Evidence map›Paper›PMID 31467509›Full record

ArticleJournal of otology2019

Probable benign paroxysmal positional vertigo, spontaneously resolved: Incidence in medical practice, patients' characteristics and the natural course.

M G Álvarez-Morujo de Sande, R González-Aguado, G Guerra-Jiménez, E Domènech-Vadillo, H Galera-Ruiz, E Figuerola-Massana, Á Ramos-Macías, C Morales-Angulo, A J Martín-Mateos, E Domínguez-Durán

Open access · diamondAbstract read
In one paragraph

Article in Journal of otology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.7field-weighted citation impact, top 29% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Life after benign paroxysmal positional vertigo: one-year analysis of recurrence, headaches, neck pain, falls, and functional vestibular symptoms.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Observational
  3. Review
  4. Review
  5. Minimal Stimulus Strategy in Benign Paroxysmal Positional Vertigo: Its Application in a Resource Limited Setting.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  6. Management Protocol for the Unilateral Posterior Canal - Benign Paroxysmal Positional Vertigo - A Prospective Observational Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  7. Article
  8. Recurring benign paroxysmal positional vertigo after successful canalith repositioning manoeuvers.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2023
    Article
  9. Article
  10. Article
  11. Analysis of the effectiveness of the prophylaxis of vestibular migraine depending on the diagnostic category and the prescribed drug.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2020
    Article
  12. Article
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

10 authors at 4 institutions in 1 country.

M G Álvarez-Morujo de SandeHospital Universitario Puerta del Mar, Cádiz, Spain.
R González-AguadoHospital Universitario Marqués de Valdecilla, Santander, Spain.
G Guerra-JiménezComplejo Hospitalario Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, Spain.
E Domènech-VadilloHospital Universitari Joan XXIII, Tarragona, Spain.
H Galera-RuizHospital Infanta Luisa, Sevilla, Spain.
E Figuerola-MassanaHospital Universitari Joan XXIII, Tarragona, Spain.
Á Ramos-MacíasComplejo Hospitalario Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, Spain.
C Morales-AnguloHospital Universitario Marqués de Valdecilla, Santander, Spain.
A J Martín-MateosHospital Universitario Puerta del Mar, Cádiz, Spain.
E Domínguez-DuránHospital Infanta Luisa, Sevilla, Spain.
Hospital Universitari Joan XXIII de Tarragona · ESHospital Universitario Insular de Gran Canaria · ESHospital Universitario Puerta del Mar · ESMarqués de Valdecilla University Hospital · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProbable benign paroxysmal positional vertigo, spontaneously resolved (pBPPVsr), is a variant of benign paroxysmal positional vertigo (BPPV) in which there is no observable nystagmus and no vertigo with any positional maneuver.

objectivesTo calculate the incidence pBPPVsr, compare the characteristics of the patients with pBPPVsr and BPPV not spontaneously resolved and describe the spontaneous resolution in the natural course of BPPV.

methodsMulticenter prospective descriptive study. During a one-year period, all patients with suspected BPPV that presented to the Neurotology Units of five participating centers were recruited. The incidence of pBPPVsr was calculated as a percentage of the total number of patients with BPPV. The prevalence of several variables was compared between pBPPVsr and BPPV not spontaneously resolved. The timing of spontaneous resolution was estimated using Kaplan-Meier curves.

results457 patients met the inclusion criteria. The incidence of pBPPVsr was 33.5%. It was significantly higher in males, in patients with normal bone mass and in patients who were not taking sulpiride. A rate of 18% of spontaneous resolution after the first month and 51% after the first year was found. This percentage did not change in a significant way after this moment. The curves for males, patients under 50 and patients with normal blood pressure decreased significantly faster.

conclusionsIn our serie, BPPV spontaneously resolved in half of the patients with BPPV during the first year. This seemed to occur more commonly in males and could have been hindered by sulpiride intake, osteoporosis, advanced age and high blood pressure.

Indexed as

Benign paroxysmal positional vertigoHypertensionOsteoporosisProbable benign paroxysmal positional vertigo, spontaneously resolvedSulpiride

Identifiers

PMID31467509
PMCPMC6712351
OpenAlexW2940491438

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.