Materiały źródłowe

• #1 Benign Paroxysmal Positional Vertigo – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK470308/

  Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo, accounting for over half of all cases. […] A retrospective analysis of patients seeking medical attention for BPPV in the United States recorded an incidence of 64 per 100,000 annually. Furthermore, this was found to escalate by 38% with each decade. […] A cross-sectional study recorded a lifetime prevalence of BPPV in the adult European population at 2.4%. […] The study concluded that it was more prevalent among women than men, accounting for 3.2% versus 1.6%, respectively. […] A study conducted in Japan reported an annual incidence between 10.7 and 17.3 per 100,000.

• #2 Epidemiology of benign paroxysomal positional vertigo (BPPV) and risk factors for secondary BPPV: a population-based study | The Egyptian Journal of Otolaryngology | Full Text

  https://ejo.springeropen.com/articles/10.1186/s43163-023-00456-6

  BPPV (benign paroxysmal positional vertigo) is a disorder that causes sudden, spinning sensation for few seconds with specific head movements. Of all disorders of inner ear that causes dizziness, BPPP is the most common one. […] Of all vertigo patients, BPPV constitutes 26.6% of cases, making it most common cause of peripheral vertigo. It commonly affects 40-60 years of age group with equal sex predilection. […] BPPV is the most common cause of peripheral vertigo. […] BPPV is the most common peripheral vestibular disorder. […] BPPV constitutes, 26% of all vertigo patients. […] Idiopathic in 83% of patients; secondary causes include vestibular migraine, Menieres disease, labyrinthitis, and orthostatic hypotension. Secondary BPPVs were usually recurrent, refractory to PRMs and took longer time to be treated.

• #3 Epidemiology of benign paroxysomal positional vertigo (BPPV) and risk factors for secondary BPPV: a population-based study | The Egyptian Journal of Otolaryngology | Full Text

  https://ejo.springeropen.com/articles/10.1186/s43163-023-00456-6

  BPPV (benign paroxysmal positional vertigo) is a disorder that causes sudden, spinning sensation for few seconds with specific head movements. Of all disorders of inner ear that causes dizziness, BPPP is the most common one. […] Of all vertigo patients, BPPV constitutes 26.6% of cases, making it most common cause of peripheral vertigo. It commonly affects 40-60 years of age group with equal sex predilection. […] BPPV is the most common cause of peripheral vertigo. […] BPPV is the most common peripheral vestibular disorder. […] BPPV constitutes, 26% of all vertigo patients. […] Idiopathic in 83% of patients; secondary causes include vestibular migraine, Menieres disease, labyrinthitis, and orthostatic hypotension. Secondary BPPVs were usually recurrent, refractory to PRMs and took longer time to be treated.

• #4 Epidemiology of benign paroxysmal positional vertigo: a population based study

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2117684/

  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%. […] BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact and medical costs. […] Thus far, however, the epidemiology of BPPV in the general population is not known. The aim of this study was to estimate the prevalence and incidence of BPPV in the general adult population in Germany and to characterise the clinical features, impact and risk factors of BPPV in a nationally representative sample. […] This study is the first to estimate the prevalence and incidence of BPPV in the general adult population. The lifetime prevalence was 3.2% in females, 1.6% in males and 2.4% overall. The 1-year incidence was calculated as 0.6%. Based on these estimates, 1.1 million adults suffer from BPPV each year in Germany. Furthermore, BPPV is likely to be the most common vestibular disease as every third participant with vestibular vertigo had BPPV in our study.

• #5 Benign Paroxysmal Positional Vertigo: Practice Essentials, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/791414-overview

  BPPV is probably the most common cause of vertigo in the United States. It has been estimated that at least 20% of patients who present to the physician with vertigo have BPPV. However, because BPPV is frequently misdiagnosed, this figure may not be completely accurate and is probably an underestimation. Since BPPV can occur concomitantly with other inner ear diseases (for example, one patient may have both Mnire disease and BPPV at once), statistical analysis may be skewed toward lower numbers. […] In one study, the age- and sex-adjusted prevalence of BPPV was 64 per 100,000. Other studies corroborate this finding. […] The sex distribution seems to indicate a predilection for women (64%). […] BPPV seems to have a predilection for the older population (average age, 51-57.2 y). It is rarely observed in individuals younger than 35 years without a history of antecedent head trauma.

• #6 Epidemiology of benign paroxysmal positional vertigo: a population based study | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/78/7/710.short

  Objectives: To examine the prevalence and incidence, clinical presentation, societal impact and comorbid conditions of benign paroxysmal positional vertigo (BPPV) in the general population. […] 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%. […] BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact and medical costs.

• #7 Epidemiology of benign paroxysmal positional vertigo: a population based study

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2117684/

  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%. […] BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact and medical costs. […] Thus far, however, the epidemiology of BPPV in the general population is not known. The aim of this study was to estimate the prevalence and incidence of BPPV in the general adult population in Germany and to characterise the clinical features, impact and risk factors of BPPV in a nationally representative sample. […] This study is the first to estimate the prevalence and incidence of BPPV in the general adult population. The lifetime prevalence was 3.2% in females, 1.6% in males and 2.4% overall. The 1-year incidence was calculated as 0.6%. Based on these estimates, 1.1 million adults suffer from BPPV each year in Germany. Furthermore, BPPV is likely to be the most common vestibular disease as every third participant with vestibular vertigo had BPPV in our study.

• #8 Benign paroxysmal positional vertigo – UpToDate

  https://www.uptodate.com/contents/benign-paroxysmal-positional-vertigo

  Benign paroxysmal positional vertigo (BPPV) is a common form of vertigo, accounting for nearly one-half of patients with peripheral vestibular dysfunction. It is most commonly attributed to calcium debris within the posterior semicircular canal, known as canalithiasis. While symptoms can be troublesome, the disorder usually responds to treatment with particle-repositioning maneuvers, an office-based procedure and one that patients can be taught to perform at home. […] In a population-based survey, the lifetime prevalence of BPPV was 2.4 percent. The one-year prevalence of BPPV increased with age and was seven times higher in those older than 60 years, compared with those aged 18 to 39 years. Others have also noted a higher incidence in older patients. BPPV was more common in women than men in all age groups, with a reported ratio of 2:1 to 3:1.

• #9 Benign Paroxysmal Positional Vertigo – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK470308/

  Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo, accounting for over half of all cases. […] A retrospective analysis of patients seeking medical attention for BPPV in the United States recorded an incidence of 64 per 100,000 annually. Furthermore, this was found to escalate by 38% with each decade. […] A cross-sectional study recorded a lifetime prevalence of BPPV in the adult European population at 2.4%. […] The study concluded that it was more prevalent among women than men, accounting for 3.2% versus 1.6%, respectively. […] A study conducted in Japan reported an annual incidence between 10.7 and 17.3 per 100,000.

• #10 Benign Paroxysmal Positional Vertigo (BPPV) – Vestibular Disorders Association

  https://vestibular.org/article/diagnosis-treatment/types-of-vestibular-disorders/benign-paroxysmal-positional-vertigo-bppv/

  Benign Paroxysmal Positional Vertigo (or BPPV) is the most common cause of vertigo, which is a false sensation of spinning. BPPV is fairly common, with an estimated incidence of 107 per 100,000 per year and a lifetime prevalence of 2.4 percent. The vast majority of cases occur for no apparent reason, with many people describing that they simply went to get out of bed one morning and the room started to spin. […] However, elevated risk factor associations have been made with concussion or other head trauma, migraine, inner ear infection or disease causing inflammation, vitamin D deficiency, diabetes, osteoporosis, intubation (presumably due to prolonged time lying in bed) and reduced blood flow. […] BPPV is a common problem and will be encountered more and more as our population ages.

• #11 Benign Paroxysmal Positional Vertigo: Practice Essentials, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/791414-overview

  BPPV is probably the most common cause of vertigo in the United States. It has been estimated that at least 20% of patients who present to the physician with vertigo have BPPV. However, because BPPV is frequently misdiagnosed, this figure may not be completely accurate and is probably an underestimation. Since BPPV can occur concomitantly with other inner ear diseases (for example, one patient may have both Mnire disease and BPPV at once), statistical analysis may be skewed toward lower numbers. […] In one study, the age- and sex-adjusted prevalence of BPPV was 64 per 100,000. Other studies corroborate this finding. […] The sex distribution seems to indicate a predilection for women (64%). […] BPPV seems to have a predilection for the older population (average age, 51-57.2 y). It is rarely observed in individuals younger than 35 years without a history of antecedent head trauma.

