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Investigation of self-reported dizziness in the elderly when lying down or turning over in bed, and possible benign paroxysmal positional vertigo

Published online by Cambridge University Press:  01 April 2019

E Lindell*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, , Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden
T Karlsson
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, , Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden
M Johansson
Affiliation:
Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden
M Magnusson
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Clinical Sciences, University Hospital of Lund, Sweden
C Finizia
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, , Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden
*
Author for correspondence: Dr Ellen Lindell, Department of Otolaryngology, Head and Neck Surgery, Sahlgrenska Universitetssjukhuset, Gröna Stråket 5, 41345 Göteborg, Sweden E-mail: ellen.lindell@vgregion.se

Abstract

Objectives

This study aimed to investigate the rate of dizziness and occurrence of benign paroxysmal positional vertigo in the elderly by physical examination in those reporting dizziness symptoms when lying down or turning over in bed.

Methods

A total of 498 people, aged 70–85 years, were asked to complete a questionnaire regarding dizziness symptoms. Subjects answering that they became dizzy in bed were asked to participate in a physical examination and diagnostic manoeuvres investigating benign paroxysmal positional vertigo.

Results

A total of 324 participants (65 per cent) completed the questionnaire. More than one-quarter (29 per cent) reported dizziness and 32 (10 per cent) reported dizziness when turning in bed. Of these 32 persons, 22 (69 per cent) underwent a physical examination. Six participants tested positive for benign paroxysmal positional vertigo.

Conclusion

Ten per cent of the elderly participants reported positional symptoms, and 6 out of 22 fulfilled diagnostic criteria for benign paroxysmal positional vertigo. Furthermore, benign paroxysmal positional vertigo was established despite a delay between questionnaire completion and investigation, emphasising that this type of dizziness may not be a self-limiting disorder.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr E Lindell takes responsibility for the integrity of the content of the paper

References

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Investigation of self-reported dizziness in the elderly when lying down or turning over in bed, and possible benign paroxysmal positional vertigo
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