E-ISSN In Process | ISSN In Process
 

Letter to the Editor 


Is Benign Paroxysmal Positional Vertigo Really Benign Or An Indicator Of Impending Cerebrovascular Accident??

Anoshia Afzal, Umar Farooque, Sundas Karimi..

Abstract
Dear editor, I would like to highlight a benign yet most important condition which is prevailing in our society that is benign paroxysmal positional vertigo (BPPV). It is one of the commonest conditions we encounter on a daily basis in our Neurology, ENT and Internal medicine clinics. Despite the misconception that BPPV is a benign condition, it is associated with an underlying atherosclerotic pathophysiology which tends to involve vertebral arteries as determined by vertebral artery flow rates as well as vertebral artery diameter (9). This finding is such an important thing to consider in our daily practice since the presenting complain of vertigo is so common and gets easily avoided most of the time but if we just look at the astonishing figures of its association with hypertension, hyperlipidemia, smoking, migraine, as well as diabetes (1, 2); we will be forced to think that we should never ignore this presenting complain and evaluate it as far as we could. The links between above risk factors and BPPV explains how atherosclerosis of vertebral arteries due to above risk factors can cause ischemia in the labyrinths and whole auditory apparatus which can cause vertigo and ultimately leads to hearing loss overtime (3, 4, 5). There are also multiple studies which have reported an association between vertebral artery hypoplasia and posterior ischemic cerebral stroke (6,7).
Thus it is absolutely necessary to completely evaluate every case of vertigo by performing Doppler Ultrasonography, assessment of underlying comorbidities if present and checking the compliance to treatment of diseases like hypertension, hyperlipidemia and Diabetes and counseling of patients to stop smoking if that risk factor is also present. We can also perform angiography which is a gold standard for evaluation of blood flow in posterior cerebral arteries as well as angio-computed tomography and contrast-enhanced magnetic resonance angiography for vertebral artery imaging (8).
Thus we can grab this opportunity every time we get a patient complaining of vertigo to get him undergo a complete set of laboratory as well as imaging investigations to help him preventing an impending cerebrovascular accident in future. By this approach, we can hopefully decrease the cases which end up as posterior cerebral stroke after a few years of complaining of having persistent vertigo and decreased hearing. Our only purpose should be to help out the mankind before they end up getting something they canít change or reverse!

Key words: Benign paroxysmal positional vertigo, benign, cerebrovascular accident, neurology, human.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Anoshia Afzal
Articles by Umar Farooque
Articles by Sundas Karimi.
on Google
on Google Scholar
Article Statistics
 Viewed: 155
Downloaded: 27
Cited: 0

How to Cite this Article
Pubmed Style

Afzal A, Farooque U, Karimi. S. Is Benign Paroxysmal Positional Vertigo Really Benign Or An Indicator Of Impending Cerebrovascular Accident??. IJMSR. 2018; 1(2): 11-12.


Web Style

Afzal A, Farooque U, Karimi. S. Is Benign Paroxysmal Positional Vertigo Really Benign Or An Indicator Of Impending Cerebrovascular Accident??. http://www.ijmsronline.com/?mno=302643567 [Access: December 13, 2018].


AMA (American Medical Association) Style

Afzal A, Farooque U, Karimi. S. Is Benign Paroxysmal Positional Vertigo Really Benign Or An Indicator Of Impending Cerebrovascular Accident??. IJMSR. 2018; 1(2): 11-12.



Vancouver/ICMJE Style

Afzal A, Farooque U, Karimi. S. Is Benign Paroxysmal Positional Vertigo Really Benign Or An Indicator Of Impending Cerebrovascular Accident??. IJMSR. (2018), [cited December 13, 2018]; 1(2): 11-12.



Harvard Style

Afzal, A., Farooque, . U. & Karimi., . S. (2018) Is Benign Paroxysmal Positional Vertigo Really Benign Or An Indicator Of Impending Cerebrovascular Accident??. IJMSR, 1 (2), 11-12.



Turabian Style

Afzal, Anoshia, Umar Farooque, and Sundas Karimi.. 2018. Is Benign Paroxysmal Positional Vertigo Really Benign Or An Indicator Of Impending Cerebrovascular Accident??. International Journal of Medical and Surgical Research, 1 (2), 11-12.



Chicago Style

Afzal, Anoshia, Umar Farooque, and Sundas Karimi.. "Is Benign Paroxysmal Positional Vertigo Really Benign Or An Indicator Of Impending Cerebrovascular Accident??." International Journal of Medical and Surgical Research 1 (2018), 11-12.



MLA (The Modern Language Association) Style

Afzal, Anoshia, Umar Farooque, and Sundas Karimi.. "Is Benign Paroxysmal Positional Vertigo Really Benign Or An Indicator Of Impending Cerebrovascular Accident??." International Journal of Medical and Surgical Research 1.2 (2018), 11-12. Print.



APA (American Psychological Association) Style

Afzal, A., Farooque, . U. & Karimi., . S. (2018) Is Benign Paroxysmal Positional Vertigo Really Benign Or An Indicator Of Impending Cerebrovascular Accident??. International Journal of Medical and Surgical Research, 1 (2), 11-12.