• #12 Pulsenotes | BPPV

  https://app.pulsenotes.com/surgery/ent/notes/bppv

  Benign paroxysmal positional vertigo (BPPV) is an inner ear disorder characterised by episodes of positional vertigo. […] BPPV is the most commonly encountered cause of vertigo seen in clinical practice. […] It is estimated that BPPV accounts for around 25% of all cases of vertigo. […] BPPV more commonly affects women than men with an overall prevalence of 11-67 per 100,000. […] It can occur at any age but the peak incidence is between 50-70 years old. […] Recurrence is common affecting around half of patients with BPPV within 5 years.

• #13 Epidemiology of benign paroxysmal positional vertigo: a population based study

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2117684/

  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%. […] BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact and medical costs. […] Thus far, however, the epidemiology of BPPV in the general population is not known. The aim of this study was to estimate the prevalence and incidence of BPPV in the general adult population in Germany and to characterise the clinical features, impact and risk factors of BPPV in a nationally representative sample. […] This study is the first to estimate the prevalence and incidence of BPPV in the general adult population. The lifetime prevalence was 3.2% in females, 1.6% in males and 2.4% overall. The 1-year incidence was calculated as 0.6%. Based on these estimates, 1.1 million adults suffer from BPPV each year in Germany. Furthermore, BPPV is likely to be the most common vestibular disease as every third participant with vestibular vertigo had BPPV in our study.

• #14 Benign paroxysmal positional vertigo – Knowledge @ AMBOSS

  https://www.amboss.com/us/knowledge/benign-paroxysmal-positional-vertigo/

  Benign paroxysmal positional vertigo (BPPV) is a common disorder of the inner ear thought to be caused primarily by otoconia (canaliths) dislodging and migrating into one of the semicircular canals, most commonly the posterior semicircular canal, where it disrupts the endolymph dynamics. BPPV is the most common cause of peripheral vertigo. […] BPPV is the most common type of peripheral vestibular vertigo with a prevalence of 2%. […] BPPV is the underlying cause in approx. 40% of geriatric patients presenting with dizziness. […] Age: peak incidence between 50-60 years.

• #15 Benign paroxysmal positional vertigo | Radiology Reference Article | Radiopaedia.org

  https://radiopaedia.org/articles/benign-paroxysmal-positional-vertigo?lang=us

  Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo. It occurs secondary to change in posture and typically is associated with nystagmus. The etiology is thought to be due to changes of position of the otoliths in the inner ear, most commonly into the posterior semicircular canal. […] Commonly affects adults especially in the 50-70 year old age bracket, with its prevalence increasing with age. There is a female predominance.

• #16 Benign Paroxysmal Positional Vertigo – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK470308/

  Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo, accounting for over half of all cases. […] A retrospective analysis of patients seeking medical attention for BPPV in the United States recorded an incidence of 64 per 100,000 annually. Furthermore, this was found to escalate by 38% with each decade. […] A cross-sectional study recorded a lifetime prevalence of BPPV in the adult European population at 2.4%. […] The study concluded that it was more prevalent among women than men, accounting for 3.2% versus 1.6%, respectively. […] A study conducted in Japan reported an annual incidence between 10.7 and 17.3 per 100,000.

• #17 Epidemiology of benign paroxysmal positional vertigo: a population based study | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/78/7/710

  This study is the first to estimate the prevalence and incidence of BPPV in the general adult population. The lifetime prevalence was 3.2% in females, 1.6% in males and 2.4% overall. The 1 year incidence was calculated as 0.6%. Based on these estimates, 1.1 million adults suffer from BPPV each year in Germany. Furthermore, BPPV is likely to be the most common vestibular disease as every third participant with vestibular vertigo had BPPV in our study. […] We found an association of BPPV with advanced age, with an OR of 1.8 for every decade. This is not surprising as detachment of otoconia from the otolith organs, the prerequisite for BPPV, seems to increase with age. […] We found the strongest association for BPPV with migraine. This association has been described previously. […] Our study confirms previous findings of a marked female preponderance among BPPV patients.

• #18 Benign paroxysmal positional vertigo – UpToDate

  https://www.uptodate.com/contents/benign-paroxysmal-positional-vertigo

  Benign paroxysmal positional vertigo (BPPV) is a common form of vertigo, accounting for nearly one-half of patients with peripheral vestibular dysfunction. It is most commonly attributed to calcium debris within the posterior semicircular canal, known as canalithiasis. While symptoms can be troublesome, the disorder usually responds to treatment with particle-repositioning maneuvers, an office-based procedure and one that patients can be taught to perform at home. […] In a population-based survey, the lifetime prevalence of BPPV was 2.4 percent. The one-year prevalence of BPPV increased with age and was seven times higher in those older than 60 years, compared with those aged 18 to 39 years. Others have also noted a higher incidence in older patients. BPPV was more common in women than men in all age groups, with a reported ratio of 2:1 to 3:1.

• #19 Benign paroxysmal positional vertigo – Wikipedia

  https://en.wikipedia.org/wiki/Benign_paroxysmal_positional_vertigo

  BPPV is one of the most common causes of vertigo. […] Approximately 2.4% of people are affected at some point in time. […] Among those who live until their 80s, 10% have been affected. […] BPPV affects females twice as often as males. […] Onset is typically in people between the ages of 50 and 70. […] BPPV is one of the most common vestibular disorders in people presenting with dizziness. […] Although BPPV can occur at any age, it is most often seen in people older than the age of 60. […] Besides aging, there are no major risk factors known for BPPV, although previous episodes of head trauma, preexisting disorders, or the inner ear infection labyrinthitis, may predispose to the future development of BPPV.

• #20 Epidemiology of benign paroxysmal positional vertigo: a population based study | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/78/7/710

  This study is the first to estimate the prevalence and incidence of BPPV in the general adult population. The lifetime prevalence was 3.2% in females, 1.6% in males and 2.4% overall. The 1 year incidence was calculated as 0.6%. Based on these estimates, 1.1 million adults suffer from BPPV each year in Germany. Furthermore, BPPV is likely to be the most common vestibular disease as every third participant with vestibular vertigo had BPPV in our study. […] We found an association of BPPV with advanced age, with an OR of 1.8 for every decade. This is not surprising as detachment of otoconia from the otolith organs, the prerequisite for BPPV, seems to increase with age. […] We found the strongest association for BPPV with migraine. This association has been described previously. […] Our study confirms previous findings of a marked female preponderance among BPPV patients.

• #21 Benign paroxysmal positional vertigo – UpToDate

  https://www.uptodate.com/contents/benign-paroxysmal-positional-vertigo

  Benign paroxysmal positional vertigo (BPPV) is a common form of vertigo, accounting for nearly one-half of patients with peripheral vestibular dysfunction. It is most commonly attributed to calcium debris within the posterior semicircular canal, known as canalithiasis. While symptoms can be troublesome, the disorder usually responds to treatment with particle-repositioning maneuvers, an office-based procedure and one that patients can be taught to perform at home. […] In a population-based survey, the lifetime prevalence of BPPV was 2.4 percent. The one-year prevalence of BPPV increased with age and was seven times higher in those older than 60 years, compared with those aged 18 to 39 years. Others have also noted a higher incidence in older patients. BPPV was more common in women than men in all age groups, with a reported ratio of 2:1 to 3:1.

• #22 Increased risk of benign paroxysmal positional vertigo in patients with anxiety disorders: a nationwide population-based retrospective cohort study | BMC Psychiatry | Full Text

  https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-016-0950-2

  The prevalence of idiopathic BPPV is higher among women and older adults of both sexes, with the peak onset between 50 and 60 years of age and a female-to-male ratio between 2:1 and 3:1. […] Our nationwide population-based retrospective cohort study provides further evidence for an increased risk of BPPV in patients with anxiety disorders.

