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Year : 2022  |  Volume : 24  |  Issue : 2  |  Page : 51-55

Benign paroxysmal positional vertigo in patients with Meniere's disease

Department of Otorhinolaryngology and Head and Neck Surgery, IMS and SUM Hospital, Siksha “O” Anusandhan University, Bhubaneswar, Odisha, India

Correspondence Address:
Dr. Santosh Kumar Swain
Department of Otorhinolaryngology and Head and Neck Surgery, IMS and SUM Hospital, Siksha “O” Anusandhan University, K8, Kalinga Nagar, Bhubaneswar - 751 003, Odisha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sjoh.sjoh_15_22

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Benign paroxysmal positional vertigo (BPPV) is the most common type of peripheral vertigo. BPPV often occurs after head trauma, viral neurolabyrinthitis, following surgery, and prolonged bed rest. BPPV may be associated with Meniere's disease (MD) and may be found at any stage of this disease. There is a recognized relationship between MD and BPPV. However, the frequency and clinical characteristics of BPPV in MD are not clear. Hydropically induced damage to the maculae of the utricle and saccule or partial obstruction of the membranous labyrinth may be the cause for the coexistence of MD and BPPV. MD may be considered one of the important causes of persistent vertigo in patients with BPPV, which makes it difficult in obtaining the correct diagnosis and aggravates the ability to predict the prognosis. Patients with both MD and BPPV suffer from the intractable type of BPPV despite medical or surgical control of their MD. There are a lower treatment success rate and a higher chance of recurrence rate in patients of BPPV with MD compared to BPPV patients without MD. The recurrence rate is higher in patients with multiple semicircular canal BPPV with MD. The objective of this review article is to discuss the epidemiology, etiopathology, clinical features and diagnostic evaluation, and treatment of BPPV in patients with MD. The databases searched are PubMed, Scopus, Medline, and Google Scholar.

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