Incidence and Treatment Outcomes of Post Traumatic BPPV in Traumatic Brain Injury Patients

  • G. R. Haripriya
  • Preethy Mary
  • Mathew Dominic
  • Rashmi Goyal
  • Ambily Sahadevan
Original Article


The aim of this study is to assess the incidence of post traumatic BPPV and evaluate its treatment outcomes in mild and moderate traumatic head injury patients. The study population consisted of 128 patients (89 male:39 female) who were admitted with head and neck injury (Motor Vehicle Accident, Blow to the head, Fall from Height, Whiplash injury) as inpatients in Department of Neurosurgery in Tertiary care hospital in Kerala during a 2 month period from 1st April 2014 to 31st May 2014. The age range was 10–70 years and mean 39.8 with standard deviation 15.5. All cases were evaluated and serially followed up to a period of 6 months in Department of Otorhinolaryngology. In our study, the number of patients with mild injuries (Glasgow coma scale 13–15) were 108 and moderate injury (Glasgow coma scale 9–12) were 20. We found out that post traumatic BPPV was found to be 17% of the traumatic brain injury patients. All patients were treated with particle re-positioning maneuvers and were followed up for a period of 6 months. Recurrence were reported in 9 (40.9%) patients. In these patients re positioning maneuvers were repeated.


Benign paroxysmal positional vertigo (BPPV) Traumatic brain injury (TBI) Dix–Hallpike maneuver Epleys maneuver 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  • G. R. Haripriya
    • 1
  • Preethy Mary
    • 2
  • Mathew Dominic
    • 2
  • Rashmi Goyal
    • 3
  • Ambily Sahadevan
    • 2
  1. 1.Chirayu Medical College and HospitalBhopalIndia
  2. 2.Medical Trust HospitalKochiIndia
  3. 3.Mahaveer Institute of Medical SciencesBhopalIndia

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