• #23 Epidemiology of benign paroxysmal positional vertigo: a population based study

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2117684/

  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%. […] BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact and medical costs. […] Thus far, however, the epidemiology of BPPV in the general population is not known. The aim of this study was to estimate the prevalence and incidence of BPPV in the general adult population in Germany and to characterise the clinical features, impact and risk factors of BPPV in a nationally representative sample. […] This study is the first to estimate the prevalence and incidence of BPPV in the general adult population. The lifetime prevalence was 3.2% in females, 1.6% in males and 2.4% overall. The 1-year incidence was calculated as 0.6%. Based on these estimates, 1.1 million adults suffer from BPPV each year in Germany. Furthermore, BPPV is likely to be the most common vestibular disease as every third participant with vestibular vertigo had BPPV in our study.

• #24 Benign Paroxysmal Positional Vertigo: Practice Essentials, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/791414-overview

  BPPV is probably the most common cause of vertigo in the United States. It has been estimated that at least 20% of patients who present to the physician with vertigo have BPPV. However, because BPPV is frequently misdiagnosed, this figure may not be completely accurate and is probably an underestimation. Since BPPV can occur concomitantly with other inner ear diseases (for example, one patient may have both Mnire disease and BPPV at once), statistical analysis may be skewed toward lower numbers. […] In one study, the age- and sex-adjusted prevalence of BPPV was 64 per 100,000. Other studies corroborate this finding. […] The sex distribution seems to indicate a predilection for women (64%). […] BPPV seems to have a predilection for the older population (average age, 51-57.2 y). It is rarely observed in individuals younger than 35 years without a history of antecedent head trauma.

• #25 Epidemiology of benign paroxysomal positional vertigo (BPPV) and risk factors for secondary BPPV: a population-based study | The Egyptian Journal of Otolaryngology | Full Text

  https://ejo.springeropen.com/articles/10.1186/s43163-023-00456-6

  Male and female are equally affected and commonest in 40-60 years age group. […] Posterior canal BPPV comprises 74% of all BPPV patients, followed by lateral and superior canal is least affected. […] Particle repositioning maneuver (PRM) cures 96% of all BPPV patients, 75% needs only one PRM, 15% requires the second one. […] Success rate of this PRM is 96% after 6 months of follow-up.

• #26 Benign Paroxysmal Positional Vertigo

  https://mobile.fpnotebook.com/ENT/Vstblr/BngnPrxysmlPstnlVrtg.htm

  Most common in ages 50 to 70 years old […] Female predisposition in older patients, but not in younger patients.

• #27 Epidemiology of benign paroxysomal positional vertigo (BPPV) and risk factors for secondary BPPV: a population-based study | The Egyptian Journal of Otolaryngology | Full Text

  https://ejo.springeropen.com/articles/10.1186/s43163-023-00456-6

  BPPV (benign paroxysmal positional vertigo) is a disorder that causes sudden, spinning sensation for few seconds with specific head movements. Of all disorders of inner ear that causes dizziness, BPPP is the most common one. […] Of all vertigo patients, BPPV constitutes 26.6% of cases, making it most common cause of peripheral vertigo. It commonly affects 40-60 years of age group with equal sex predilection. […] BPPV is the most common cause of peripheral vertigo. […] BPPV is the most common peripheral vestibular disorder. […] BPPV constitutes, 26% of all vertigo patients. […] Idiopathic in 83% of patients; secondary causes include vestibular migraine, Menieres disease, labyrinthitis, and orthostatic hypotension. Secondary BPPVs were usually recurrent, refractory to PRMs and took longer time to be treated.

• #28 Benign Paroxysmal Positional Vertigo (BPPV) | Doctor

  https://patient.info/doctor/benign-paroxysmal-positional-vertigo-pro

  BPPV is common. The lifetime prevalence of BPPV is around 2.9%. BPPV can affect people of any age but commonly presents at around 50 years of age. Younger people may develop BPPV as a consequence of head trauma. Women are affected twice as often as men. […] Most BPPV is idiopathic but causes can be attributed in about 40% and include: Head injury, spontaneous degeneration of the labyrinth, post-viral illness (viral neuronitis), complication of stapes surgery, chronic middle ear disease.

• #29 Epidemiology of benign paroxysomal positional vertigo (BPPV) and risk factors for secondary BPPV: a population-based study | The Egyptian Journal of Otolaryngology | Full Text

  https://ejo.springeropen.com/articles/10.1186/s43163-023-00456-6

  BPPV (benign paroxysmal positional vertigo) is a disorder that causes sudden, spinning sensation for few seconds with specific head movements. Of all disorders of inner ear that causes dizziness, BPPP is the most common one. […] Of all vertigo patients, BPPV constitutes 26.6% of cases, making it most common cause of peripheral vertigo. It commonly affects 40-60 years of age group with equal sex predilection. […] BPPV is the most common cause of peripheral vertigo. […] BPPV is the most common peripheral vestibular disorder. […] BPPV constitutes, 26% of all vertigo patients. […] Idiopathic in 83% of patients; secondary causes include vestibular migraine, Menieres disease, labyrinthitis, and orthostatic hypotension. Secondary BPPVs were usually recurrent, refractory to PRMs and took longer time to be treated.

• #30 Benign Paroxysmal Positional Vertigo (BPPV) | Doctor

  https://patient.info/doctor/benign-paroxysmal-positional-vertigo-pro

  BPPV is common. The lifetime prevalence of BPPV is around 2.9%. BPPV can affect people of any age but commonly presents at around 50 years of age. Younger people may develop BPPV as a consequence of head trauma. Women are affected twice as often as men. […] Most BPPV is idiopathic but causes can be attributed in about 40% and include: Head injury, spontaneous degeneration of the labyrinth, post-viral illness (viral neuronitis), complication of stapes surgery, chronic middle ear disease.

• #31 Epidemiology of benign paroxysmal positional vertigo: a population based study | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/78/7/710

  This study is the first to estimate the prevalence and incidence of BPPV in the general adult population. The lifetime prevalence was 3.2% in females, 1.6% in males and 2.4% overall. The 1 year incidence was calculated as 0.6%. Based on these estimates, 1.1 million adults suffer from BPPV each year in Germany. Furthermore, BPPV is likely to be the most common vestibular disease as every third participant with vestibular vertigo had BPPV in our study. […] We found an association of BPPV with advanced age, with an OR of 1.8 for every decade. This is not surprising as detachment of otoconia from the otolith organs, the prerequisite for BPPV, seems to increase with age. […] We found the strongest association for BPPV with migraine. This association has been described previously. […] Our study confirms previous findings of a marked female preponderance among BPPV patients.

• #32 Epidemiology of benign paroxysmal positional vertigo: a population based study | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/78/7/710

  We found an association between BPPV and hypertension and hyperlipidaemia. […] Benign paroxysmal positional vertigo has substantial psychosocial consequences, as illustrated by our finding that BPPV led to medical consultation, interruption of daily activities or sick leave in 86% of affected individuals.

• #33 Epidemiology of benign paroxysmal positional vertigo: a population based study | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/78/7/710

  We found an association between BPPV and hypertension and hyperlipidaemia. […] Benign paroxysmal positional vertigo has substantial psychosocial consequences, as illustrated by our finding that BPPV led to medical consultation, interruption of daily activities or sick leave in 86% of affected individuals.

• #34 Increased risk of benign paroxysmal positional vertigo in osteoporosis: a nationwide population-based cohort study | Scientific Reports

  https://www.nature.com/articles/s41598-019-39830-x

  Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo, which results from dislodged vestibular otoliths. […] We aimed to assess the incidence and recurrence of BPPV in osteoporosis patients using a nationwide population-based cohort study with matched control. […] The incidence rates (IR) of BPPV in the osteoporosis patients and controls were 31.58 and 18.09 per 1000 persons, respectively (ratio of IR, IRR=1.75, 95% CI 1.67-1.83). […] In conclusion, the risks of BPPV development and recurrence are higher in osteoporosis. […] This study evaluated the significance of osteoporosis as a risk factor for BBPV development and recurrence using nationwide medical data. […] Osteoporosis patients had a 1.75 times higher risk of developing BPPV than individuals without osteoporosis.

