Evidence map›Paper›PMID 31534374›Full record

ArticleClinical pharmacology : advances and applications2019

Approach to residual dizziness after successfully treated benign paroxysmal positional vertigo: effect of a polyphenol compound supplementation.

Augusto Pietro Casani, Elena Navari, Roberto Albera, Giuseppe Agus, Giacinto Asprella Libonati, Giuseppe Chiarella, Nicola Lombardo, Vincenzo Marcelli, Giovanni Ralli, Leonardo Scotto di Santillo and 3 more

Open access · goldAbstract read
In one paragraph

Article in Clinical pharmacology : advances and applications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

13 citing papers in PubMed, 16 citations in OpenAlex.

  1. Vestibular deficit and recovery in rare forms of benign paroxysmal positional vertigo with downbeat nystagmus.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 · 2026
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  6. The Pharmacological Treatment of Pediatric Vertigo.Children (Basel, Switzerland) · 2022
    Review
  7. [The research progress of residual dizziness after reduction of benign paroxysmal positional vertigo].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2022
    Review
  8. Observational
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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

13 authors at 10 institutions in 1 country.

Augusto Pietro CasaniDepartment of Medical and Surgical Pathology, Otorhinolaryngology Section, Pisa University, Pisa, Italy.
Elena NavariDepartment of Medical and Surgical Pathology, Otorhinolaryngology Section, Pisa University, Pisa, Italy.
Roberto AlberaDivision of Otorhinolaryngology, Department of Surgical Sciences, University of Turin School of Medicine, Turin, Italy.
Giuseppe AgusOtorhinolaryngology, Private Practice, Cagliari, Italy.
Giacinto Asprella LibonatiEar, Nose and Throat Department, Unit of Audiology, Vestibology and Phoniatry, Madonna delle Grazie Hospital, Matera, Italy.
Giuseppe ChiarellaDepartment of Experimental and Clinical Medicine, Unit of Audiology and Phoniatrics, Magna Græcia University, Catanzaro, Italy.
Nicola LombardoOtorhinolaryngology Section, Mater Domini University, Catanzaro, Italy.
Vincenzo MarcelliDepartment of Neuroscience, Vestibular and Audiology Unit, University of Naples "Federico II", Naples, Italy.
Giovanni RalliDepartment of Sense Organs, Sapienza University of Rome, Rome, Italy.
Leonardo Scotto di SantilloVestibology and Vestibular Rehabilitation Unit, Antero Micone Hospital, Genoa, Italy.
Roberto TeggiEar, Nose and Throat Department, San Raffaele Scientific Hospital, Milan, Italy.
Pasquale ViolaDepartment of Experimental and Clinical Medicine, Unit of Audiology and Phoniatrics, Magna Græcia University, Catanzaro, Italy.
Luigi CalifanoAudiovestibology Unit, G. Rummo Hospital, Benevento, Italy.
Magna Graecia University · ITUniversity of Pisa · ITAzienda Ospedaliera G.Rummo · ITAzienda Ospedaliero Universitario Mater Domini · ITOspedale Madonna Delle Grazie · ITSan Raffaele University of Rome · ITSapienza University of Rome · ITUniversity of Cagliari · ITUniversity of Naples Federico II · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess if a polyphenol compound supplementation (Vertigoval

methodsIn this prospective, multicentric study, 127 patients were randomized in the treatment group (TG), who received a 60-day supplementation, while 131 patients were randomized in the control group (CG), who did not receive any medication. The dizziness handicap inventory (DHI) score, static posturography, and the visual analog scale (VAS) for both dizziness (D-VAS) and nausea/vomit (N/V-VAS) were used as measures of outcome at baseline and after 30 and 60 days. Patients were asked about efficacy and tolerance to the treatment. Side effects were examined.

resultsA statistically significant greater decrease was established in the TG for DHI, D-VAS, and N/V-VAS compared to the CG. On the other hand, static posturography did not show statistical differences between the two groups, though a better clinical improvement after 60-day supplementation was shown in the TG in comparison to the CG. We counted mild side effects in only 2 patients. Most patients reported an excellent or good efficacy and tolerance to the treatment.

conclusionResidual dizziness is a frequent condition of unknown origin that manifests as persistent disabling imbalance after successful repositioning maneuvers for BPPV. The decreasing postural control can affect the quality of life, contributing to falling and psychological problems. The supplementation with the polyphenol compound used in our study is safe, manageable, and appeared to be able to reduce subjective symptoms and improve instability earlier, decreasing the risk of potential complications.

Indexed as

benignBPPVparoxysmal positional vertigoresidual dizzinessVertigoval®

Identifiers

PMID31534374
PMCPMC6681902
OpenAlexW2965793274

What OpenQuestion holds

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LicenceCC BY-NC
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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.