Incidence and Treatment Outcomes of Post Traumatic BPPV in Traumatic Brain Injury Patients

  • G. R. Haripriya
  • Preethy Mary
  • Mathew Dominic
  • Rashmi Goyal
  • Ambily Sahadevan
Original Article
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Abstract

The aim of this study is to assess the incidence of post traumatic BPPV and evaluate its treatment outcomes in mild and moderate traumatic head injury patients. The study population consisted of 128 patients (89 male:39 female) who were admitted with head and neck injury (Motor Vehicle Accident, Blow to the head, Fall from Height, Whiplash injury) as inpatients in Department of Neurosurgery in Tertiary care hospital in Kerala during a 2 month period from 1st April 2014 to 31st May 2014. The age range was 10–70 years and mean 39.8 with standard deviation 15.5. All cases were evaluated and serially followed up to a period of 6 months in Department of Otorhinolaryngology. In our study, the number of patients with mild injuries (Glasgow coma scale 13–15) were 108 and moderate injury (Glasgow coma scale 9–12) were 20. We found out that post traumatic BPPV was found to be 17% of the traumatic brain injury patients. All patients were treated with particle re-positioning maneuvers and were followed up for a period of 6 months. Recurrence were reported in 9 (40.9%) patients. In these patients re positioning maneuvers were repeated.

Keywords

Benign paroxysmal positional vertigo (BPPV) Traumatic brain injury (TBI) Dix–Hallpike maneuver Epleys maneuver 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Gordon CR, Levite R, Joffe V et al (2004) Is post-traumatic benign paroxysmal positional vertigo different from the idiopathic form. Arch Neurol 61:1590–1593CrossRefPubMedGoogle Scholar
  2. 2.
    Katsarkas A (1999) Benign paroxysmal positional vertigo (BPPV): idiopathic versus post-traumatic. Acta Otolaryngol (Stockh) 119:745–749CrossRefGoogle Scholar
  3. 3.
    Mohan D (2004) Road traffic accidents and injuries in India: time for action. Nat Med J India 17(2):63–66Google Scholar
  4. 4.
    Baloh RW, Honrubia V, Jacobson K (1987) Benign positional vertigo: clinical and oculographic features in 240 cases. Neurology 37(3):371–378CrossRefPubMedGoogle Scholar
  5. 5.
    Katsarkas A, Kirkham TH (1978) Paroxysmal positional vertigo—a study of 255 cases. J Otolaryngol 7:320–330PubMedGoogle Scholar
  6. 6.
    Dix MR, Hallpike CS (1952) The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 45:341–354PubMedPubMedCentralGoogle Scholar
  7. 7.
    Parnes LS, Agrawal SK, Atlas J (2003) Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ 169:681–693PubMedPubMedCentralGoogle Scholar
  8. 8.
    White JA, Coale KD, Catalano PJ et al (2005) Diagnosis and management of lateral semicircular canal benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 133(2):278–284CrossRefPubMedGoogle Scholar
  9. 9.
    Escher A, Ruffieux C, Maire R (2007) Efficacy of the barbecue manoeuvre in benign paroxysmal vertigo of the horizontal canal. Eur Arch Otorhinolaryngol 264:1239–1241CrossRefPubMedGoogle Scholar
  10. 10.
    Guharaj G (2002) Epidemiology of traumatic brain injuries: Indian scenario. Neurol Res 24:24–28CrossRefGoogle Scholar
  11. 11.
    Griffiths MV (1979) The incidence of auditory vestibular concussion following minor head injury. J Laryngol Otol 93:253–265CrossRefPubMedGoogle Scholar
  12. 12.
    Brain Injury.com. Brain Injury association of America 2015. http://www.braininjury.com/injured.shtml. Accessed 5 May 2017
  13. 13.
    Motin M, Keren O, Groswasser Z et al (2005) Benign paroxysmal positional vertigo as the cause of dizziness in patients after severe traumatic brain injury: diagnosis and treatment. Brain Inj 19:693–697CrossRefPubMedGoogle Scholar
  14. 14.
    Davies RA, Luxon LM (1995) Dizziness following head injury: a neuro-otological study. J Neurol 242:222–230CrossRefPubMedGoogle Scholar
  15. 15.
    Ahn SK, Jeon SY, Kim JP et al (2011) Clinical characteristics and treatment of benign paroxysmal positional vertigo after traumatic brain injury. J Trauma 70(2):442–446CrossRefPubMedGoogle Scholar
  16. 16.
    Spitzer WO, Skovron ML, Salmi LR et al (1995) Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: redefining whiplash and its management. Spine (Phila Pa 1976) 20(8 Suppl):1S–73SGoogle Scholar
  17. 17.
    Nunez RA, Cass SP, Furman JM (2000) Short- and long-term outcomes of canalith repositioning for benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 122:647–652CrossRefPubMedGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  • G. R. Haripriya
    • 1
  • Preethy Mary
    • 2
  • Mathew Dominic
    • 2
  • Rashmi Goyal
    • 3
  • Ambily Sahadevan
    • 2
  1. 1.Chirayu Medical College and HospitalBhopalIndia
  2. 2.Medical Trust HospitalKochiIndia
  3. 3.Mahaveer Institute of Medical SciencesBhopalIndia

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