Citation

Haripriya GR, Mary P, Dominic M, Goyal R, Sahadevan A. Indian J. Otolaryngol. Head Neck. Surg. 2018; 70(3): 337-341.

Affiliation

2Medical Trust Hospital, Kochi, Kerala India.

Copyright

(Copyright © 2018, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s12070-018-1329-0

PMID

30211085

PMCID

PMC6127059

Abstract

The aim of this study is to assess the incidence of post traumatic BPPV and evaluate its treatment outcomes in mild and moderate traumatic head injury patients. The study population consisted of 128 patients (89 male:39 female) who were admitted with head and neck injury (Motor Vehicle Accident, Blow to the head, Fall from Height, Whiplash injury) as inpatients in Department of Neurosurgery in Tertiary care hospital in Kerala during a 2 month period from 1st April 2014 to 31st May 2014. The age range was 10-70 years and mean 39.8 with standard deviation 15.5. All cases were evaluated and serially followed up to a period of 6 months in Department of Otorhinolaryngology. In our study, the number of patients with mild injuries (Glasgow coma scale 13-15) were 108 and moderate injury (Glasgow coma scale 9-12) were 20. We found out that post traumatic BPPV was found to be 17% of the traumatic brain injury patients. All patients were treated with particle re-positioning maneuvers and were followed up for a period of 6 months. Recurrence were reported in 9 (40.9%) patients. In these patients re positioning maneuvers were repeated.

Language: en

Keywords

Benign paroxysmal positional vertigo (BPPV); Dix–Hallpike maneuver; Epleys maneuver; Traumatic brain injury (TBI)