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Epidemiology of benign paroxysmal positional vertigo: a population based study
- Source :
- Journal of neurology, neurosurgery, and psychiatry. 78(7)
- Publication Year :
- 2006
-
Abstract
- To examine the prevalence and incidence, clinical presentation, societal impact and comorbid conditions of benign paroxysmal positional vertigo (BPPV) in the general population.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 lasting1 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%).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.BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact and medical costs.
- Subjects :
- Paper
Adult
Male
Pediatrics
medicine.medical_specialty
Benign paroxysmal positional vertigo
Cross-sectional study
medicine.medical_treatment
Population
Posture
Epley maneuver
Comorbidity
Risk Factors
Vertigo
Germany
mental disorders
medicine
otorhinolaryngologic diseases
Prevalence
Humans
education
Aged
Aged, 80 and over
education.field_of_study
Paroxysmal vertigo
biology
business.industry
Incidence (epidemiology)
Incidence
Age Factors
Middle Aged
medicine.disease
biology.organism_classification
Health Surveys
Psychiatry and Mental health
Editorial Commentary
Cross-Sectional Studies
Multivariate Analysis
Physical therapy
Surgery
Female
Neurology (clinical)
sense organs
business
psychological phenomena and processes
Subjects
Details
- ISSN :
- 1468330X
- Volume :
- 78
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Journal of neurology, neurosurgery, and psychiatry
- Accession number :
- edsair.doi.dedup.....99194a0dc5019c09d758e2ad8b551c7a