Relationship between bone mineral density and clinical features in women with idiopathic benign paroxysmal positional vertigo.
OBJECTIVE
To evaluate the relationship between bone mineral density (BMD) and clinical features in women with idiopathic benign paroxysmal positional vertigo (IBPPV).


METHODS
Prospective study.


METHODS
Tertiary referral center.


METHODS
Patients with BMD measurements made after a diagnosis of IBPPV were included. The IBPPV (n = 78) and control groups (n = 177) were divided into ordinal age categories of similar size. Group A (n = 20) patients were aged 20 to 39 years, Group B (n = 21) patients were aged 40 to 49 years, Group C (n = 18) patients were aged 50 to 59 years, and Group D (n = 19) patients were aged 60 to 69 years.


METHODS
In each age range, the BMD values were compared according to the number of canalith repositioning maneuvers (CRMs) or the presence of recurrence. We divided all patients into 2 groups with the normal and abnormal BMD values and compared both groups based on the number of CRMs or the frequency of recurrence.


METHODS
The BMD value, the number of CRMs, and the presence of recurrence.


RESULTS
In Groups A, B, and C, there was a significant difference in the BMD values between the control, 1-visit, and 2-or-more-visits subgroups. In Group D, the 2-or-more-visits subgroup had a lower BMD value than other subgroups. The difference in the number of CRMs between the normal and abnormal BMD groups was significant. In Groups A and B, there was a significant difference in the BMD values between the control, first-attack, and recurrent-attacks subgroups. In Groups C and D, the recurrent-attacks subgroup had lower BMD values than other subgroups. The difference in the frequency of recurrence between the normal and abnormal BMD groups was significant.


CONCLUSIONS
Patients with IBPPV had lower BMD values compared with control subjects, and patients with low BMD values showed a significant increase in the number of CRMs required and the recurrence rate.
Jang
Yoon Seok
YS
Department of Otorhinolaryngology-Head and Neck Surgery, Dong-A University College of Medicine, Busan, Korea.
Kang
Myung-Koo
MK
D000328:Adult; D017677:Age Distribution; D000368:Aged; D015519:Bone Density; D004424:Ear Canal / Q000502:physiology / Q000503:physiopathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D011187:Posture / Q000502:physiology; D011446:Prospective Studies; D014717:Vertigo / Q000503:physiopathology*; D055815:Young Adult