Epidemiology of benign paroxysmal positional vertigo: a population based study
Objectives: To examine the prevalence and incidence, clinical presentation, societal impact and comorbid conditions of benign paroxysmal positional vertigo (BPPV) in the general population. Methods: Cross-sectional, nationally representative neurotological survey of the general adult population in G...
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| Veröffentlicht in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 2007-07, Vol.78 (7), p.710-715 |
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| container_title | Journal of neurology, neurosurgery and psychiatry |
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| creator | von Brevern, M Radtke, A Lezius, F Feldmann, M Ziese, T Lempert, T Neuhauser, H |
| description | Objectives: To examine the prevalence and incidence, clinical presentation, societal impact and comorbid conditions of benign paroxysmal positional vertigo (BPPV) in the general population. Methods: Cross-sectional, nationally representative neurotological survey of the general adult population in Germany with a two stage sampling design: screening of 4869 participants from the German National Telephone Health Interview Survey 2003 (response rate 52%) for moderate or severe dizziness or vertigo, followed by validated neurotological interviews (n = 1003; response rate 87%). Diagnostic criteria for BPPV were at least five attacks of vestibular vertigo lasting |
| doi_str_mv | 10.1136/jnnp.2006.100420 |
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| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2117684</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4023855281</sourcerecordid><originalsourceid>FETCH-LOGICAL-b527t-be4401abff85bc6a7afbd521155897f3ead2266d5e44cc1d650feca1553f4f363</originalsourceid><addsrcrecordid>eNqFkctv1DAQxi0EokvhzglFQuqlyjJ-ZzkgVdsHlVZF4iVulpPYi5ckDnZSdf97HGVVKJf6YmvmN9_M-EPoNYYlxlS823VdvyQAYokBGIEnaIGZKHJK4cdTtAAgJKfA4Qi9iHEH0ylWz9ERlphyxsUC3Vz0rjat843f7jNvs9J0bttlvQ7-bh9b3WS9j25wvkvPWxMGt_XvM52i_djoKZ6VOpo6i8NY71-iZ1Y30bw63Mfo2-XF1_XHfPPp6np9tslLTuSQl4YxwLq0tuBlJbTUtqw5wZjzYiUtNbomRIiaJ66qcC04WFPplKaWWSroMfow6_Zj2Zq6Mt0QdKP64Fod9sprpx5mOvdTbf2tSj2kKFgSODkIBP97NHFQrYuVaRrdGT9GJUEA4xIeBfFKFAVhOIFv_wN3fgzp1xIjC0wYKfg0OMxUFXyMwdj7mTGoyVM1eaomT9XsaSp58--ufwsOJiYgnwEXB3N3n9fhlxKSSq5uvq_V5suGrS7Pr9TnxJ_OfNnuHm__B7KPu-U</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1781242856</pqid></control><display><type>article</type><title>Epidemiology of benign paroxysmal positional vertigo: a population based study</title><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>von Brevern, M ; Radtke, A ; Lezius, F ; Feldmann, M ; Ziese, T ; Lempert, T ; Neuhauser, H</creator><creatorcontrib>von Brevern, M ; Radtke, A ; Lezius, F ; Feldmann, M ; Ziese, T ; Lempert, T ; Neuhauser, H</creatorcontrib><description>Objectives: To examine the prevalence and incidence, clinical presentation, societal impact and comorbid conditions of benign paroxysmal positional vertigo (BPPV) in the general population. Methods: Cross-sectional, nationally representative neurotological survey of the general adult population in Germany with a two stage sampling design: screening of 4869 participants from the German National Telephone Health Interview Survey 2003 (response rate 52%) for moderate or severe dizziness or vertigo, followed by validated neurotological interviews (n = 1003; response rate 87%). Diagnostic criteria for BPPV were at least five attacks of vestibular vertigo lasting <1 min without concomitant neurological symptoms and invariably provoked by typical changes in head position. In a concurrent validation study (n = 61) conducted in two specialised dizziness clinics, BPPV was detected by our telephone interview with a specificity of 92% and a sensitivity of 88% (positive predictive value 88%, negative predictive value 92%). Results: BPPV accounted for 8% of individuals with moderate or severe dizziness/vertigo. The lifetime prevalence of BPPV was 2.4%, the 1 year prevalence was 1.6% and the 1 year incidence was 0.6%. The median duration of an episode was 2 weeks. In 86% of affected individuals, BPPV led to medical consultation, interruption of daily activities or sick leave. In total, only 8% of affected participants received effective treatment. On multivariate analysis, age, migraine, hypertension, hyperlipidaemia and stroke were independently associated with BPPV. Conclusion: BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact and medical costs.