Page 84 - GALENIKA MEDICAL JOURNAL

vertigo that is most often encountered in clinical practice. This narrative review aimed to indicate the latest guidelines and
to provide an overview of the most important information related to the timely diagnosis and treatment of patients with
this form of vertigo. We discussed the etiology and pathophysiology of the disease, the clinical picture, the paths of making
the correct diagnosis, and the most effective types of treatment. A brief overview of the results of the research conducted
in our country on the familiarity of clinicians with the guidelines and their application is also given. To avoid late diagnosis,
delay in treatment, and additional costs of diagnostic procedures and examinations, it is necessary to formulate a strategy
at the national level and constantly educate medical students, general practitioners, as well as doctors of other specialties
about this disorder and its treatment methods.

Keywords: BBPV, cupulolithiasis, canalolithiasis, positional test, guidelines

Literatura 19. Kim SK, Hong SM, Park IS, Choi HG. Association Between Migraine and
Benign Paroxysmal Positional Vertigo Among Adults in South Korea.
JAMA Otolaryngol Head Neck Surg. 2019 Apr 1;145(4):307-12.
1. Semont A, Freyss G, Vitte E. Curing the BPPV with a liberatory 20. Parnes LS, McClure JA. Free-floating endolymph particles: a new
maneuver. Adv Otorhinolaryngol. 1988;42:290-3. operative finding during posterior semicircular canal occlusion.
2. Epley JM. The canalith repositioning procedure: for treatment of benign Laryngoscope. 1992 Sep;102(9):988-92.
paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 1992 21. von Brevern M, Bertholon P, Brandt T, Fife T, Imai T, Nuti D, et al.
Sep;107(3):399-404. Benign paroxysmal positional vertigo: Diagnostic criteria. J Vestib Res.
3. Baloh RW, Honrubia V, Jacobson K. Benign positional vertigo: clinical 2015;25(3-4):105-17.
and oculographic features in 240 cases. Neurology. 1987 Mar;37(3):371- 22. Yao Q, Wang H, Song Q, Shi H, Yu D. Use of the Bárány Society criteria to
8. diagnose benign paroxysmal positional vertigo. J Vestib Res. 2018;28(5-
4. Messina A, Casani AP, Manfrin M, Guidetti G. Italian survey on benign 6):379-84.
paroxysmal positional vertigo. Acta Otorhinolaryngol Ital. 2017 23. Power L, Murray K, Szmulewicz DJ. Characteristics of assessment and
Aug;37(4):328-35. treatment in Benign Paroxysmal Positional Vertigo (BPPV). J Vestib Res.
5. Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife 2020;30(1):55-62.
T, et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo 24. Hilton MP, Pinder DK. The Epley (canalith repositioning) manoeuvre for
(Update). Otolaryngol Head Neck Surg. 2017 Mar;156(3_suppl):S1-S47. benign paroxysmal positional vertigo. Cochrane Database Syst Rev.
6. Wang H, Yu D, Song N, Su K, Yin S. Delayed diagnosis and treatment of 2014 Dec 8;(12):CD003162.
benign paroxysmal positional vertigo associated with current practice. 25. Mandalà M, Salerni L, Nuti D. Benign Positional Paroxysmal Vertigo
Eur Arch Otorhinolaryngol. 2014 Feb;271(2):261-4. Treatment: a Practical Update. Curr Treat Options Neurol. 2019 Dec
7. Balatsouras DG, Koukoutsis G, Fassolis A, Moukos A, Apris A. Benign 5;21(12):66.
paroxysmal positional vertigo in the elderly: current insights. Clin Interv 26. Zhu CT, Zhao XQ, Ju Y, Wang Y, Chen MM, Cui Y. Clinical Characteristics
Aging. 2018 Nov 5;13:2251-66. and Risk Factors for the Recurrence of Benign Paroxysmal Positional