• #35 Increased risk of benign paroxysmal positional vertigo in osteoporosis: a nationwide population-based cohort study | Scientific Reports

  https://www.nature.com/articles/s41598-019-39830-x

  The IRR of BPPV recurrence was 1.15, indicating an increased risk of recurrence of BPPV in patients with osteoporosis. […] The adjusted HRs of osteoporosis for the development and recurrence of BPPV were 1.76 (95% CI 1.68-1.84) and 1.12 (95% CI 1.00-1.26), respectively. […] The results support a positive association between BPPV and osteoporosis. […] Interestingly, osteoporosis was the only meaningful risk factor for recurrent BPPV (adjusted HR=1.12). […] As the present study shows, patients with osteoporosis also have higher risk of BPPV development and recurrence.

• #36 Increased risk of benign paroxysmal positional vertigo in patients with anxiety disorders: a nationwide population-based retrospective cohort study | BMC Psychiatry | Full Text

  https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-016-0950-2

  The objective of this study was to evaluate the risk of benign peripheral persistent vertigo (BPPV) among patients with anxiety disorders by using the Taiwan National Health Insurance Research Database (NHIRD). […] During the 9-year follow-up period, 178 (2.05 per 1000 person-years) anxiety disorder patients and 71 (0.81 per 1000 person-years) control patients were diagnosed with BPPV. The incidence risk ratio of BPPV between anxiety disorder patients and control patients was 2.52 (95 % confidence interval [CI], 1.90-3.37, P<.001). After adjustment for age, sex, and comorbidities, patients with anxiety disorders were found to be 2.17 times more likely to develop BPPV (95 % CI, 1.63-2.90, P<.001) than the control patients. [...] Anxiety disorder patients may have an increased risk of developing BPPV, especially those who are female or have cerebrovascular disease.

• #37 Benign Paroxysmal Positional Vertigo (BPPV) | Doctor

  https://patient.info/doctor/benign-paroxysmal-positional-vertigo-pro

  BPPV is common. The lifetime prevalence of BPPV is around 2.9%. BPPV can affect people of any age but commonly presents at around 50 years of age. Younger people may develop BPPV as a consequence of head trauma. Women are affected twice as often as men. […] Most BPPV is idiopathic but causes can be attributed in about 40% and include: Head injury, spontaneous degeneration of the labyrinth, post-viral illness (viral neuronitis), complication of stapes surgery, chronic middle ear disease.

• #38 Benign Paroxysmal Positional Vertigo after Dental Procedures: A Population-Based Case-Control Study | PLOS One

  https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0153092

  Dental procedures are considered to be a possible cause of BPPV, and even the most common iatrogenic cause. However, previous studies on the correlation between BPPV and dental work have been mostly case reports or case series, and this study is the first nationwide population-based case-control study conducted to investigate the correlation between BPPV and dental procedures. […] Our results demonstrated a correlation between dental procedures and BPPV. The specialists who treat patients with BPPV should consider dental procedures to be a risk factor, and dentists should recognize BPPV as a possible complication of dental treatment. […] This study demonstrates a correlation between dental procedures and BPPV. The finding not only clarifies the mechanical pathophysiology of BPPV, but also provides important clinical clues. We suggest that specialists who treat BPPV should ask about dental procedures when taking the patients history, and emphasize the importance of dental care to avoid frequent dental procedures for high-risk patients. In addition, dentists should recognize that BPPV is one of the complications of dental treatment, be able to identify it, and refer these patients to suitable specialists.

• #39 Gender-Based Comorbidity in Benign Paroxysmal Positional Vertigo | PLOS One

  https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0105546

  It has been noted that benign paroxysmal positional vertigo (BPPV) may be associated with certain disorders and medical procedures. However, most studies to date were done in Europe, and epidemiological data on the United States (US) population are scarce. Gender-based information is even rarer. […] In this study, we surveyed and analyzed a large adult BPPV population (n=1,360 surveyed, 227 completed, most of which were recurrent BPPV cases) from Omaha, NE, US, and its vicinity, all diagnosed at Boys Town National Research Hospital (BTNRH) over the past decade using established and consistent diagnostic criteria. […] The following comorbidities were found to be significantly more prevalent in the BPPV population when compared to the age- and gender-matched general population: ear/hearing problems, head injury, thyroid problems, allergies, high cholesterol, headaches, and numbness/paralysis.

• #40 Gender-Based Comorbidity in Benign Paroxysmal Positional Vertigo | PLOS One

  https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0105546

  In the BPPV survey population (n=227), 174 participants (131 females and 43 males) reported recurrence of BPPV (53 non-recurrent cases), resulting in a recurrence rate of 76.3%. […] The frequency of having a blood relative diagnosed with BPPV is significantly higher (p0.0001) than the 2.4% life-time prevalence reported for the general population. […] The data suggest a possible association between allergies and BPPV onset, especially in women. […] We also identified thyroid problems as a possible predisposing factor for BPPV occurrence. […] Our data show a significant effect of gender, familial predisposition, and certain conditions/diseases in BPPV etiology. Some of these associations (hearing loss, thyroid problems, high cholesterol, and numbness/paralysis) were previously unknown or are much higher than previously reported.

• #41 Gender-Based Comorbidity in Benign Paroxysmal Positional Vertigo | PLOS One

  https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0105546

  In the BPPV survey population (n=227), 174 participants (131 females and 43 males) reported recurrence of BPPV (53 non-recurrent cases), resulting in a recurrence rate of 76.3%. […] The frequency of having a blood relative diagnosed with BPPV is significantly higher (p0.0001) than the 2.4% life-time prevalence reported for the general population. […] The data suggest a possible association between allergies and BPPV onset, especially in women. […] We also identified thyroid problems as a possible predisposing factor for BPPV occurrence. […] Our data show a significant effect of gender, familial predisposition, and certain conditions/diseases in BPPV etiology. Some of these associations (hearing loss, thyroid problems, high cholesterol, and numbness/paralysis) were previously unknown or are much higher than previously reported.

• #42 Epidemiology of benign paroxysmal positional vertigo: a population based study | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/78/7/710

  This study is the first to estimate the prevalence and incidence of BPPV in the general adult population. The lifetime prevalence was 3.2% in females, 1.6% in males and 2.4% overall. The 1 year incidence was calculated as 0.6%. Based on these estimates, 1.1 million adults suffer from BPPV each year in Germany. Furthermore, BPPV is likely to be the most common vestibular disease as every third participant with vestibular vertigo had BPPV in our study. […] We found an association of BPPV with advanced age, with an OR of 1.8 for every decade. This is not surprising as detachment of otoconia from the otolith organs, the prerequisite for BPPV, seems to increase with age. […] We found the strongest association for BPPV with migraine. This association has been described previously. […] Our study confirms previous findings of a marked female preponderance among BPPV patients.

• #43 Benign Paroxysmal Positional Vertigo (BPPV) – Vestibular Disorders Association

  https://vestibular.org/article/diagnosis-treatment/types-of-vestibular-disorders/benign-paroxysmal-positional-vertigo-bppv/

  Benign Paroxysmal Positional Vertigo (or BPPV) is the most common cause of vertigo, which is a false sensation of spinning. BPPV is fairly common, with an estimated incidence of 107 per 100,000 per year and a lifetime prevalence of 2.4 percent. The vast majority of cases occur for no apparent reason, with many people describing that they simply went to get out of bed one morning and the room started to spin. […] However, elevated risk factor associations have been made with concussion or other head trauma, migraine, inner ear infection or disease causing inflammation, vitamin D deficiency, diabetes, osteoporosis, intubation (presumably due to prolonged time lying in bed) and reduced blood flow. […] BPPV is a common problem and will be encountered more and more as our population ages.

