Benign paroxysmal positional vertigo in the elderly: current insights

DG Balatsouras,1 G Koukoutsis,1 A Fassolis,1 A Moukos,1 A Apris2 1Department of ENT, Tzanion General Hospital of Piraeus, Piraeus, Greece; 2Department of ENT, Nicosia General Hospital, Nicosia, Cyprus Abstract: Balance disorders, unsteadiness, dizziness and vertigo in the elderly are a significant...

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Autores principales:	Balatsouras DG, Koukoutsis G, Fassolis A, Moukos A, Apris A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	dizziness vestibular benign paroxysmal positional vertigo balance elderly; Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/989deeb84dc549c7a9fb71606bcc8ded
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spelling	oai:doaj.org-article:989deeb84dc549c7a9fb71606bcc8ded2021-12-02T04:11:02ZBenign paroxysmal positional vertigo in the elderly: current insights1178-1998https://doaj.org/article/989deeb84dc549c7a9fb71606bcc8ded2018-11-01T00:00:00Zhttps://www.dovepress.com/benign-paroxysmal-positional-vertigo-in-the-elderly-current-insights-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998DG Balatsouras,1 G Koukoutsis,1 A Fassolis,1 A Moukos,1 A Apris2 1Department of ENT, Tzanion General Hospital of Piraeus, Piraeus, Greece; 2Department of ENT, Nicosia General Hospital, Nicosia, Cyprus Abstract: Balance disorders, unsteadiness, dizziness and vertigo in the elderly are a significant health problem, needing appropriate treatment. One third of elderly patients with vertigo were diagnosed with benign paroxysmal positional vertigo (BPPV), the most common cause of dizziness in both primary care specialist Neurology and Ear Nose Throat settings. BPPV presents a specific paroxysmal positional nystagmus which can be obtained using the appropriate diagnostic positional test and can be treated effectively using specific therapeutic maneuvers. This review presents current insights into the diagnostic, pathogenetic and therapeutic aspects of BPPV in the elderly. BPPV in older patients does not differ significantly from BPPV in younger patients, with regard to pathogenesis, diagnosis and treatment. However, in older patients, its prevalence is higher and it responds less effectively to treatment, having a tendency for recurrence. Specific issues which should be considered in the elderly are: 1) difficulty in obtaining an accurate history; 2) difficulty in performing the diagnostic and therapeutic maneuvers, which should be executed with slow and gentle movements and extremely cautiously to avoid any vascular or orthopedic complications; and 3) the relation between BPPV and falls. Keywords: dizziness, vestibular, benign paroxysmal positional vertigo, balance, elderlyBalatsouras DGKoukoutsis GFassolis AMoukos AApris ADove Medical Pressarticledizzinessvestibularbenign paroxysmal positional vertigobalanceelderly;GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 2251-2266 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	dizziness vestibular benign paroxysmal positional vertigo balance elderly; Geriatrics RC952-954.6
spellingShingle	dizziness vestibular benign paroxysmal positional vertigo balance elderly; Geriatrics RC952-954.6 Balatsouras DG Koukoutsis G Fassolis A Moukos A Apris A Benign paroxysmal positional vertigo in the elderly: current insights
description	DG Balatsouras,1 G Koukoutsis,1 A Fassolis,1 A Moukos,1 A Apris2 1Department of ENT, Tzanion General Hospital of Piraeus, Piraeus, Greece; 2Department of ENT, Nicosia General Hospital, Nicosia, Cyprus Abstract: Balance disorders, unsteadiness, dizziness and vertigo in the elderly are a significant health problem, needing appropriate treatment. One third of elderly patients with vertigo were diagnosed with benign paroxysmal positional vertigo (BPPV), the most common cause of dizziness in both primary care specialist Neurology and Ear Nose Throat settings. BPPV presents a specific paroxysmal positional nystagmus which can be obtained using the appropriate diagnostic positional test and can be treated effectively using specific therapeutic maneuvers. This review presents current insights into the diagnostic, pathogenetic and therapeutic aspects of BPPV in the elderly. BPPV in older patients does not differ significantly from BPPV in younger patients, with regard to pathogenesis, diagnosis and treatment. However, in older patients, its prevalence is higher and it responds less effectively to treatment, having a tendency for recurrence. Specific issues which should be considered in the elderly are: 1) difficulty in obtaining an accurate history; 2) difficulty in performing the diagnostic and therapeutic maneuvers, which should be executed with slow and gentle movements and extremely cautiously to avoid any vascular or orthopedic complications; and 3) the relation between BPPV and falls. Keywords: dizziness, vestibular, benign paroxysmal positional vertigo, balance, elderly
format	article
author	Balatsouras DG Koukoutsis G Fassolis A Moukos A Apris A
author_facet	Balatsouras DG Koukoutsis G Fassolis A Moukos A Apris A
author_sort	Balatsouras DG
title	Benign paroxysmal positional vertigo in the elderly: current insights
title_short	Benign paroxysmal positional vertigo in the elderly: current insights
title_full	Benign paroxysmal positional vertigo in the elderly: current insights
title_fullStr	Benign paroxysmal positional vertigo in the elderly: current insights
title_full_unstemmed	Benign paroxysmal positional vertigo in the elderly: current insights
title_sort	benign paroxysmal positional vertigo in the elderly: current insights
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/989deeb84dc549c7a9fb71606bcc8ded
work_keys_str_mv	AT balatsourasdg benignparoxysmalpositionalvertigointheelderlycurrentinsights AT koukoutsisg benignparoxysmalpositionalvertigointheelderlycurrentinsights AT fassolisa benignparoxysmalpositionalvertigointheelderlycurrentinsights AT moukosa benignparoxysmalpositionalvertigointheelderlycurrentinsights AT aprisa benignparoxysmalpositionalvertigointheelderlycurrentinsights
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Benign paroxysmal positional vertigo in the elderly: current insights

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