8. van der Zaag-Loonen HJ, van Leeuwen RB, Bruintjes TD, van Munster Vertigo. Front Neurol. 2019 Nov 13;10:1190.
BC. Prevalence of unrecognized benign paroxysmal positional vertigo in 27. Male AJ, Ramdharry GM, Grant R, Davies RA, Beith ID. A survey of
older patients. Eur Arch Otorhinolaryngol. 2015 Jun;272(6):1521-4. current management of Benign Paroxysmal Positional Vertigo (BPPV)
9. Dix MR, Hallpike CS. The pathology, symptomatology and diagnosis of by physiotherapists' interested in vestibular rehabilitation in the UK.
certain common disorders of the vestibular system. Ann Otol Rhinol Physiotherapy. 2019 Sep;105(3):307-14.
Laryngol. 1952 Dec;61(4):987-1016. 28. Harrell RG, Hart R, Jen JC, Whitney SL. Surveying physical therapists'
10. Fu CY, Zhang ZZ, Chen J, Jaiswal SK, Yan FL. Unhealthy Lifestyle Is an understanding of benign paroxysmal positional vertigo. Front Rehabil
Important Risk Factor of Idiopathic BPPV. Front Neurol. 2020 Oct Sci. 2023 Aug 17;4:1228453.
15;11:950. 29. Bukurov B, Nenezic D, Pot D, Radivojevic N, Ivosevic T, Jotic A. Adoption
11. Türk B, Akpinar M, Kaya KS, Korkut AY, Turgut S. Benign Paroxysmal of clinical practice guidelines in cases of benign paroxysmal positional
Positional Vertigo: Comparison of Idiopathic BPPV and BPPV Secondary vertigo. Eur Arch Otorhinolaryngol. 2023 Oct;280(10):4477-83.
to Vestibular Neuritis. Ear Nose Throat J. 2021 Aug;100(7):532-5. 30. Bressi F, Vella P, Casale M, Moffa A, Sabatino L, Lopez MA, et al.
12. Mandalà M, Santoro GP, Awrey J, Nuti D. Vestibular neuritis: recurrence Vestibular rehabilitation in benign paroxysmal positional vertigo:
and incidence of secondary benign paroxysmal positional vertigo. Acta Reality or fiction? Int J Immunopathol Pharmacol. 2017 Jun;30(2):113-22.
Otolaryngol. 2010 May;130(5):565-7. 31. Nahm H, Han K, Shin JE, Kim CH. Benign Paroxysmal Positional
13. Gross EM, Ress BD, Viirre ES, Nelson JR, Harris JP. Intractable benign Vertigo in the Elderly: A Single-center Experience. Otol Neurotol. 2019
paroxysmal positional vertigo in patients with Meniere's disease. Dec;40(10):1359-62.
Laryngoscope. 2000 Apr;110(4):655-9. 32. Kong TH, Song MH, Shim DB. Recurrence Rate and Risk Factors of
14. Balatsouras DG. Benign paroxysmal positional vertigo with multiple Recurrence in Benign Paroxysmal Positional Vertigo: a Single-Center
canal involvement. Am J Otolaryngol. 2012 Mar-Apr;33(2):250-8. Long-Term Prospective Study With a Large Cohort. Ear Hear. 2022 Jan/
Feb;43(1):234-41.
15. Balatsouras DG, Koukoutsis G, Aspris A, Fassolis A, Moukos A,
Economou NC, et al. Benign Paroxysmal Positional Vertigo Secondary to 33. Nuti D, Zee DF, Mandalà M. Benign Paroxysmal Positional Vertigo: What
Mild Head Trauma. Ann Otol Rhinol Laryngol. 2017 Jan;126(1):54-60. We Do and Do Not Know. Semin Neurol. 2020 Feb;40(1):49-58.
16. Yamanaka T, Shirota S, Sawai Y, Murai T, Fujita N, Hosoi H. Osteoporosis
as a risk factor for the recurrence of benign paroxysmal positional
vertigo. Laryngoscope. 2013 Nov;123(11):2813-6. Konflikt interesa: Nema
17. Kim SY, Han SH, Kim YH, Park MH. Clinical features of recurrence and Primljeno: 30. 09. 2023.
osteoporotic changes in benign paroxysmal positional vertigo. Auris
Nasus Larynx. 2017 Apr;44(2):156-61. Prihvaćeno: 19. 10. 2023.
18. Atacan E, Sennaroglu L, Genc A, Kaya S. Benign paroxysmal positional Onlajn: 01. 12. 2023.
vertigo after stapedectomy. Laryngoscope. 2001 Jul;111(7):1257-9.

82 DOI: 10.5937/Galmed2308080B