• #44 Benign Paroxysmal Positional Vertigo (BPPV) – Vestibular Disorders Association

  https://vestibular.org/article/diagnosis-treatment/types-of-vestibular-disorders/benign-paroxysmal-positional-vertigo-bppv/

  Benign Paroxysmal Positional Vertigo (or BPPV) is the most common cause of vertigo, which is a false sensation of spinning. BPPV is fairly common, with an estimated incidence of 107 per 100,000 per year and a lifetime prevalence of 2.4 percent. The vast majority of cases occur for no apparent reason, with many people describing that they simply went to get out of bed one morning and the room started to spin. […] However, elevated risk factor associations have been made with concussion or other head trauma, migraine, inner ear infection or disease causing inflammation, vitamin D deficiency, diabetes, osteoporosis, intubation (presumably due to prolonged time lying in bed) and reduced blood flow. […] BPPV is a common problem and will be encountered more and more as our population ages.

• #45 Management of recurrent benign paroxysmal positional vertigo | The Journal of Laryngology & Otology | Cambridge Core

  https://www.cambridge.org/core/journals/journal-of-laryngology-and-otology/article/management-of-recurrent-benign-paroxysmal-positional-vertigo/A62952AD1BDB4D1FD3D6611DD2B09F48

  Benign paroxysmal positional vertigo is the most common episodic vestibular disorder, although it is often quiescent by the time patients visit a specialist clinic, making the diagnosis difficult to confirm. […] In total, 664 patients were included in the analysis, 52 per cent of whom had unconfirmed benign paroxysmal positional vertigo. […] The rate of benign paroxysmal positional vertigo recurrence was 34 per cent in patients with follow up of at least one year, 41 per cent with follow up of one to two years, and 53 per cent with follow up of two years or more. […] One in five recurrences occurred in a different semi-circular canal. […] This service evaluation found that offering open access priority management of recurrent BPPV improved diagnostic rates by around 40 per cent. […] The recurrence rate for the entire sample was 47 per cent, but ranged from 34 per cent to 53 per cent, increasing with the length of follow up.

• #46 Increased risk of benign paroxysmal positional vertigo in osteoporosis: a nationwide population-based cohort study | Scientific Reports

  https://www.nature.com/articles/s41598-019-39830-x

  The IRR of BPPV recurrence was 1.15, indicating an increased risk of recurrence of BPPV in patients with osteoporosis. […] The adjusted HRs of osteoporosis for the development and recurrence of BPPV were 1.76 (95% CI 1.68-1.84) and 1.12 (95% CI 1.00-1.26), respectively. […] The results support a positive association between BPPV and osteoporosis. […] Interestingly, osteoporosis was the only meaningful risk factor for recurrent BPPV (adjusted HR=1.12). […] As the present study shows, patients with osteoporosis also have higher risk of BPPV development and recurrence.

• #47 Management of recurrent benign paroxysmal positional vertigo | The Journal of Laryngology & Otology | Cambridge Core

  https://www.cambridge.org/core/journals/journal-of-laryngology-and-otology/article/management-of-recurrent-benign-paroxysmal-positional-vertigo/A62952AD1BDB4D1FD3D6611DD2B09F48

  Benign paroxysmal positional vertigo is the most common episodic vestibular disorder, although it is often quiescent by the time patients visit a specialist clinic, making the diagnosis difficult to confirm. […] In total, 664 patients were included in the analysis, 52 per cent of whom had unconfirmed benign paroxysmal positional vertigo. […] The rate of benign paroxysmal positional vertigo recurrence was 34 per cent in patients with follow up of at least one year, 41 per cent with follow up of one to two years, and 53 per cent with follow up of two years or more. […] One in five recurrences occurred in a different semi-circular canal. […] This service evaluation found that offering open access priority management of recurrent BPPV improved diagnostic rates by around 40 per cent. […] The recurrence rate for the entire sample was 47 per cent, but ranged from 34 per cent to 53 per cent, increasing with the length of follow up.

• #48 Epidemiology of benign paroxysomal positional vertigo (BPPV) and risk factors for secondary BPPV: a population-based study | The Egyptian Journal of Otolaryngology | Full Text

  https://ejo.springeropen.com/articles/10.1186/s43163-023-00456-6

  BPPV (benign paroxysmal positional vertigo) is a disorder that causes sudden, spinning sensation for few seconds with specific head movements. Of all disorders of inner ear that causes dizziness, BPPP is the most common one. […] Of all vertigo patients, BPPV constitutes 26.6% of cases, making it most common cause of peripheral vertigo. It commonly affects 40-60 years of age group with equal sex predilection. […] BPPV is the most common cause of peripheral vertigo. […] BPPV is the most common peripheral vestibular disorder. […] BPPV constitutes, 26% of all vertigo patients. […] Idiopathic in 83% of patients; secondary causes include vestibular migraine, Menieres disease, labyrinthitis, and orthostatic hypotension. Secondary BPPVs were usually recurrent, refractory to PRMs and took longer time to be treated.

• #49 Management of recurrent benign paroxysmal positional vertigo | The Journal of Laryngology & Otology | Cambridge Core

  https://www.cambridge.org/core/journals/journal-of-laryngology-and-otology/article/management-of-recurrent-benign-paroxysmal-positional-vertigo/A62952AD1BDB4D1FD3D6611DD2B09F48

  Those patients with a diagnosis of definite BPPV on referral had the highest rate of recurrence (58 per cent), and one in five patients experienced a recurrence of BPPV in a different semi-circular canal. […] Current clinical practice guidelines do not include clear pathways or recommendations for the need to manage BPPV recurrence. […] There is no single risk factor for recurrence, but rather several, including advanced age, female sex, head trauma, and vascular and other vestibular co-morbidities.

• #50 :: JCN :: Journal of Clinical Neurology

  https://www.thejcn.com/DOIx.php?id=10.3988/jcn.2010.6.2.51

  Benign paroxysmal positional vertigo (BPPV) is characterized by brief recurrent episodes of vertigo triggered by changes in head position. BPPV is the most common etiology of recurrent vertigo and is caused by abnormal stimulation of the cupula by free-floating otoliths (canalolithiasis) or otoliths that have adhered to the cupula (cupulolithiasis) within any of the three semicircular canals. […] There is a dearth of epidemiologic studies on BPPV. The prevalence of BPPV has been reported as 10.7-64 per 100,000 population. According to a recent study in Germany in which utilized telephone-based interviewing, the lifetime prevalence of BPPV is 2.4%, with a 1-year-incidence of 0.6%. […] Idiopathic BPPV is more prevalent in the elderly and in women, with a women-to-men ratio of 2-3:1 and a peak age at onset in the sixth decade of life. BPPV is more likely to involve the right ear, a factor that may be related to the habit of sleeping on the right side in the general population.

• #51 :: JCN :: Journal of Clinical Neurology

  https://www.thejcn.com/DOIx.php?id=10.3988/jcn.2010.6.2.51

  BPPV mostly develops in the posterior and horizontal semicircular canals. PC-BPPV has been said to account for 60-90% of all BPPV cases, and HC-BPPV for 5-30% of the cases. However, HC-BPPV now appears to be more prevalent than was previously thought. The proportion of HC-BPPV-attributable cases decreases with increasing mean time interval from the symptom onset to diagnosis, probably due to the higher rate of spontaneous resolution in HC-BPPV. Thus, the relative proportion of each type of BPPV may depend upon the setting of each clinic. BPPV rarely involves the anterior semicircular canal. BPPV arising from multiple canals has also been described.

• #52 Geriatric benign paroxysmal positional vertigo: a single-center study | Brazilian Journal of Otorhinolaryngology

  https://www.elsevier.es/en-revista-brazilian-journal-otorhinolaryngology-english-edition–497-articulo-geriatric-benign-paroxysmal-positional-vertigo-S1808869423000459

  The horizontal canal BPPV (particularly horizontal canal BPPV-cupulolithiasis) and multicanal BPPV subtypes were more common and the anterior canal BPPV subtype was less common in elderly patients. […] The effectiveness of canalith repositioning may decrease with age. Therefore, older patients should receive more comprehensive medical treatment. […] The effectiveness of the CRPs was significantly less likely to be effective in the geriatric group than in the non-geriatric group. […] The HC-BPPV (especially HC-BPPV-cu) and MC-BPPV subtypes are more common in geriatric patients. […] Comprehensive treatment that includes therapy for atherosclerosis and other potential risk factors is needed in geriatric patients with BPPV to improve the circulation in the inner ear.

