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An investigation of atherosclerotic markers in patients with posterior semi-circular canal benign paroxysmal positional vertigo

Year 2014, Volume: 24 Issue: 3, 159 - 163, 19.06.2014

Abstract

Objectives: This study aims to investigate the presence and incidence of arteriosclerosis in patients with benign paroxysmal positional vertigo BPPV . Patients and Methods: A total of 89 patients who were admitted to the ear, nose, throat outpatient clinic with complaint of vertigo and were diagnosed with BPPV based on the positive Dix-Hallpike test results were included BPPV group between January 2010 and July 2010. Data from otological asymptomatic controls n=129 who were referred to the radiology department from other clinics for ultrasound examination were obtained. Intima-media thickness and arteriosclerosis measurements were carried out. Arteriosclerosis measurement was performed through a Doppler ultrasound. Results: No statistically significant difference in carotid, femoral intima-media thicknesses and elastic modulus measurements between the controls and BPPV group. In the BPPV group, carotid artery cross-sectional compliance, cross-sectional distensibility, femoral artery cross-sectional compliance and cross-sectional distensibility were statistically significantly lower. Conclusion: Our study results suggest that atherosclerotic changes may play a role in the underlying etiology of BPPV.

References

  • Cloutier JF, Saliba I. Isolated vertigo and dizziness of vascular origin. J Otolaryngol Head Neck Surg 2008;37:331-9.
  • Wada M, Naganuma H, Tokumasu K, Okamoto M. Correlation between arteriosclerotic changes and prognosis in patients with peripheral vestibular disorders. Int Tinnitus J 2009;15:193-5.
  • Sunami K. Factors associated with recurrence BPPV. Equilib Res 2005;64:64-70.
  • Wada M, Naganuma H, Tokumasu K, Ito A, Okamoto M. Inner-ear function test in cases of posterior canaltype benign paroxysmal positional vertigo. Int Tinnitus J 2009;15:91-3.
  • Arnett DK, Evans GW, Riley WA. Arterial stiffness: a new cardiovascular risk factor? Am J Epidemiol 1994;140:669-82.
  • Hodes RJ, Lakatta EG, McNeil CT. Another modifiable risk factor for cardiovascular disease? Some evidence points to arterial stiffness. J Am Geriatr Soc 1995;43:581-2.
  • Baykara M, Öztürk C, Elbüken F. The relationship between bone mineral density and arterial stiffness in women. Diagn Interv Radiol 2012;18:441-5.
  • Halmagyi GMA, Akdal G. Vertigo and imbalance. J Neurol Sci 2005;22:123-41.
  • Furman JM, Cass SP. Benign paroxysmal positional vertigo. N Engl J Med 1999;341:1590-6.
  • Baloh RW, Honrubia V, Jacobson K. Benign positional vertigo: clinical and oculographic features in 240 cases. Neurology 1987;37:371-8.
  • Cruz IB, Barreto DC, Fronza AB, Jung IE, Krewer CC, Rocha MI, et al. Dinamic balance, lifestyle and emotional states in young adults. Braz J Otorhinolaryngol 2010;76:392-8.
  • Godia EC, Madhok R, Pittman J, Trocio S, Ramas R, Cabral D, et al. Carotid artery distensibility: a reliability study. J Ultrasound Med 2007;26:1157-65.
  • Liao D, Arnett DK, Tyroler HA, Riley WA, Chambless LE, Szklo M, et al. Arterial stiffness and the development of hypertension. The ARIC study. Hypertension 1999;34:201-6.
  • Dijk JM, Algra A, van der Graaf Y, Grobbee DE, Bots ML; SMART study group. Carotid stiffness and the risk of new vascular events in patients with manifest cardiovascular disease. The SMART study. Eur Heart J 2005;26:1213-20.
  • Dijk JM, van der Graaf Y, Grobbee DE, Bots ML; SMART Study Group. Carotid stiffness indicates risk of ischemic stroke and TIA in patients with internal carotid artery stenosis: the SMART study. Stroke 2004;35:2258-62.
  • Okoro CA, Zhong Y, Ford ES, Balluz LS, Strine TW, Mokdad AH. Association between the metabolic syndrome and its components and gait speed among U.S. adults aged 50 years and older: a cross-sectional analysis. BMC Public Health 2006;6:282.
  • Hemenway WG, Lindsay JR. Postural vertigo due to unilateral sudden partial loss of vestibular function. Ann Otol Rhinol Laryngol 1956;65:692-706.
  • Wada M, Naganuma H, Tokumasu K, Hashimoto S, Ito A, Okamoto M. Arteriosclerotic changes as background factors in patients with peripheral vestibular disorders. Int Tinnitus J 2008;14:131-4.

