ; Martens, Camilla ; Røysland, Kjetil ; Goplen, Frederik Kragerud</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3931-34875e5dd42e95a0e090262615d2a07618cd02ba7adae539d95792f8421c9e913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Benign paroxysmal positional vertigo</topic><topic>Benign Paroxysmal Positional Vertigo - epidemiology</topic><topic>Benign Paroxysmal Positional Vertigo - etiology</topic><topic>Craniocerebral Trauma - complications</topic><topic>Female</topic><topic>Head injuries</topic><topic>head trauma</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Laryngoscopy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Risk Assessment</topic><topic>time criteria</topic><topic>Time Factors</topic><topic>traumatic benign paroxysmal positional vertigo</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Andersson, Helene</creatorcontrib><creatorcontrib>Jablonski, Greg Eigner</creatorcontrib><creatorcontrib>Nordahl, Stein Helge Glad</creatorcontrib><creatorcontrib>Nordfalk, Karl</creatorcontrib><creatorcontrib>Helseth, Eirik</creatorcontrib><creatorcontrib>Martens, Camilla</creatorcontrib><creatorcontrib>Røysland, Kjetil</creatorcontrib><creatorcontrib>Goplen, Frederik Kragerud</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & 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 & 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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