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Evaluation of BPPV with vertebral artery values

Authors Yazıcı A, İnanç Y

Received 3 April 2018

Accepted for publication 16 May 2018

Published 6 August 2018 Volume 2018:14 Pages 1975—1979

DOI https://doi.org/10.2147/NDT.S169991

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 3

Editor who approved publication: Dr Roger Pinder


Alper Yazıcı,1 Yusuf İnanç2

1Otorhinolaryngology Department, University of Gaziantep Medical Faculty, Gaziantep, Turkey; 2Neurology Department, University of Gaziantep Medical Faculty, Gaziantep, Turkey

Objectives: The aim of this study was to investigate the association between benign paroxysmal positional vertigo (BPPV) and vertebral artery (VA) flow rates and diameters by using Doppler ultrasonography in patients with BPPV. Additionally, we aimed to investigate the abnormalities of VA values obtained by extracranial color-coded duplex sonography in BPPV, which could be accepted as a precursor lesion for posterior cerebral ischemic stroke.
Materials and methods: Between September 2017 to February 2018, 50 patients diagnosed with BPPV were enrolled in this study. Otorhinolaryngology medical examination and medical history assessment were performed at the otorhinolaryngology clinic. Afterward, neurologic examination and ultrasonography of VAs was undertaken in the neurology clinic of University of Gaziantep Medical Faculty.
Results: The types of BPPV found were as follows: right posterior in 27 (54%), right lateral in 4 (8%), left posterior in 16 (32%), and left lateral in 3 (6%), respectively. The most common variables found in the BPPV were smoking (26%), hypertension (26%), and hyperlipidemia (22%).
Conclusion: VA flow rates and diameters were found to be affected at the site of BPPV. These findings might suggest that BPPV could be related to an atherosclerotic milieu and may be a precursor clinical condition for future intracranial atherosclerotic diseases.

Keywords: benign paroxysmal positional vertigo, vertebral artery, Doppler ultrasonography, atherosclerotic disease

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