Characteristic of Patient with Benign Paroxysmal Positional Vertigo among the Elderly and the Younger Patients in 2013-2019.

Background: Benign paroxysmal vertigo (BPPV) is a mechanical problem of the peripheral vestibular system resulting from otoconia being displaced into the semicircular canals. Objective: To examine the clinical characteristics of benign paroxysmal positional vertigo (BPPV) between the elderly and the younger patients. Material and Method: This was a descriptive-retrospective study using secondary data from medical records of BPPV patients with positive testing result on the Dix-Hallpike test between January 2013 and December 2019 at Dr. Hasan Sadikin General hospital, Indonesia were retrospectively reviewed. Results: From 311 BPPV patients, 235 patients were in the younger group (age ≤60-year-old) and 76 in the elderly group (age >60-year-old). The mean age of patients in the younger group was 58 years, and 64 years in the elderly group. BPPV has been found to be more prevalent in females. The most common involved semicircular canal was the posterior canal. Idiopathic causes are the most common etiology in younger patients in contrast to elderly; secondary causes are the most common etiology. The duration of the symptom was longer in the elderly at most >4 week and the younger group at most is 1 week or less. The proportions of patients that described the specific trigger event were less in the elderly group than the young group (65.8 % versus 82.9% At the last follow-up visit, 85,1 % and 78,9 % of patients in the younger and elderly group had a complete recovery from BPPV. The recurrences after the treatment during the last follow-up visit were comparable. Conclusion: BPPV is commonly found under the age of 60 years, female, posterior canal located, with the most common symptom being vertigo. Follow-up and patient management are very important to prevent recurrence and improve quality of life. [ABSTRACT FROM AUTHOR]