Comorbidities and the Effect of Comorbidities on Recurrence in Benign Paroxysmal Positional Vertigo

Öz

Aim: Our study aims to investigate comorbidities and the effect of comorbidities on recurrence in posterior canal benign paroxysmal positional vertigo (P-BPPV). Materials and Methods: Fifty-four patients diagnosed with P-BPPV were included in the study. Demographic characteristics of the patients, smoking, alcohol use, P-BPPV side, comorbid diseases, menopausal status, previous head trauma history, body mass index (BMI) and biochemical parameter results were recorded. Reposition maneuver (Epley) was applied to the patients, and the patients were followed up for six months. Fifty-four patients followed were divided into two groups according to P-BPPV recurrence. Twenty-three patients with relapsed P-BPPV were included in group I, and 31 patients with non-relapsed BPPV were included in group II. Results: There was no difference between the two groups in terms of age, comorbid diseases, menopausal status, gender, BMI, smoking, alcohol use and biochemical parameters (p>0.05). The recurrence rate was lower in P-BPPV patients with right ear involvement (p<0.05). Conclusions: Recurrence is observed less frequently in individuals with P-BPPV whose right ear is affected than in those whose left ear is affected. Our study shows that P-BPPV, comorbid diseases and abnormal biochemical parameters, which are more common in advancing ages, are observed together coincidentally.

Anahtar Kelimeler

• BPPV
• Vertigo
• Relapse
• Comorbid diseases
• biochemical parameters

Benign Paroksismal Pozisyonel Vertigoda Komorbiditeler ve Komorbiditelerin Rekürrens Üzerine Etkisi

Öz

Amaç: Çalışmamızın amacı, posterior kanal benign paroksismal pozisyonel vertigoda (P-BPPV) komorbiditeleri ve komorbiditelerin nüks üzerindeki etkisini araştırmaktır. Materyal ve Metot: P-BPPV tanısı alan 54 hasta çalışmaya dahil edildi. Hastaların demografik özellikleri, sigara ve alkol kullanımı, P-BPPV tarafı, komorbid hastalıkları, menapoz durumu, geçirilmiş kafa travması öyküsü, vücut kitle indeksi (BMI) ve biyokimyasal parametre sonuçları kaydedildi. Hastalara repozisyon manevrası (Epley) uygulandı ve hastalar altı ay takip edildi. Takip edilen 54 hasta nüks etme durumuna göre iki gruba ayrıldı. P-BPPV’si nüks eden 23 hasta grup I’e BPPV’si nüks etmeyen 31 hasta grup II’ye dahil edildi. Bulgular: İki grup arasında yaş, komorbid hastalıklar, cinsiyet, menapoz durumu, BMI, sigara, alkol kullanımı ve biyokimyasal parametreler açısından bir fark yoktu (p>0.05). Sağ kulağı tutulan P-BPPV hastalarında nüks oranının daha az olduğu saptandı (p<0.05). Sonuçlar: Sağ kulağı etkilenen BPPV’li bireylerde nüks, sol kulağı etkilenen P-BPPV’li bireylere göre daha az gözlenmektedir. Çalışmamızdan ilerleyen yaşlarda daha sık görülen P-BPPV, komorbid hastalıklar ve anormal biyokimyasal parametrelerin tesadüf olarak birlikte gözlendiği çıkarılabilir.

Anahtar Kelimeler

• Benign paroksismal pozisyonel vertigo
• vertigo
• nüks
• komorbid hastalıklar
• biyokimyasal parametreler

Kaynakça

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