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.2006.100420</identifier><identifier>PMID: 17135456</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Adult ; Age ; Age Factors ; Aged ; Aged, 80 and over ; benign paroxysmal positional vertigo ; BPPV ; Cardiovascular disease ; Clinics ; Comorbidity ; Cross-Sectional Studies ; Epidemiology ; Female ; German National Telephone Health Interview Survey ; Germany - epidemiology ; GNT-HIS ; Health Surveys ; HIS ; Humans ; Incidence ; International Headache Society ; Interviews ; Male ; Middle Aged ; Migraine ; Multivariate Analysis ; Posture ; Prevalence ; Response rates ; Risk Factors ; Vertigo ; Vertigo - epidemiology</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 2007-07, Vol.78 (7), p.710-715</ispartof><rights>Copyright 2007 Journal of Neurology Neurosurgery and Psychiatry</rights><rights>Copyright: 2007 Copyright 2007 Journal of Neurology Neurosurgery and Psychiatry</rights><rights>Copyright © 2007 BMJ Publishing Group Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b527t-be4401abff85bc6a7afbd521155897f3ead2266d5e44cc1d650feca1553f4f363</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jnnp.bmj.com/content/78/7/710.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://jnnp.bmj.com/content/78/7/710.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,723,776,780,881,3182,23551,27903,27904,53770,53772,77347,77378</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17135456$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>von Brevern, M</creatorcontrib><creatorcontrib>Radtke, A</creatorcontrib><creatorcontrib>Lezius, F</creatorcontrib><creatorcontrib>Feldmann, M</creatorcontrib><creatorcontrib>Ziese, T</creatorcontrib><creatorcontrib>Lempert, T</creatorcontrib><creatorcontrib>Neuhauser, H</creatorcontrib><title>Epidemiology of benign paroxysmal positional vertigo: a population based study</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>Objectives: To examine the prevalence and incidence, clinical presentation, societal impact and comorbid conditions of benign paroxysmal positional vertigo (BPPV) in the general population. Methods: Cross-sectional, nationally representative neurotological survey of the general adult population in Germany with a two stage sampling design: screening of 4869 participants from the German National Telephone Health Interview Survey 2003 (response rate 52%) for moderate or severe dizziness or vertigo, followed by validated neurotological interviews (n = 1003; response rate 87%). Diagnostic criteria for BPPV were at least five attacks of vestibular vertigo lasting <1 min without concomitant neurological symptoms and invariably provoked by typical changes in head position. In a concurrent validation study (n = 61) conducted in two specialised dizziness clinics, BPPV was detected by our telephone interview with a specificity of 92% and a sensitivity of 88% (positive predictive value 88%, negative predictive value 92%). Results: BPPV accounted for 8% of individuals with moderate or severe dizziness/vertigo. The lifetime prevalence of BPPV was 2.4%, the 1 year prevalence was 1.6% and the 1 year incidence was 0.6%. The median duration of an episode was 2 weeks. In 86% of affected individuals, BPPV led to medical consultation, interruption of daily activities or sick leave. In total, only 8% of affected participants received effective treatment. On multivariate analysis, age, migraine, hypertension, hyperlipidaemia and stroke were independently associated with BPPV. Conclusion: BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact and medical costs.