• #53 Epidemiology of benign paroxysmal positional vertigo: a population based study | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/78/7/710

  We found an association between BPPV and hypertension and hyperlipidaemia. […] Benign paroxysmal positional vertigo has substantial psychosocial consequences, as illustrated by our finding that BPPV led to medical consultation, interruption of daily activities or sick leave in 86% of affected individuals.

• #54 Vertigo, Benign Paroxysmal Positional (BPPV) | 5-Minute Clinical Consult

  https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/816703/all/Vertigo_Benign_Paroxysmal_Positional__BPPV_?q=Hypertension

  Benign paroxysmal positional vertigo (BPPV) is the single most common cause of vertigo. […] Age of onset is typically between the 5th and 7th decades of life. […] Incidence increases with each decade of life. […] BPPV affects the quality of life of elderly patients and is associated with reduced activities of daily living scores, falls, and depression. […] 1-year incidence 0.6% […] Lifetime prevalence 2.4%.

• #55 Epidemiology of benign paroxysmal positional vertigo: a population based study | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/78/7/710

  Benign paroxysmal positional vertigo (BPPV) is probably the most common cause of vestibular vertigo accounting for approximately 2030% of diagnoses in specialised dizziness clinics. The evolution of highly effective positioning manoeuvres has made BPPV the most successfully treatable cause of vertigo. […] Thus far, however, the epidemiology of BPPV in the general population is not known. The aim of this study was to estimate the prevalence and incidence of BPPV in the general adult population in Germany and to characterise the clinical features, impact and risk factors of BPPV in a nationally representative sample. […] The lifetime prevalence of BPPV was 2.4%, the 1 year prevalence was 1.6% and the 1 year incidence was 0.6%. […] BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact and medical costs.

• #56 Benign Paroxysmal Positional Vertigo (BPPV) – Vestibular Disorders Association

  https://vestibular.org/article/diagnosis-treatment/types-of-vestibular-disorders/benign-paroxysmal-positional-vertigo-bppv/

  Benign Paroxysmal Positional Vertigo (or BPPV) is the most common cause of vertigo, which is a false sensation of spinning. BPPV is fairly common, with an estimated incidence of 107 per 100,000 per year and a lifetime prevalence of 2.4 percent. The vast majority of cases occur for no apparent reason, with many people describing that they simply went to get out of bed one morning and the room started to spin. […] However, elevated risk factor associations have been made with concussion or other head trauma, migraine, inner ear infection or disease causing inflammation, vitamin D deficiency, diabetes, osteoporosis, intubation (presumably due to prolonged time lying in bed) and reduced blood flow. […] BPPV is a common problem and will be encountered more and more as our population ages.

• #57 Essential Skills for Managing Benign Paroxysmal Positional Vertigo – ACA Today

  https://www.acatoday.org/news-publications/essential-skills-for-managing-benign-paroxysmal-positional-vertigo/

  Benign paroxysmal positional vertigo (BPPV) is the most common cause of dizziness and vertigo. Over 7 percent of the population will experience BPPV at some point in their lifetime and 80 percent of those patients will require medical treatment. […] Most cases of BPPV affect the posterior semicircular canal. […] The effectiveness of the Epley maneuver ranges between 78-95 percent. A single intervention leads to remission in 44-89 percent of cases, and this rate improves with second, third, or fourth interventions. […] Contraindications to performing repositioning maneuvers include acute cervical spine fracture or instability, recent cervical spine surgery, perilymph fistula, detached retina, unstable carotid artery disease/stenosis, vertebrobasilar insufficiency, stroke, TIA, unstable heart disease, and severe neck disease, such as cervical spondylosis with myelopathy or advanced rheumatoid arthritis.

• #58 Geriatric benign paroxysmal positional vertigo: a single-center study | Brazilian Journal of Otorhinolaryngology

  https://www.elsevier.es/en-revista-brazilian-journal-otorhinolaryngology-english-edition–497-articulo-geriatric-benign-paroxysmal-positional-vertigo-S1808869423000459

  Benign Paroxysmal Positional Vertigo (BPPV) was more common in women. […] The proportion of men with BPPV increased with age. […] Geriatric BPPV patients often had risk factors associated with atherosclerosis. […] Horizontal canal-BPPV and multi-canal-BPPV were more common in geriatric patients. […] The effectiveness of canalith repositioning procedure may decrease with age. […] A population-based study found that the prevalence of BPPV was 3.4% in individuals over the age of 60 years and that the 1-year prevalence was almost 7 times that in people under 40 years of age. […] About 95% of cases of BPPV are idiopathic or degenerative, and aging and degenerative changes are responsible for the high incidence of BPPV in the elderly. […] Previous studies have shown that the Canalith Repositioning Procedure (CRP) is less effective in elderly patients with BPPV than in younger patients.

• #59 Geriatric benign paroxysmal positional vertigo: a single-center study | Brazilian Journal of Otorhinolaryngology

  https://www.elsevier.es/en-revista-brazilian-journal-otorhinolaryngology-english-edition–497-articulo-geriatric-benign-paroxysmal-positional-vertigo-S1808869423000459

  Benign Paroxysmal Positional Vertigo (BPPV) was more common in women. […] The proportion of men with BPPV increased with age. […] Geriatric BPPV patients often had risk factors associated with atherosclerosis. […] Horizontal canal-BPPV and multi-canal-BPPV were more common in geriatric patients. […] The effectiveness of canalith repositioning procedure may decrease with age. […] A population-based study found that the prevalence of BPPV was 3.4% in individuals over the age of 60 years and that the 1-year prevalence was almost 7 times that in people under 40 years of age. […] About 95% of cases of BPPV are idiopathic or degenerative, and aging and degenerative changes are responsible for the high incidence of BPPV in the elderly. […] Previous studies have shown that the Canalith Repositioning Procedure (CRP) is less effective in elderly patients with BPPV than in younger patients.

• #60 Intravenous Zoledronic Acid in Elderly Patients with Benign Paroxysmal Positional Vertigo and Osteoporosis

  https://www.e-rvs.org/journal/view.php?number=879

  Objectives: Benign paroxysmal positional vertigo (BPPV), a common cause of vertigo in the elderly, shares common pathogenic mechanisms with osteoporosis. […] One population-based study showed that the 1-year prevalence of BPPV rose from 0.5% in people aged 18 to 39 years to 3.4% in those aged 60 years and older, and the cumulative incidence of BPPV reached almost 10% by the age of 80 years. […] One recent study using national database also showed that osteoporosis increased the risk of BPPV in the population aged 50 years and older. […] We showed that osteoporosis was common in elderly patients with BPPV. […] However, we think our study has clinical implications in that it suggests that osteoporosis treatment for elderly patients with BPPV may be useful in preventing the recurrence of the troublesome disease.

• #61 Geriatric benign paroxysmal positional vertigo: a single-center study | Brazilian Journal of Otorhinolaryngology

  https://www.elsevier.es/en-revista-brazilian-journal-otorhinolaryngology-english-edition–497-articulo-geriatric-benign-paroxysmal-positional-vertigo-S1808869423000459

  The horizontal canal BPPV (particularly horizontal canal BPPV-cupulolithiasis) and multicanal BPPV subtypes were more common and the anterior canal BPPV subtype was less common in elderly patients. […] The effectiveness of canalith repositioning may decrease with age. Therefore, older patients should receive more comprehensive medical treatment. […] The effectiveness of the CRPs was significantly less likely to be effective in the geriatric group than in the non-geriatric group. […] The HC-BPPV (especially HC-BPPV-cu) and MC-BPPV subtypes are more common in geriatric patients. […] Comprehensive treatment that includes therapy for atherosclerosis and other potential risk factors is needed in geriatric patients with BPPV to improve the circulation in the inner ear.

