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Dyukova G.M.

Loginov Moscow Clinical Research Practical Center

Kryukov A.I.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Makarov S.A.

Center for Surgical Treatment of Obesity and Metabolic Disorders — St. George Hospital

Guseva A.L.

Pirogov Russian National Research Medical University

Olimpieva S.P.

Pirogov Russian National Research Medical University

A method for prediction functional dizziness after benign paroxysmal positional vertigo

Authors:

Dyukova G.M., Kryukov A.I., Makarov S.A., Guseva A.L., Olimpieva S.P.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(5): 120‑125

DOI: 10.17116/jnevro2021121051120

Read: 5094 times

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Table of contents

A METHOD FOR PREDICTION FUNCTIONAL DIZZINESS AFTER BENIGN PAROXYSMAL POSITIONAL VERTIGO
A METHOD FOR PREDICTION FUNCTIONAL DIZZINESS AFTER BENIGN PAROXYSMAL POSITIONAL VERTIGO

To cite this article:

Dyukova GM, Kryukov AI, Makarov SA, Guseva AL, Olimpieva SP. A method for prediction functional dizziness after benign paroxysmal positional vertigo. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(5):120‑125. (In Russ.)
https://doi.org/10.17116/jnevro2021121051120

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To identify risk factors for functional vertigo (FV) in patients with benign paroxysmal positional vertigo (BPPV) based on the analysis of emotional and personality disorders at the time of the occurrence of BPPV and to develop a method for predicting its development.

MATERIAL AND METHODS

The study included 93 people, 81 women (87.1%), with benign paroxysmal positional vertigo (BPPV), aged 18 to 65 years, mean age 50 [41.5; 59]). After successful treatment with repositioning maneuvers, patients were re-examined 1 month later. Fifty-three patients underwent a semi-structured interview to identify a history of panic attacks (PA) using DSM-5 diagnostic criteria. After successful BPPV treatment, patients completed the following scales and questionnaires: Dizziness Handicap Inventory (DHI), Vertigo Symptom Scale Short form (VSS-SF), Numeric analog scale of fear (from 0 to 10), Depersonalization-Derealization Inventory (DDI), PHQ-9, GAD-7, PHQ-15, Holmes-Rahe Stress Inventory, Anxiety Sensitivity Index (ASI).

RESULTS

The cohort was divided into two groups according to the presence (group 1, n=17) or absence (group 2, n=76) of complaints for dizziness 1 month after BPPV. The frequency of PA history in group 1 was higher than in group 2 (80 vs 29.3%). Patients from group 1 had higher rates in all scales: DHI (57 vs 49, p=0.048), subscale DHI-E (18 vs 12, p=0.006), and subscale A VSS-SF (9 vs 5, p=0.03); DDI (18 vs 11, p=0.01), GAD-7 (13 vs 4), p=0.0002), Numeric analog scale of fear (10 vs 5, p<0.00005), ASI (55.5 vs 36.5, p<0.005). We developed a predictive method for diagnosis FD after BPPV, which sensitivity is 78.9% (95% CI 67.80—86.94) and specificity 94.12% (95% CI 71.31—99.85).

CONCLUSION

The likelihood of developing FV after BPPV can be predicted using the proposed predictive method. Early screening for FV can be used to prevent persistent postural-perceptual dizziness.

Keywords:

functional dizziness
benign paroxysmal positional vertigo
persistent postural-perceptual dizziness
panic attack

Authors:

Dyukova G.M.

Loginov Moscow Clinical Research Practical Center

Kryukov A.I.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Makarov S.A.

Center for Surgical Treatment of Obesity and Metabolic Disorders — St. George Hospital

Guseva A.L.

Pirogov Russian National Research Medical University

Olimpieva S.P.

Pirogov Russian National Research Medical University

Received:

23.02.2021

Accepted:

24.02.2021

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