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Review
. 2024 Oct 21;16(10):e72019.
doi: 10.7759/cureus.72019. eCollection 2024 Oct.

Addressing the Overlapping Challenges of Benign Paroxysmal Positional Vertigo (BPPV) and Persistent Postural-Perceptual Dizziness (PPPD): Impacts and Integrated Management

Jorge Madrigal  1 , Francisco Zuma E Maia  2 , Renato Cal  3 , Bernardo Faria Ramos  4 , Melissa Castillo-Bustamante  5   6
Affiliations
Review

Addressing the Overlapping Challenges of Benign Paroxysmal Positional Vertigo (BPPV) and Persistent Postural-Perceptual Dizziness (PPPD): Impacts and Integrated Management

Jorge Madrigal et al. Cureus. .

Abstract

Benign paroxysmal positional vertigo (BPPV) and persistent postural-perceptual dizziness (PPPD) are challenging vestibular disorders with overlapping symptoms that complicate diagnosis and treatment. BPPV causes transient vertigo with head movements, while PPPD involves persistent dizziness and unsteadiness. Both significantly impact the quality of life, including emotional well-being. This review examines the relationship between BPPV and PPPD, stressing the need for comprehensive, multidisciplinary management. Effective treatment must address both physical and psychological aspects, using personalized care, technological innovations, and patient education to improve outcomes and enhance the quality of life for those affected.

Keywords: benign paroxysmal positional vertigo; persistent postural perceptual dizziness; quality of life (qol); vestibular and balance rehabilitation; vestibular disorders.

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Conflict of interest statement

Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

References

    1. Preceding benign paroxysmal positional vertigo as a trigger for persistent postural-perceptual dizziness: which clinical predictors? Casani AP, Ducci N, Lazzerini F, Vernassa N, Bruschini L. Audiol Res. 2023;13:942–951. - PMC - PubMed
    1. Benign paroxysmal positional vertigo: diagnostic criteria. von Brevern M, Bertholon P, Brandt T, Fife T, Imai T, Nuti D, Newman-Toker D. J Vestib Res. 2015;25:105–117. - PubMed
    1. Benign paroxysmal positional vertigo. Imai T, Inohara H. Auris Nasus Larynx. 2022;49:737–747. - PubMed
    1. Knight B, Bermudez F, Shermetaro C. StatPearls [Internet] Treasure Island, FL: StatPearls Publishing; 2024. Persistent postural-perceptual dizziness. - PubMed
    1. Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society. Staab JP, Eckhardt-Henn A, Horii A, Jacob R, Strupp M, Brandt T, Bronstein A. J Vestib Res. 2017;27:191–208. - PMC - PubMed

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