• #62 Geriatric benign paroxysmal positional vertigo: a single-center study | Brazilian Journal of Otorhinolaryngology

  https://www.elsevier.es/en-revista-brazilian-journal-otorhinolaryngology-english-edition–497-articulo-geriatric-benign-paroxysmal-positional-vertigo-S1808869423000459

  The horizontal canal BPPV (particularly horizontal canal BPPV-cupulolithiasis) and multicanal BPPV subtypes were more common and the anterior canal BPPV subtype was less common in elderly patients. […] The effectiveness of canalith repositioning may decrease with age. Therefore, older patients should receive more comprehensive medical treatment. […] The effectiveness of the CRPs was significantly less likely to be effective in the geriatric group than in the non-geriatric group. […] The HC-BPPV (especially HC-BPPV-cu) and MC-BPPV subtypes are more common in geriatric patients. […] Comprehensive treatment that includes therapy for atherosclerosis and other potential risk factors is needed in geriatric patients with BPPV to improve the circulation in the inner ear.

• #63 Geriatric benign paroxysmal positional vertigo: a single-center study | Brazilian Journal of Otorhinolaryngology

  https://www.elsevier.es/en-revista-brazilian-journal-otorhinolaryngology-english-edition–497-articulo-geriatric-benign-paroxysmal-positional-vertigo-S1808869423000459

  Benign Paroxysmal Positional Vertigo (BPPV) was more common in women. […] The proportion of men with BPPV increased with age. […] Geriatric BPPV patients often had risk factors associated with atherosclerosis. […] Horizontal canal-BPPV and multi-canal-BPPV were more common in geriatric patients. […] The effectiveness of canalith repositioning procedure may decrease with age. […] A population-based study found that the prevalence of BPPV was 3.4% in individuals over the age of 60 years and that the 1-year prevalence was almost 7 times that in people under 40 years of age. […] About 95% of cases of BPPV are idiopathic or degenerative, and aging and degenerative changes are responsible for the high incidence of BPPV in the elderly. […] Previous studies have shown that the Canalith Repositioning Procedure (CRP) is less effective in elderly patients with BPPV than in younger patients.

• #64 Geriatric benign paroxysmal positional vertigo: a single-center study | Brazilian Journal of Otorhinolaryngology

  https://www.elsevier.es/en-revista-brazilian-journal-otorhinolaryngology-english-edition–497-articulo-geriatric-benign-paroxysmal-positional-vertigo-S1808869423000459

  The horizontal canal BPPV (particularly horizontal canal BPPV-cupulolithiasis) and multicanal BPPV subtypes were more common and the anterior canal BPPV subtype was less common in elderly patients. […] The effectiveness of canalith repositioning may decrease with age. Therefore, older patients should receive more comprehensive medical treatment. […] The effectiveness of the CRPs was significantly less likely to be effective in the geriatric group than in the non-geriatric group. […] The HC-BPPV (especially HC-BPPV-cu) and MC-BPPV subtypes are more common in geriatric patients. […] Comprehensive treatment that includes therapy for atherosclerosis and other potential risk factors is needed in geriatric patients with BPPV to improve the circulation in the inner ear.

• #65 Pediatric Benign Paroxysmal Positional Vertigo: Degree of Nystagmus and Concurrent Dizziness Differs from Adult BPPV

  https://www.mdpi.com/2077-0383/13/7/1997

  Benign paroxysmal positional vertigo (BPPV) is characterized by brief, intense episodes of vertigo triggered by abrupt changes in head position. It is generally accepted as being most common in adults, while it is regarded as rare in children. The prevalence of the disease is increased among elderly persons and women, with a peak onset between 50 and 60 years of age and a female-to-male ratio of 2:1 to 3:1. While BPPV is well studied in adults, pediatric BPPV presents a unique set of challenges due to the rarity of the disease in pediatric patients. […] The prevalence of vestibular disorders ranges between 0.7% and 15%, and children differ from adults in the causes of dizziness. […] As one of the mechanisms explaining BPPV is age-related atrophy of the utricle, BPPV is generally accepted as being most common in adults, while it is regarded as a rare entity in children.

• #66 Pediatric Benign Paroxysmal Positional Vertigo: Degree of Nystagmus and Concurrent Dizziness Differs from Adult BPPV

  https://www.mdpi.com/2077-0383/13/7/1997

  Benign paroxysmal positional vertigo (BPPV) is characterized by brief, intense episodes of vertigo triggered by abrupt changes in head position. It is generally accepted as being most common in adults, while it is regarded as rare in children. The prevalence of the disease is increased among elderly persons and women, with a peak onset between 50 and 60 years of age and a female-to-male ratio of 2:1 to 3:1. While BPPV is well studied in adults, pediatric BPPV presents a unique set of challenges due to the rarity of the disease in pediatric patients. […] The prevalence of vestibular disorders ranges between 0.7% and 15%, and children differ from adults in the causes of dizziness. […] As one of the mechanisms explaining BPPV is age-related atrophy of the utricle, BPPV is generally accepted as being most common in adults, while it is regarded as a rare entity in children.

• #67 Pediatric Benign Paroxysmal Positional Vertigo: Degree of Nystagmus and Concurrent Dizziness Differs from Adult BPPV

  https://www.mdpi.com/2077-0383/13/7/1997

  It has been recently noted that pediatric patients with dizziness may have simultaneous coexisting disorders, which are not typically seen in adult populations. […] BPPV occurs in pediatric patients with lower prevalence, but it cannot be overlooked. In the pediatric group, a relatively high proportion of patients demonstrated lateral canal involvement, weaker nystagmus, and additional dizziness disorder.

• #68 Epidemiology of benign paroxysomal positional vertigo (BPPV) and risk factors for secondary BPPV: a population-based study | The Egyptian Journal of Otolaryngology | Full Text

  https://ejo.springeropen.com/articles/10.1186/s43163-023-00456-6

  Male and female are equally affected and commonest in 40-60 years age group. […] Posterior canal BPPV comprises 74% of all BPPV patients, followed by lateral and superior canal is least affected. […] Particle repositioning maneuver (PRM) cures 96% of all BPPV patients, 75% needs only one PRM, 15% requires the second one. […] Success rate of this PRM is 96% after 6 months of follow-up.

• #69 Epidemiology of benign paroxysomal positional vertigo (BPPV) and risk factors for secondary BPPV: a population-based study | The Egyptian Journal of Otolaryngology | Full Text

  https://ejo.springeropen.com/articles/10.1186/s43163-023-00456-6

  Male and female are equally affected and commonest in 40-60 years age group. […] Posterior canal BPPV comprises 74% of all BPPV patients, followed by lateral and superior canal is least affected. […] Particle repositioning maneuver (PRM) cures 96% of all BPPV patients, 75% needs only one PRM, 15% requires the second one. […] Success rate of this PRM is 96% after 6 months of follow-up.

• #70 Essential Skills for Managing Benign Paroxysmal Positional Vertigo – ACA Today

  https://www.acatoday.org/news-publications/essential-skills-for-managing-benign-paroxysmal-positional-vertigo/

  Benign paroxysmal positional vertigo (BPPV) is the most common cause of dizziness and vertigo. Over 7 percent of the population will experience BPPV at some point in their lifetime and 80 percent of those patients will require medical treatment. […] Most cases of BPPV affect the posterior semicircular canal. […] The effectiveness of the Epley maneuver ranges between 78-95 percent. A single intervention leads to remission in 44-89 percent of cases, and this rate improves with second, third, or fourth interventions. […] Contraindications to performing repositioning maneuvers include acute cervical spine fracture or instability, recent cervical spine surgery, perilymph fistula, detached retina, unstable carotid artery disease/stenosis, vertebrobasilar insufficiency, stroke, TIA, unstable heart disease, and severe neck disease, such as cervical spondylosis with myelopathy or advanced rheumatoid arthritis.

• #71 Essential Skills for Managing Benign Paroxysmal Positional Vertigo – ACA Today

  https://www.acatoday.org/news-publications/essential-skills-for-managing-benign-paroxysmal-positional-vertigo/

  Benign paroxysmal positional vertigo (BPPV) is the most common cause of dizziness and vertigo. Over 7 percent of the population will experience BPPV at some point in their lifetime and 80 percent of those patients will require medical treatment. […] Most cases of BPPV affect the posterior semicircular canal. […] The effectiveness of the Epley maneuver ranges between 78-95 percent. A single intervention leads to remission in 44-89 percent of cases, and this rate improves with second, third, or fourth interventions. […] Contraindications to performing repositioning maneuvers include acute cervical spine fracture or instability, recent cervical spine surgery, perilymph fistula, detached retina, unstable carotid artery disease/stenosis, vertebrobasilar insufficiency, stroke, TIA, unstable heart disease, and severe neck disease, such as cervical spondylosis with myelopathy or advanced rheumatoid arthritis.

