Benign paroxysmal positioning vertigo: a long-term follow-up (6-17 years) of 125 patients

Acta Otolaryngol. 2006 Feb;126(2):160-3. doi: 10.1080/00016480500280140.


Conclusions: The study disclosed a few predictive factors for benign paroxysmal positioning vertigo (BPPV) recurrences, which are clinically relevant and essential for patient awareness of the often long-term course of the condition.

Objectives: To determine the long-term recurrence rate of posterior canal BPPV after successful liberatory maneuvers.

Methods: A retrospective self-evaluation questionnaire with a structured interview was conducted 6-17 years after assessment of the diagnosis in 125 patients.

Results: The recurrence rate in patients with a mean follow-up of 10 years was 50%. Most recurrences (80%) were within the first year after treatment, irrespective of the liberatory maneuver applied. None of the patients observed a recurrence after a symptom-free period of 8 years. Recurrences were seen significantly more often in women (58% versus 39%). The recurrence rate of patients in the seventh decade was half that of those in the sixth decade (p=0.0009). A history of three or more BPPV attacks prior to treatment indicated a higher risk of impending multiple recurrences in about two-thirds of the patients.

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Recurrence
  • Retrospective Studies
  • Risk Factors
  • Surveys and Questionnaires
  • Vertigo / epidemiology*
  • Vertigo / etiology*