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Bilateral simultaneous presentation of posterior canal benign paroxysmal positional vertigo

Published online by Cambridge University Press:  23 June 2023

Sertac Yetiser*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Anadolu Medical Center, Kocaeli, Turkey
Dilay Ince
Affiliation:
Vestibular Laboratory, Department of Otorhinolaryngology and Head and Neck Surgery, Anadolu Medical Center, Kocaeli, Turkey
*
Corresponding author: Sertac Yetiser; Email: syetiser@yahoo.com

Abstract

Objective

To outline the clinical picture of bilateral posterior canal benign paroxysmal positional vertigo.

Methods

A total of 573 patients with posterior canal benign paroxysmal positional vertigo were classified as having unilateral, or true or pseudo bilateral, posterior canal benign paroxysmal positional vertigo, and were treated with the Epley manoeuvre. Statistical significance was set at p < 0.05.

Results

Of the patients, 483 had unilateral and 90 (15.7 per cent) had bilateral presentation. Of the latter, 72 patients had pseudo bilateral posterior canal benign paroxysmal positional vertigo. Comparisons of site of involvement, male to female ratio and the incidence of associated problems in unilateral, and true and pseudo bilateral posterior canal benign paroxysmal positional vertigo did not reveal any statistically significant differences (p = 0.828, p = 0.200, p = 0.142). Comparisons of the number of manoeuvres required to provide symptom relief and the rate of recurrence were significant (p < 0.05).

Conclusion

Identification of true and pseudo bilateral posterior canal benign paroxysmal positional vertigo is important given the differences in aetiology and treatment outcome. Treatment of patients with true bilateral posterior canal benign paroxysmal positional vertigo requires several therapeutic manoeuvre attempts, and patients should be warned about recurrence.

Type
Main Article
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Sertac Yetiser takes responsibility for the integrity of the content of the paper

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