A retrospective study on benign paraoxysmal positional vertigo in a tertiary health care facility of North India

Authors

  • Manish Munjal Department of ENT, Dayanand Medical College and Hospital, Ludhiana, Punjab, India http://orcid.org/0000-0001-7194-5050
  • Harsimran Bhatti Department of ENT, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
  • Japneet Kaur Department of ENT, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
  • Porshia Rishi Department of ENT, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
  • Shubam Munjal

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20201280

Keywords:

Vertigo, Epley’s maneuver, Benign paraoxysmal positional vertigo, Positional testing

Abstract

Background: Benign paraoxysmal positional vertigo (BPPV) has been attributed to be one of the commonest causes of vertigo presenting to the clinician. However, this often remains undiagnosed and undertreated, epidemiology remaining an underexplored territory for this disorder.

Methods: A study was carried out at outpatient clinic, Ear Nose Throat, Head and Neck services, Dayanand Medical College and Hospital, Punjab over a period of one year from 1st January to 31st December 2018. Based upon history, detailed otological examination, and Dix-Hallpike testing, 374 patients were evaluated for benign paroxysmal positional vertigo presenting with complaint of vertigo and dizziness in the vertigo clinic and were treated with Epley’s maneuver.  

Results: Out of 374 patients evaluated, 79 patients were diagnosed as BPPV and underwent office management in the form of Epley’s maneuver.

Conclusions: This study helps in effective team approach among practitioners and clinicians in the hospital for referring vertigo cases to ENT OPD for effective management of vertigo.

 

Author Biography

Manish Munjal, Department of ENT, Dayanand Medical College and Hospital, Ludhiana, Punjab, India

DEPARTMENT OF ENT , SENIOR RESIDENT

References

Jayarajan V, Rajendrakumar D. A survey of dizziness management in General Prcatice. J Laryngol Otol. 2003;117:599-604.

Bansal M. Diseases of Ear, Nose & Throat. First Edition. New Delhi: Jaypee Brothers Medical Publishers; 2013: 27-54.

Hullar TE, Minor LB, Zee DS. Evaluation of the patient with dizziness. In: Cummings CW, Flint PW, Harker LA and others, editors. Otolaryngology Head & Neck Surgery. 4th edition. Volume 4. Philadelphia: Elsevier Mosby; 2005: 3160-3198.

Sonewala S, Deshmukh S, Mishra P. Proportion of patients referred to ENT clinic, having Otologic cause of Vertigo. Indian J Basic Applied Med Res – Otorhinolaryngol. 2018;7(3):5-12.

Epley JM. The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 1992;107:399-404.

Das S, Chkraborty, Shekhar S. Dizziness in a Tertiary Care Centre in Sikkim: Our Experience and Limitations. Indian J Otolaryngol Head Neck Surg. 2017;69(4):443-8.

Kameswaran M, Pujari S, Singh J, Basumatary LJ, Sarda K, Pore R Int J Otorhinolaryngol Head Neck Surg. 2017;3(2):404-13.

Lin HW, Bhattacharyya N. Balance disorders in the elderly: epidemiology and functional impact. Laryngoscope. 2012;122(8):1858-61.

Bansal M.Common causes of vertigo and dizziness in Gujarat. Int J Clin Trials. 2016;3(4):250-3.

Downloads

Published

2020-03-25

Issue

Section

Original Research Articles