Potential risk factors of persistent postural-perceptual dizziness: a pilot study

Background Persistent postural-perceptual dizziness (PPPD) unifies the main characteristics of chronic subjective dizziness, visual vertigo and related diseases, which is a common chronic disease in neurology. At present, the pathology of PPPD is not fully understood. Objective In this single-center...

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Veröffentlicht in:Journal of neurology 2022-06, Vol.269 (6), p.3075-3085
Hauptverfasser: Li, Ling, He, Songbin, Liu, Haipeng, Pan, Meilun, Dai, Fangyu
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container_end_page 3085
container_issue 6
container_start_page 3075
container_title Journal of neurology
container_volume 269
creator Li, Ling
He, Songbin
Liu, Haipeng
Pan, Meilun
Dai, Fangyu
description Background Persistent postural-perceptual dizziness (PPPD) unifies the main characteristics of chronic subjective dizziness, visual vertigo and related diseases, which is a common chronic disease in neurology. At present, the pathology of PPPD is not fully understood. Objective In this single-center retrospective case series review, we aim to investigate the potential risk factors of PPPD. Methods Eighty inpatients diagnosed with PPPD were recruited with 81 apparently healthy controls. Patient-specific clinico-radiological data were collected from both groups. Conditions of hypertension, diabetes, smoking, and drinking were derived from medical history. Blood test results were recorded including total cholesterol, triglyceride, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, fibrinogen, vitamin B12, folic acid, total cholesterol, triglyceride, and folate level. The subjects were examined by carotid artery CTA and cranial MRI, and the imaging findings of carotid atherosclerosis (CAS), white matter hyperintensities (WMHs) and lacunar infarction (LI) were recorded. Binary logistic regression analysis was used to investigate the difference between the case and control groups. Significance was defined as p value less than 0.05. Results The prevalence rate of hypertension in the case group was significantly higher than that in the control group, and the detection rates of CAS, WMHs, and LI in the case group were significantly higher than those in the control group ( p  
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At present, the pathology of PPPD is not fully understood. Objective In this single-center retrospective case series review, we aim to investigate the potential risk factors of PPPD. Methods Eighty inpatients diagnosed with PPPD were recruited with 81 apparently healthy controls. Patient-specific clinico-radiological data were collected from both groups. Conditions of hypertension, diabetes, smoking, and drinking were derived from medical history. Blood test results were recorded including total cholesterol, triglyceride, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, fibrinogen, vitamin B12, folic acid, total cholesterol, triglyceride, and folate level. The subjects were examined by carotid artery CTA and cranial MRI, and the imaging findings of carotid atherosclerosis (CAS), white matter hyperintensities (WMHs) and lacunar infarction (LI) were recorded. Binary logistic regression analysis was used to investigate the difference between the case and control groups. Significance was defined as p value less than 0.05. Results The prevalence rate of hypertension in the case group was significantly higher than that in the control group, and the detection rates of CAS, WMHs, and LI in the case group were significantly higher than those in the control group ( p  &lt; 0.05 for all). Conclusion Hypertension, CAS, WMHs, and LI are associated with PPPD, which may be potential risk factors for its development.</description><identifier>ISSN: 0340-5354</identifier><identifier>EISSN: 1432-1459</identifier><identifier>DOI: 10.1007/s00415-021-10899-7</identifier><identifier>PMID: 34800170</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Arteriosclerosis ; Carotid artery ; Cholesterol ; Chronic illnesses ; Diabetes mellitus ; Fibrinogen ; Folic acid ; High density lipoprotein ; Hypertension ; Infarction ; Magnetic resonance imaging ; Medicine ; Medicine &amp; Public Health ; Neurology ; Neuroradiology ; Neurosciences ; Original Communication ; Posture ; Risk factors ; Substantia alba ; Vertigo ; Vitamin B12</subject><ispartof>Journal of neurology, 2022-06, Vol.269 (6), p.3075-3085</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2021</rights><rights>2021. 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At present, the pathology of PPPD is not fully understood. Objective In this single-center retrospective case series review, we aim to investigate the potential risk factors of PPPD. Methods Eighty inpatients diagnosed with PPPD were recruited with 81 apparently healthy controls. Patient-specific clinico-radiological data were collected from both groups. Conditions of hypertension, diabetes, smoking, and drinking were derived from medical history. Blood test results were recorded including total cholesterol, triglyceride, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, fibrinogen, vitamin B12, folic acid, total cholesterol, triglyceride, and folate level. The subjects were examined by carotid artery CTA and cranial MRI, and the imaging findings of carotid atherosclerosis (CAS), white matter hyperintensities (WMHs) and lacunar infarction (LI) were recorded. Binary logistic regression analysis was used to investigate the difference between the case and control groups. Significance was defined as p value less than 0.05. Results The prevalence rate of hypertension in the case group was significantly higher than that in the control group, and the detection rates of CAS, WMHs, and LI in the case group were significantly higher than those in the control group ( p  &lt; 0.05 for all). Conclusion Hypertension, CAS, WMHs, and LI are associated with PPPD, which may be potential risk factors for its development.