Premium
Clinical features and outcomes of benign recurrent vertigo: A longitudinal study
Author(s) -
Pan Qi,
Zhang Yixin,
Zhang Shanshan,
Wang Weiheng,
Jiang Huahua,
Fan Yulan,
Zhou Jiying
Publication year - 2020
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/ane.13214
Subject(s) - vertigo , medicine , migraine , neurology , benign paroxysmal positional vertigo , pediatrics , outpatient clinic , prospective cohort study , surgery , anesthesia , psychiatry
Objective To study the demographics, vertigo profiles, and outcomes of adult patients with benign recurrent vertigo (BRV). Patients and methods This prospective study included patients with BRV who were admitted to a tertiary neurology clinic between June 2013 and June 2017. All patients underwent detailed clinical interviews and related examinations. A follow‐up was then conducted through an outpatient or telephone interview. Results A total of 66 patients (48 females) were enrolled, and the mean age at the onset of vertigo was 35.2 years. Spontaneous vertigo was the most common type (77.8%), followed by positional vertigo (16.7%). The duration of vertigo attacks varied from minutes to 72 hours. A family history of migraine and/or recurrent vertigo was reported in 51.5% of patients. The overall response rate was 80.3%53/66after a median follow‐up time of 32.5 months (range: 18‐60 months). Forty (75.5%, of 53) patients still reported having vertigo attacks at the follow‐up. The frequency of vertigo attacks was reduced in 32 (60.4%) patients and was unchanged in 8 (15.1%). Four (7.5%) cases developed into vestibular migraine, but none developed into Meniere's disease. Conclusion The outcomes of patients with BRV were benign, and the frequency of vertigo is significantly reduced. Few cases developed into vestibular migraine.