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:: Volume 7, Issue 3 (7-2016) ::
Caspian J Intern Med 2016, 7(3): 173-177 Back to browse issues page
The effect serum vitamin D normalization in preventing recurrences of benign paroxysmal positional vertigo .a case-control study
Mahboobeh Sheikhzadeh, Yones Lotfi , Abdollah Mousavi, Behzad Heidari, Enayatollah Bakhshi
Department of Audiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. , yones1333@gmail.com
Abstract:   (5630 Views)

Background: Benign paroxysmal positional vertigo (BPPV) is a condition with recurrent attacks in a significant proportion of patients. The present case- control study was conducted to assess the influence of serum vitamin D normalization on recurrent attacks of vitamin D deficient patients.

Methods: Diagnosis of BPPV was made based on history and clinical examination and exclusion of other conditions. Serum 25-hydroxy vitamin D (25-OHD) was measured using ELISA method and a levels of < 20 ng/ml was considered a deficiency of vitamin D. Inclusion criteria were as follows: history of recurrent attacks and serum 25-OHD<20.ng/ml. While the patients with history of trauma, surgery and chronic systemic diseases were excluded. The patients were classified into two groups: treatment and control, intermittently. Both groups received Epley rehabilitation therapy one session per week for 4 weeks but the treatment group received an additional supplement of 50.000 IU of vitamin D (cholecalciferol) weekly for two months to achieve serum 25-OHD ≥ 30 ng/ml and the study patients were followed-up for 6 months.

Results: Twenty-seven patients were allocated to each group. At baseline, serum 25-OHD was similar (10.7±2.3 vs 11.41±1.9, P=0.23). At month 2, serum 25-OHD in the treatment group increased significantly to ≥ 30 ng/ ml, whereas serum 25-OHD in the control group remained unchanged (34.2±3.3 vs 10.6 10.6±2.2 ng/ml, P=0.001). During the follow-up period, attacks of BPPV in the treatment group decreased significantly compared with the control group (14.8% vs 96.3% OR= 0.18, P=0.001).

Conclusion: The findings of this study indicate that the normalization of serum vitamin D significantly reduces BPPV recurrences.

Keywords: BPPV, 25-hydroxy vitamin D, Epley Therapy, Recurrent vertigo
Full-Text [PDF 193 kb]   (1262 Downloads)    
Type of Study: Original Article | Subject: Internal
Received: 2015/10/31 | Accepted: 2015/11/8 | Published: 2016/06/7
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Sheikhzadeh M, Lotfi Y, Mousavi A, Heidari B, Bakhshi E. The effect serum vitamin D normalization in preventing recurrences of benign paroxysmal positional vertigo .a case-control study . Caspian J Intern Med. 2016; 7 (3) :173-177
URL: http://caspjim.com/article-1-650-en.html


Volume 7, Issue 3 (7-2016) Back to browse issues page
Caspian Journal of Internal Medicine
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