</description><subject>Arteriosclerosis</subject><subject>Carotid artery</subject><subject>Cholesterol</subject><subject>Chronic illnesses</subject><subject>Diabetes mellitus</subject><subject>Fibrinogen</subject><subject>Folic acid</subject><subject>High density lipoprotein</subject><subject>Hypertension</subject><subject>Infarction</subject><subject>Magnetic resonance imaging</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosciences</subject><subject>Original Communication</subject><subject>Posture</subject><subject>Risk factors</subject><subject>Substantia alba</subject><subject>Vertigo</subject><subject>Vitamin B12</subject><issn>0340-5354</issn><issn>1432-1459</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kEtr3TAQRkVoSW4ef6CLYOgmG6UzkqxHdyXkBYG20KyF7CsHp76Wo7EXya-vkpuk0EVXA_rOfCMOY58QThHAfCEAhTUHgRzBOsfNDluhkoKjqt0HtgKpgNeyVntsn-geAGwJdtmeVBYADazYzx9pjuPch6HKPf2uutDOKVOVumqKmXp6Tqsp0bzkMPDy1sZpXgq-7p-e-jESfa1CNfVDmqsCrR8P2ccuDBSPXucBu704_3V2xW--X16ffbvhrUI3885Ka6wIoNu2cRaFamxwnQrKCb2OsZHGWIyNtrGFELRDqUwdtEbolHNOHrCTbe-U08MSafabnto4DGGMaSEvNICwRgEW9PM_6H1a8lh-VyitDaIRulBiS7U5EeXY-Sn3m5AfPYJ_Fu63wn0R7l-Ee1OWjl-rl2YT1-8rb4YLILcAlWi8i_nv7f_U_gGXFIsA</recordid><startdate>20220601</startdate><enddate>20220601</enddate><creator>Li, Ling</creator><creator>He, Songbin</creator><creator>Liu, Haipeng</creator><creator>Pan, Meilun</creator><creator>Dai, Fangyu</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8795-1057</orcidid></search><sort><creationdate>20220601</creationdate><title>Potential risk factors of persistent postural-perceptual dizziness: a pilot study</title><author>Li, Ling ; He, Songbin ; Liu, Haipeng ; Pan, Meilun ; Dai, Fangyu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-f838782a06ccb98124b8a9f4a4926deeb37781eb68ec0aa6913475a6610f49993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Arteriosclerosis</topic><topic>Carotid artery</topic><topic>Cholesterol</topic><topic>Chronic illnesses</topic><topic>Diabetes mellitus</topic><topic>Fibrinogen</topic><topic>Folic acid</topic><topic>High density lipoprotein</topic><topic>Hypertension</topic><topic>Infarction</topic><topic>Magnetic resonance imaging</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosciences</topic><topic>Original Communication</topic><topic>Posture</topic><topic>Risk factors</topic><topic>Substantia alba</topic><topic>Vertigo</topic><topic>Vitamin B12</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Ling</creatorcontrib><creatorcontrib>He, Songbin</creatorcontrib><creatorcontrib>Liu, Haipeng</creatorcontrib><creatorcontrib>Pan, Meilun</creatorcontrib><creatorcontrib>Dai, Fangyu</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health &amp; 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At present, the pathology of PPPD is not fully understood. Objective In this single-center retrospective case series review, we aim to investigate the potential risk factors of PPPD. Methods Eighty inpatients diagnosed with PPPD were recruited with 81 apparently healthy controls. Patient-specific clinico-radiological data were collected from both groups. Conditions of hypertension, diabetes, smoking, and drinking were derived from medical history. Blood test results were recorded including total cholesterol, triglyceride, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, fibrinogen, vitamin B12, folic acid, total cholesterol, triglyceride, and folate level. The subjects were examined by carotid artery CTA and cranial MRI, and the imaging findings of carotid atherosclerosis (CAS), white matter hyperintensities (WMHs) and lacunar infarction (LI) were recorded. Binary logistic regression analysis was used to investigate the difference between the case and control groups. Significance was defined as p value less than 0.05. Results The prevalence rate of hypertension in the case group was significantly higher than that in the control group, and the detection rates of CAS, WMHs, and LI in the case group were significantly higher than those in the control group ( p  &lt; 0.05 for all). Conclusion Hypertension, CAS, WMHs, and LI are associated with PPPD, which may be potential risk factors for its development.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>34800170</pmid><doi>10.1007/s00415-021-10899-7</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-8795-1057</orcidid><oa>free_for_read</oa></addata></record>
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subjects Arteriosclerosis
Carotid artery
Cholesterol
Chronic illnesses
Diabetes mellitus
Fibrinogen
Folic acid
High density lipoprotein
Hypertension
Infarction
Magnetic resonance imaging
Medicine
Medicine & Public Health
Neurology
Neuroradiology
Neurosciences
Original Communication
Posture
Risk factors
Substantia alba
Vertigo
Vitamin B12
title Potential risk factors of persistent postural-perceptual dizziness: a pilot study
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