Research Update: Risk Factors for the Recurrence of Benign Paroxysmal Positional Vertigo

Research Update: Risk Factors for the Recurrence of Benign Paroxysmal Positional Vertigo
By David I. Graber, DC

Benign Paroxysmal Positional Vertigo (BPPV) is a common disorder seen in our offices.  A recent systematic review on found several factors that increase the risk of BPPV recurrence.  Risk factors for the recurrence of BPPV included:

• Female gender, age (≥65years)
• Hyperlipidemia
• Diabetes
• Hypertension
• Migraine
• Cervical spondylosis
• Osteopenia/osteoporosis
• Head trauma
• Otitis media
• Long use of computers

No significant differences were found in:

• Side
• Type of the involved semicircular canals
• Smoking
• Alcohol consumption
• Stroke
• Ear surgery
• Duration of vertigo before treatment
• The times of repositioning
• Meniere disease
• Sleep disorders
• Hypercholesterolemia
• Levels of  25-hydroxy vitamin D
   

Source:
Li S, Wang Z, Liu Y, et al. Risk Factors for the Recurrence of Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-Analysis. Ear, Nose & Throat Journal. 2022;101(3):NP112-NP134. doi:10.1177/0145561320943362