Arka yarı dairesel kanal benign paroksismal pozisyonel vertigolu hastalarda aterosklerotik belirteçlerin araştırılması

Year 2014, Volume: 24 Issue: 3, 159 - 163, 19.06.2014

Abstract

Amaç: Bu çalışmada benign paroksismal pozisyonel vertigo BBPV olan hastalarda arteriyoskleroz varlığı ve insidansı araştırıldı.Hastalar ve Yöntemler: Ocak 2010 ve Temmuz 2010 tarihleri arasında vertigo yakınması ile kulak, burun, boğaz polikliniğine başvuran ve pozitif Dix-Hallpike test sonucuna göre BPPV tanısı konan toplam 89 hasta BPPV grubu çalışmaya alındı. Diğer kliniklerden ultrason incelemesi için radyoloji kliniğine sevk edilen otolojik asemptomatik kontrollerin verileri elde edildi. İntima-media kalınlığı ve arteriyoskleroz ölçümleri yapıldı. Arteriyoskleroz ölçümü Doppler ultrason ile yapıldı.Bulgular: Karotis, femoral intima-media kalınlığı ve elastik modülüs ölçümleri açısından kontroller ve BPPV grubu arasında istatistiksel olarak anlamlı bir fark yoktu. Karotis arter çapraz kesitsel uyum, çapraz kesitsel distansibilite, femoral arter çapraz kesitsel uyum ve çapraz kesitsel distansibilite BPPV grubunda istatistiksel anlamlı olarak daha düşüktü.Sonuç: Çalışma bulgularımız, aterosklerotik değişikliklerin BPPV’nin altta yatan etyolojisinde bir rolü olabileceğini göstermektedir

References

  • Cloutier JF, Saliba I. Isolated vertigo and dizziness of vascular origin. J Otolaryngol Head Neck Surg 2008;37:331-9.
  • Wada M, Naganuma H, Tokumasu K, Okamoto M. Correlation between arteriosclerotic changes and prognosis in patients with peripheral vestibular disorders. Int Tinnitus J 2009;15:193-5.
  • Sunami K. Factors associated with recurrence BPPV. Equilib Res 2005;64:64-70.
  • Wada M, Naganuma H, Tokumasu K, Ito A, Okamoto M. Inner-ear function test in cases of posterior canaltype benign paroxysmal positional vertigo. Int Tinnitus J 2009;15:91-3.
  • Arnett DK, Evans GW, Riley WA. Arterial stiffness: a new cardiovascular risk factor? Am J Epidemiol 1994;140:669-82.
  • Hodes RJ, Lakatta EG, McNeil CT. Another modifiable risk factor for cardiovascular disease? Some evidence points to arterial stiffness. J Am Geriatr Soc 1995;43:581-2.
  • Baykara M, Öztürk C, Elbüken F. The relationship between bone mineral density and arterial stiffness in women. Diagn Interv Radiol 2012;18:441-5.
  • Halmagyi GMA, Akdal G. Vertigo and imbalance. J Neurol Sci 2005;22:123-41.
  • Furman JM, Cass SP. Benign paroxysmal positional vertigo. N Engl J Med 1999;341:1590-6.
  • Baloh RW, Honrubia V, Jacobson K. Benign positional vertigo: clinical and oculographic features in 240 cases. Neurology 1987;37:371-8.
  • Cruz IB, Barreto DC, Fronza AB, Jung IE, Krewer CC, Rocha MI, et al. Dinamic balance, lifestyle and emotional states in young adults. Braz J Otorhinolaryngol 2010;76:392-8.
  • Godia EC, Madhok R, Pittman J, Trocio S, Ramas R, Cabral D, et al. Carotid artery distensibility: a reliability study. J Ultrasound Med 2007;26:1157-65.
  • Liao D, Arnett DK, Tyroler HA, Riley WA, Chambless LE, Szklo M, et al. Arterial stiffness and the development of hypertension. The ARIC study. Hypertension 1999;34:201-6.
  • Dijk JM, Algra A, van der Graaf Y, Grobbee DE, Bots ML; SMART study group. Carotid stiffness and the risk of new vascular events in patients with manifest cardiovascular disease. The SMART study. Eur Heart J 2005;26:1213-20.
  • Dijk JM, van der Graaf Y, Grobbee DE, Bots ML; SMART Study Group. Carotid stiffness indicates risk of ischemic stroke and TIA in patients with internal carotid artery stenosis: the SMART study. Stroke 2004;35:2258-62.
  • Okoro CA, Zhong Y, Ford ES, Balluz LS, Strine TW, Mokdad AH. Association between the metabolic syndrome and its components and gait speed among U.S. adults aged 50 years and older: a cross-sectional analysis. BMC Public Health 2006;6:282.
  • Hemenway WG, Lindsay JR. Postural vertigo due to unilateral sudden partial loss of vestibular function. Ann Otol Rhinol Laryngol 1956;65:692-706.
  • Wada M, Naganuma H, Tokumasu K, Hashimoto S, Ito A, Okamoto M. Arteriosclerotic changes as background factors in patients with peripheral vestibular disorders. Int Tinnitus J 2008;14:131-4.
There are 18 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Murat Baykara

