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.
This is a preview of subscription content, log in to check access
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
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 was obtained from all individual participants included in the study.
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
Katsarkas A (1999) Benign paroxysmal positional vertigo (BPPV): idiopathic versus post-traumatic. Acta Otolaryngol (Stockh) 119:745–749CrossRefGoogle Scholar
Mohan D (2004) Road traffic accidents and injuries in India: time for action. Nat Med J India 17(2):63–66Google Scholar
Baloh RW, Honrubia V, Jacobson K (1987) Benign positional vertigo: clinical and oculographic features in 240 cases. Neurology 37(3):371–378CrossRefPubMedGoogle Scholar
Katsarkas A, Kirkham TH (1978) Paroxysmal positional vertigo—a study of 255 cases. J Otolaryngol 7:320–330PubMedGoogle Scholar
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
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
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
Guharaj G (2002) Epidemiology of traumatic brain injuries: Indian scenario. Neurol Res 24:24–28CrossRefGoogle Scholar
Griffiths MV (1979) The incidence of auditory vestibular concussion following minor head injury. J Laryngol Otol 93:253–265CrossRefPubMedGoogle Scholar
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
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
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
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