The prevalence of benign paroxysmal positional vertigo in patients with osteoporosis

Eur Arch Otorhinolaryngol. 2018 Dec;275(12):3083-3086. doi: 10.1007/s00405-018-5164-4. Epub 2018 Oct 12.


Background: Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of dizziness. There is some evidence that osteoporosis is a risk factor for BPPV.

Objective: To determine the prevalence of BPPV in patients with proven osteoporosis.

Materials and methods: We examined 187 new consecutive patients who attended our osteoporosis clinic. All patients had proven osteoporosis (DEXA scan resulting in a T score ≤ - 2.5). Patients completed a screening questionnaire assessing the presence of episodic vertigo provoked by changes in head position. When we suspected the presence of BPPV, we performed a Dix-Hallpike manoeuvre and a supine roll test. If the diagnostic procedure was positive, a (therapeutic) canalith repositioning manoeuvre (CRM) was performed.

Results: Twelve out of 187 patients had a history of typical vertigo compatible with BPPV. In four patients, the presence of BPPV was confirmed by means of a positive Dix-Hallpike manoeuvre. The prevalence of BPPV in this population of patients with osteoporosis was 2.1% (95% CI 0.8-5.4%).

Conclusion: The prevalence of BPPV in patients with osteoporosis is low. Based on this study, we suggest that there does not seem to be a relation between osteoporosis and BPPV.

Keywords: BPPV; Osteoporosis; Vertigo.

MeSH terms

  • Absorptiometry, Photon
  • Adult
  • Aged
  • Aged, 80 and over
  • Benign Paroxysmal Positional Vertigo / diagnosis
  • Benign Paroxysmal Positional Vertigo / epidemiology*
  • Benign Paroxysmal Positional Vertigo / therapy
  • Cohort Studies
  • Dizziness / etiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Osteoporosis / complications*
  • Prevalence