Evidence map›Paper›PMID 30464434›Full record

ReviewClinical interventions in aging2018

Benign paroxysmal positional vertigo in the elderly: current insights.

D G Balatsouras, G Koukoutsis, A Fassolis, A Moukos, A Apris

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Clinical interventions in aging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06760975 (Comparative Effects of Vestibular Habituation and Ocular Reflex Exercises on Gait Stability, Dizziness Severity, and Fear of Fall in Elderly Population With Vertigo), which is not on this map. Cited by 43 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 4 pooled it
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06760975 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Comparative Effects of Vestibular Habituation and Ocular Reflex Exercises on Gait Stability, Dizziness Severity, and Fear of Fall in Elderly Population With Vertigo

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2025Enrolled50ConditionsVertigoArmsVestibular Habituation Exercises, Ocular Reflex Excercises
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 4 syntheses or guidelines pooled it, 156 citations in OpenAlex.

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  5. Randomized Controlled Trial Assessing Vitamin D's Role in Reducing BPPV Recurrence in Older Adults.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

D G BalatsourasDepartment of ENT, Tzanion General Hospital of Piraeus, Piraeus, Greece, dbalats@hotmail.com.
G KoukoutsisDepartment of ENT, Tzanion General Hospital of Piraeus, Piraeus, Greece, dbalats@hotmail.com.
A FassolisDepartment of ENT, Tzanion General Hospital of Piraeus, Piraeus, Greece, dbalats@hotmail.com.
A MoukosDepartment of ENT, Tzanion General Hospital of Piraeus, Piraeus, Greece, dbalats@hotmail.com.
A AprisDepartment of ENT, Nicosia General Hospital, Nicosia, Cyprus.
Tzaneion General Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Balance disorders, unsteadiness, dizziness and vertigo in the elderly are a significant health problem, needing appropriate treatment. One third of elderly patients with vertigo were diagnosed with benign paroxysmal positional vertigo (BPPV), the most common cause of dizziness in both primary care specialist Neurology and Ear Nose Throat settings. BPPV presents a specific paroxysmal positional nystagmus which can be obtained using the appropriate diagnostic positional test and can be treated effectively using specific therapeutic maneuvers. This review presents current insights into the diagnostic, pathogenetic and therapeutic aspects of BPPV in the elderly. BPPV in older patients does not differ significantly from BPPV in younger patients, with regard to pathogenesis, diagnosis and treatment. However, in older patients, its prevalence is higher and it responds less effectively to treatment, having a tendency for recurrence. Specific issues which should be considered in the elderly are: 1) difficulty in obtaining an accurate history; 2) difficulty in performing the diagnostic and therapeutic maneuvers, which should be executed with slow and gentle movements and extremely cautiously to avoid any vascular or orthopedic complications; and 3) the relation between BPPV and falls.

Indexed as

Accidental FallsBenign Paroxysmal Positional VertigoCross-Sectional StudiesDiagnosis, DifferentialHumansNystagmus, PhysiologicOtolithic MembranePrimary Health CareRecurrenceSemicircular Canalsbalancebenign paroxysmal positional vertigodizzinesselderlyvestibular

Identifiers

PMID30464434
PMCPMC6223343
OpenAlexW2899127018

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.