![]() Participantes: adultos (≥18 años) diagnosticados de VPPB objetivo o subjetivo entre noviembre del 2012 y enero del 2015. Ubicación: 2 centros urbanos de Atención Primaria. Comparar las características de los pacientes diagnosticados de VPPB objetivo y subjetivo en Atención Primaria. La detección de nistagmo tiene importantes implicaciones diagnósticas y pronósticas. Esta prueba provoca solamente vértigo entre el 11 y el 48% de los pacientes a los que se les diagnostica VPPB subjetivo. Cervical spondylosis and hypertensive therapy were associated with objective BPPV, while benzodiazepines were associated with subjective BPPV.Ī los pacientes que experimentan tanto vértigo como nistagmo en la prueba de Dix-Hallpike (DHT) se les diagnostica vértigo posicional paroxístico benigno objetivo (VPPB). The prevalence of subjective BPPV was higher than expected. ![]() Patients with subjective BPPV were more likely to be taking benzodiazepines. Objective BPPV was significantly associated with hypertension, antihypertensive therapy, and cervical spondylosis in the bivariate analysis and with cervical spondylosis (OR = 3.94, p = 0.021) and antihypertensive therapy (OR 3.02, p = 0.028) in the multivariate analysis. In total, 134 patients (76.1% women) with a mean age of 52 years were included 59.71% had subjective BPPV. DHT results (vertigo or vertigo plus nystagmus dependent variable: nistagmus as response to DHT), age, sex, time since onset, previous vertigo episodes, self-reported vertigo severity (Likert scale, 0–10), comorbidities (recent viral infection, traumatic brain injury, headache, anxiety/depression, hypertension, diabetes mellitus, dyslipidemia, cardiovascular disease, altered thyroid function, osteoporosis, cervical spondylosis, neck pain). Adults (≥18 years) diagnosed with objective or subjective BPPV between November 2012 and January 2015. To compare the characteristics of patients diagnosed with objective and subjective BPPV in primary care. Detection of nystagmus has important diagnostic and prognostic implications. ![]() This test provokes only vertigo in between 11% and 48% of patients, who are diagnosed with subjective BPPV. Patients who experience both vertigo and nystagmus in the Dix-Hallpike test (DHT) are diagnosed with objective benign paroxysmal positional vertigo (BPPV). ![]()
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