• #72 Benign Paroxysmal Positional Vertigo – Ear, Nose, and Throat Disorders – Merck Manual Consumer Version

  https://www.merckmanuals.com/home/ear-nose-and-throat-disorders/inner-ear-disorders/benign-paroxysmal-positional-vertigo

  Benign paroxysmal positional vertigo (BPPV) is a common disorder causing short episodes of vertigo (a false sensation of moving or spinning) in response to changes in head position that stimulate the posterior semicircular canal of the inner ear. […] BPPV affects people increasingly as they age and can severely affect balance in older people, which may lead to falls and possibly injuries. Sometimes BPPV occurs after head trauma. […] Diagnosis of BPPV is based on a description of the symptoms and the circumstances in which they occur. […] Usually, the test used is the Dix-Hallpike maneuver. […] If the maneuver is repeated several times, the intensity of the vertigo and nystagmus decreases (called habituation or fatigability) in people who have BPPV. […] Usually, BPPV is easily treated. […] Doing so requires a somersault-like maneuver of the head, called a canalith repositioning maneuver, such as the Epley maneuver. This maneuver immediately lessens vertigo in about 90% of people.

• #73 Benign Paroxysmal Positional Vertigo (BPPV)

  https://www.earscience.org.au/lions-hearing-clinic/vertigo-balance-and-dizziness/benign-paroxysmal-positional-vertigo-bppv/

  Benign Positional Vertigo has a lifetime prevalence of 2.4%. It is more common in women than men. BPPV symptoms are also more prevalent in the elderly than in younger populations. […] Posterior canal BPPV is the most common, accounting for between 60 and 90% of cases. […] Horizontal canal BPPV accounts for between 5 30% of cases, and the remainder is comprised of anterior canal BPPV and multiple canal BPPV. […] Studies have shown that around a quarter of people who are having success with BPPV treatment can have a recurrence.

• #74 Benign Paroxysmal Positional Vertigo – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK470308/

  Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo, accounting for over half of all cases. […] A retrospective analysis of patients seeking medical attention for BPPV in the United States recorded an incidence of 64 per 100,000 annually. Furthermore, this was found to escalate by 38% with each decade. […] A cross-sectional study recorded a lifetime prevalence of BPPV in the adult European population at 2.4%. […] The study concluded that it was more prevalent among women than men, accounting for 3.2% versus 1.6%, respectively. […] A study conducted in Japan reported an annual incidence between 10.7 and 17.3 per 100,000.

• #75 Geriatric benign paroxysmal positional vertigo: a single-center study | Brazilian Journal of Otorhinolaryngology

  https://www.elsevier.es/en-revista-brazilian-journal-otorhinolaryngology-english-edition–497-articulo-geriatric-benign-paroxysmal-positional-vertigo-S1808869423000459

  Benign Paroxysmal Positional Vertigo (BPPV) was more common in women. […] The proportion of men with BPPV increased with age. […] Geriatric BPPV patients often had risk factors associated with atherosclerosis. […] Horizontal canal-BPPV and multi-canal-BPPV were more common in geriatric patients. […] The effectiveness of canalith repositioning procedure may decrease with age. […] A population-based study found that the prevalence of BPPV was 3.4% in individuals over the age of 60 years and that the 1-year prevalence was almost 7 times that in people under 40 years of age. […] About 95% of cases of BPPV are idiopathic or degenerative, and aging and degenerative changes are responsible for the high incidence of BPPV in the elderly. […] Previous studies have shown that the Canalith Repositioning Procedure (CRP) is less effective in elderly patients with BPPV than in younger patients.

• #76 Benign Paroxysmal Positional Vertigo: Practice Essentials, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/791414-overview

  BPPV is probably the most common cause of vertigo in the United States. It has been estimated that at least 20% of patients who present to the physician with vertigo have BPPV. However, because BPPV is frequently misdiagnosed, this figure may not be completely accurate and is probably an underestimation. Since BPPV can occur concomitantly with other inner ear diseases (for example, one patient may have both Mnire disease and BPPV at once), statistical analysis may be skewed toward lower numbers. […] In one study, the age- and sex-adjusted prevalence of BPPV was 64 per 100,000. Other studies corroborate this finding. […] The sex distribution seems to indicate a predilection for women (64%). […] BPPV seems to have a predilection for the older population (average age, 51-57.2 y). It is rarely observed in individuals younger than 35 years without a history of antecedent head trauma.

• #77 Benign Paroxysmal Positional Vertigo: Practice Essentials, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/791414-overview

  BPPV is probably the most common cause of vertigo in the United States. It has been estimated that at least 20% of patients who present to the physician with vertigo have BPPV. However, because BPPV is frequently misdiagnosed, this figure may not be completely accurate and is probably an underestimation. Since BPPV can occur concomitantly with other inner ear diseases (for example, one patient may have both Mnire disease and BPPV at once), statistical analysis may be skewed toward lower numbers. […] In one study, the age- and sex-adjusted prevalence of BPPV was 64 per 100,000. Other studies corroborate this finding. […] The sex distribution seems to indicate a predilection for women (64%). […] BPPV seems to have a predilection for the older population (average age, 51-57.2 y). It is rarely observed in individuals younger than 35 years without a history of antecedent head trauma.

• #78 Benign Paroxysmal Positional Vertigo (BPPV) – Vestibular Disorders Association

  https://vestibular.org/article/diagnosis-treatment/types-of-vestibular-disorders/benign-paroxysmal-positional-vertigo-bppv/

  Benign Paroxysmal Positional Vertigo (or BPPV) is the most common cause of vertigo, which is a false sensation of spinning. BPPV is fairly common, with an estimated incidence of 107 per 100,000 per year and a lifetime prevalence of 2.4 percent. The vast majority of cases occur for no apparent reason, with many people describing that they simply went to get out of bed one morning and the room started to spin. […] However, elevated risk factor associations have been made with concussion or other head trauma, migraine, inner ear infection or disease causing inflammation, vitamin D deficiency, diabetes, osteoporosis, intubation (presumably due to prolonged time lying in bed) and reduced blood flow. […] BPPV is a common problem and will be encountered more and more as our population ages.

• #79 Epidemiology of benign paroxysmal positional vertigo: a population based study | Journal of Neurology, Neurosurgery & Psychiatry

  https://jnnp.bmj.com/content/78/7/710

  Benign paroxysmal positional vertigo (BPPV) is probably the most common cause of vestibular vertigo accounting for approximately 2030% of diagnoses in specialised dizziness clinics. The evolution of highly effective positioning manoeuvres has made BPPV the most successfully treatable cause of vertigo. […] Thus far, however, the epidemiology of BPPV in the general population is not known. The aim of this study was to estimate the prevalence and incidence of BPPV in the general adult population in Germany and to characterise the clinical features, impact and risk factors of BPPV in a nationally representative sample. […] The lifetime prevalence of BPPV was 2.4%, the 1 year prevalence was 1.6% and the 1 year incidence was 0.6%. […] BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact and medical costs.

• #80 Epidemiology of benign paroxysmal positional vertigo: a population based study

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2117684/

  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%. […] BPPV is a common vestibular disorder leading to significant morbidity, psychosocial impact and medical costs. […] Thus far, however, the epidemiology of BPPV in the general population is not known. The aim of this study was to estimate the prevalence and incidence of BPPV in the general adult population in Germany and to characterise the clinical features, impact and risk factors of BPPV in a nationally representative sample. […] This study is the first to estimate the prevalence and incidence of BPPV in the general adult population. The lifetime prevalence was 3.2% in females, 1.6% in males and 2.4% overall. The 1-year incidence was calculated as 0.6%. Based on these estimates, 1.1 million adults suffer from BPPV each year in Germany. Furthermore, BPPV is likely to be the most common vestibular disease as every third participant with vestibular vertigo had BPPV in our study.

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