the effect serum vitamin d normalization in preventing recurrences of benign paroxysmal positional vertigo .a case-control study
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چکیده
background: benign paroxysmal positional vertigo (bppv) is a condition with recurrent attacks in a significant proportion of patients. the present case- control study was conducted to assess the influence of serum vitamin d normalization on recurrent attacks of vitamin d deficient patients. methods: diagnosis of bppv was made based on history and clinical examination and exclusion of other conditions. serum 25-hydroxy vitamin d (25-ohd) was measured using elisa method and a levels of < 20 ng/ml was considered a deficiency of vitamin d. inclusion criteria were as follows: history of recurrent attacks and serum 25-ohd<20.ng/ml. while the patients with history of trauma, surgery and chronic systemic diseases were excluded. the patients were classified into two groups: treatment and control, intermittently. both groups received epley rehabilitation therapy one session per week for 4 weeks but the treatment group received an additional supplement of 50.000 iu of vitamin d (cholecalciferol) weekly for two months to achieve serum 25-ohd ≥ 30 ng/ml and the study patients were followed-up for 6 months. results: twenty-seven patients were allocated to each group. at baseline, serum 25-ohd was similar (10.7±2.3 vs 11.41±1.9, p=0.23). at month 2, serum 25-ohd in the treatment group increased significantly to ≥ 30 ng/ ml, whereas serum 25-ohd in the control group remained unchanged (34.2±3.3 vs 10.6 10.6±2.2 ng/ml, p=0.001). during the follow-up period, attacks of bppv in the treatment group decreased significantly compared with the control group (14.8% vs 96.3% or= 0.18, p=0.001). conclusion: the findings of this study indicate that the normalization of serum vitamin d significantly reduces bppv recurrences.
منابع مشابه
The effect serum vitamin D normalization in preventing recurrences of benign paroxysmal positional vertigo .a case-control study
Background: Benign paroxysmal positional vertigo (BPPV) is a condition with recurrent attacks in a significant proportion of patients. The present case- control study was conducted to assess the influence of serum vitamin D normalization on recurrent attacks of vitamin D deficient patients. Methods: Diagnosis of BPPV was made based on history and clinical examination and exclusion of other c...
متن کاملThe effect of serum vitamin D normalization in preventing recurrences of benign paroxysmal positional vertigo: A case-control study
BACKGROUND Benign paroxysmal positional vertigo (BPPV) is a condition with recurrent attacks in a significant proportion of patients. The present case- control study was conducted to assess the influence of serum vitamin D normalization on recurrent attacks of vitamin D deficient patients. METHODS Diagnosis of BPPV was made based on history and clinical examination and exclusion of other cond...
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Background: Benign paroxysmal positional vertigo (BPPV) is linked to vitamin D deficiency. This clinical trial aimed to determine the influence of vitamin D supplementation on intensity of BPPV. Methods: The study population was selected consecutively and the diagnosis of BPPV was made by history and clinical examination and exclusion of other conditions. Intensity of BPVV was assessed based...
متن کاملSerum vitamin D and recurrent benign paroxysmal positional vertigo
OBJECTIVES The objective of the present study was to examine the effects of serum 25-hydroxyvitamin D concentrations on patients diagnosed with benign paroxysmal positional vertigo (BPPV) on BPPV recurrence. STUDY DESIGN Case series. METHODS A retrospective review of 232 patients diagnosed with BPPV visiting the clinic between June 2014 and June 2015 was performed. All patients underwent a ...
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OBJECTIVE Benign paroxysmal positional vertigo (BPPV) is a common type of vertigo caused by the peripheral vestibular system. The majority of cases are accepted as idiopathic. Calcium metabolism also plays a primary role in the synthesis/absorption of otoconia made of calcium carbonate and thus might be an etiological factor in the onset of BPPV. In this study, we aimed to investigate the role ...
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Background and Objective: Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo with peripheral origin, and its psychologic consequences frequently ignored by clinicians. In this regard, the present study aimed to investigate the effects of BPPV on patient auditory-verbal memory. Materials and Methods: In this cross-sectional study, a total of 40 volunteer patients wi...
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عنوان ژورنال:
caspian journal of internal medicineجلد ۷، شماره ۳، صفحات ۱۷۳-۱۷۷
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