Cahit Polat This is me

Cansu Öztürk This is me

Turgut Karlıdağ This is me

Publication Date June 19, 2014
Published in Issue Year 2014 Volume: 24 Issue: 3

Cite

APA Baykara, M., Polat, C., Öztürk, C., Karlıdağ, T. (2014). An investigation of atherosclerotic markers in patients with posterior semi-circular canal benign paroxysmal positional vertigo. The Turkish Journal of Ear Nose and Throat, 24(3), 159-163.
AMA Baykara M, Polat C, Öztürk C, Karlıdağ T. An investigation of atherosclerotic markers in patients with posterior semi-circular canal benign paroxysmal positional vertigo. Tr-ENT. June 2014;24(3):159-163.
Chicago Baykara, Murat, Cahit Polat, Cansu Öztürk, and Turgut Karlıdağ. “An Investigation of Atherosclerotic Markers in Patients With Posterior Semi-Circular Canal Benign Paroxysmal Positional Vertigo”. The Turkish Journal of Ear Nose and Throat 24, no. 3 (June 2014): 159-63.
EndNote Baykara M, Polat C, Öztürk C, Karlıdağ T (June 1, 2014) An investigation of atherosclerotic markers in patients with posterior semi-circular canal benign paroxysmal positional vertigo. The Turkish Journal of Ear Nose and Throat 24 3 159–163.
IEEE M. Baykara, C. Polat, C. Öztürk, and T. Karlıdağ, “An investigation of atherosclerotic markers in patients with posterior semi-circular canal benign paroxysmal positional vertigo”, Tr-ENT, vol. 24, no. 3, pp. 159–163, 2014.
ISNAD Baykara, Murat et al. “An Investigation of Atherosclerotic Markers in Patients With Posterior Semi-Circular Canal Benign Paroxysmal Positional Vertigo”. The Turkish Journal of Ear Nose and Throat 24/3 (June 2014), 159-163.
JAMA Baykara M, Polat C, Öztürk C, Karlıdağ T. An investigation of atherosclerotic markers in patients with posterior semi-circular canal benign paroxysmal positional vertigo. Tr-ENT. 2014;24:159–163.
MLA Baykara, Murat et al. “An Investigation of Atherosclerotic Markers in Patients With Posterior Semi-Circular Canal Benign Paroxysmal Positional Vertigo”. The Turkish Journal of Ear Nose and Throat, vol. 24, no. 3, 2014, pp. 159-63.
Vancouver Baykara M, Polat C, Öztürk C, Karlıdağ T. An investigation of atherosclerotic markers in patients with posterior semi-circular canal benign paroxysmal positional vertigo. Tr-ENT. 2014;24(3):159-63.