Characteristics of Patient with Benign Paroxysmal Positional Vertigo in Dr. Hasan Sadikin General Hospital Bandung from 2009‒2013
Abstract: Benign Paroxysmal
Positional Vertigo (BPPV) is a vestibular disorder marked by episodes of
vertigo and triggered by a change in the head position. It is characterized by
short yet severe episodes of vertigo and possibly accompanied by nausea and
vomiting. The BPPV is usually idiopathic and found among people aged 46‒50
years old. There are pharmacological and non pharmacological treatment used for
BPPV. Non-pharmacological treatment includes Epley, Semont, Lempert, Forced
Prolonged Position, and Brandt-Daroff maneuvers and pharmacological
onebenzodiazepine and antihistamines. This study aimed to examine the
characteristics of patient with BPPV based on their complaint and prescribed
treatment.
Methods: This was a descriptive-retrospective study conducted on
April–June 2014 using secondary data from medical records of patient with BPPV
in Dr. Hasan Sadikin General Hospital Bandung from 2009‒2013. The variables
include gender, age, occupation, accompanying disease, complaints, supporting
examinations, and treatment.
Results: There were 74 subjects; 66.22% were female and 33.78% were male.
Most of patients with BPPV aged around 41‒50 years old (39.19%). Furthermore,
93.24% had a major complaint of headache and spinning sensation, and >60%
nausea and vomiting. The most prescribed therapy was Betahistine (86.49%).
Meanwhile, a maneuver of non-pharmacological treatment was rarely done (8.11%).
Conclusions: The BPPV occurs more in older women. The major complaint is
headache and spinning sensation affected by the head position and accompanied
by nausea and vomiting. Lastly, non-pharmacological treatment is rarely
performed in handling patient with BPPV.
Keywords: BPPV, clinical
characteristic, treatment, vertigo
Author: Intan Datya Kirana,
Yussy Afriani Dewi, Titing Nurhayati
Journal Code: jpkedokterangg160251
