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Clinical Autonomic Research

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01-02-2010 | Research Article

Benign paroxysmal positional vertigo and orthostatic hypotension

Authors: Matteo Pezzoli, Massimiliano Garzaro, Giancarlo Pecorari, Manuele Cena, Carlo Giordano, Roberto Albera

Published in: Clinical Autonomic Research | Issue 1/2010

Abstract

Objective

The aim of this study was to investigate a possible correlation between post-benign paroxysmal positional vertigo (BPPV) dizziness and orthostatic hypotension (OH) using the head-up tilt test (HUTT).

Methods

Twenty-nine patients previously affected by BPPV and successfully underwent repositioning maneuvers were tested using the HUTT.

Results

Our data do not show a statistically significant relationship between OH and the persistence of balance disorders after recovery from BPPV; anyway the prevalence of OH in the overall sample (34%) and in subjects affected by balance disorders after recovery (40%), was higher than in the general population.

Interpretation

it is reasonable to hypothesize that OH plays a role in the genesis of orthostatic dizziness that patients commonly experience after recovery from BPPV. To improve the sensitivity of the HUTT, it would be advisable to use non-invasive continuous blood pressure monitoring. Although we feel that additional data are needed, we believe that the present work underlines the importance of considering anomalies of the autonomic system in the differential diagnosis of dizziness and could offer the basis for further studies about the role of sympathetic reflexes in those cases of persistence of symptoms after recovery from BPPV.

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Title: Benign paroxysmal positional vertigo and orthostatic hypotension
Authors: Matteo Pezzoli
Massimiliano Garzaro
Giancarlo Pecorari
Manuele Cena
Carlo Giordano
Roberto Albera
Publication date: 01-02-2010
Publisher: Springer-Verlag
Published in: Clinical Autonomic Research / Issue 1/2010
Print ISSN: 0959-9851
Electronic ISSN: 1619-1560
DOI: https://doi.org/10.1007/s10286-009-0032-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Benign paroxysmal positional vertigo and orthostatic hypotension

Abstract

Objective

Methods

Results

Interpretation

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Interpretation

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