</description><subject>Adult</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>benign paroxysmal positional vertigo</subject><subject>BPPV</subject><subject>Cardiovascular disease</subject><subject>Clinics</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Female</subject><subject>German National Telephone Health Interview Survey</subject><subject>Germany - epidemiology</subject><subject>GNT-HIS</subject><subject>Health Surveys</subject><subject>HIS</subject><subject>Humans</subject><subject>Incidence</subject><subject>International Headache Society</subject><subject>Interviews</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Migraine</subject><subject>Multivariate Analysis</subject><subject>Posture</subject><subject>Prevalence</subject><subject>Response rates</subject><subject>Risk Factors</subject><subject>Vertigo</subject><subject>Vertigo - epidemiology</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkctv1DAQxi0EokvhzglFQuqlyjJ-ZzkgVdsHlVZF4iVulpPYi5ckDnZSdf97HGVVKJf6YmvmN9_M-EPoNYYlxlS823VdvyQAYokBGIEnaIGZKHJK4cdTtAAgJKfA4Qi9iHEH0ylWz9ERlphyxsUC3Vz0rjat843f7jNvs9J0bttlvQ7-bh9b3WS9j25wvkvPWxMGt_XvM52i_djoKZ6VOpo6i8NY71-iZ1Y30bw63Mfo2-XF1_XHfPPp6np9tslLTuSQl4YxwLq0tuBlJbTUtqw5wZjzYiUtNbomRIiaJ66qcC04WFPplKaWWSroMfow6_Zj2Zq6Mt0QdKP64Fod9sprpx5mOvdTbf2tSj2kKFgSODkIBP97NHFQrYuVaRrdGT9GJUEA4xIeBfFKFAVhOIFv_wN3fgzp1xIjC0wYKfg0OMxUFXyMwdj7mTGoyVM1eaomT9XsaSp58--ufwsOJiYgnwEXB3N3n9fhlxKSSq5uvq_V5suGrS7Pr9TnxJ_OfNnuHm__B7KPu-U</recordid><startdate>20070701</startdate><enddate>20070701</enddate><creator>von Brevern, M</creator><creator>Radtke, A</creator><creator>Lezius, F</creator><creator>Feldmann, M</creator><creator>Ziese, T</creator><creator>Lempert, T</creator><creator>Neuhauser, H</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7TK</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20070701</creationdate><title>Epidemiology of benign paroxysmal positional vertigo: a population based study</title><author>von Brevern, M ; 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Methods: Cross-sectional, nationally representative neurotological survey of the general adult population in Germany with a two stage sampling design: screening of 4869 participants from the German National Telephone Health Interview Survey 2003 (response rate 52%) for moderate or severe dizziness or vertigo, followed by validated neurotological interviews (n = 1003; response rate 87%). Diagnostic criteria for BPPV were at least five attacks of vestibular vertigo lasting <1 min without concomitant neurological symptoms and invariably provoked by typical changes in head position. In a concurrent validation study (n = 61) conducted in two specialised dizziness clinics, BPPV was detected by our telephone interview with a specificity of 92% and a sensitivity of 88% (positive predictive value 88%, negative predictive value 92%). Results: BPPV accounted for 8% of individuals with moderate or severe dizziness/vertigo. The lifetime prevalence of BPPV was 2.4%, the 1 year prevalence was 1.6% and the 1 year incidence was 0.6%. The median duration of an episode was 2 weeks. In 86% of affected individuals, BPPV led to medical consultation, interruption of daily activities or sick leave. In total, only 8% of affected participants received effective treatment. On multivariate analysis, age, migraine, hypertension, hyperlipidaemia and stroke were independently associated with BPPV. Conclusion: BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact and medical costs.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>17135456</pmid><doi>10.1136/jnnp.2006.100420</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Age Age Factors Aged Aged, 80 and over benign paroxysmal positional vertigo BPPV Cardiovascular disease Clinics Comorbidity Cross-Sectional Studies Epidemiology Female German National Telephone Health Interview Survey Germany - epidemiology GNT-HIS Health Surveys HIS Humans Incidence International Headache Society Interviews Male Middle Aged Migraine Multivariate Analysis Posture Prevalence Response rates Risk Factors Vertigo Vertigo - epidemiology |
| title | Epidemiology of benign paroxysmal positional vertigo: a population based study |
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