Association between osteoporosis and benign paroxysmal positional vertigo: a systematic review

• Published in: BMC neurology Vol. 14; no. 1; p. 110
• Main Authors: Yu, Shudong, Liu, Fenye, Cheng, Zhixin, Wang, Qirong
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 20.05.2014; BioMed Central
• Subjects: Adult; Aged; Aged, 80 and over; Analysis; Care and treatment; Complications and side effects; Diagnosis; Female; Humans; Male; Middle Aged; Osteoporosis; Osteoporosis - complications; Risk factors; Vertigo; Vertigo - complications; Young Adult
• ISSN: 1471-2377; 1471-2377
• DOI: 10.1186/1471-2377-14-110

Increasing recent evidence has implicated osteoporosis as a risk factor for benign paroxysmal positional vertigo (BPPV). We conducted a systematic review to examine the association between osteoporosis and BPPV. Four electronic databases (PubMed, EMBASE, Cochrane Library, and the China Network Knowledge Infrastructure) were searched to identify all papers, published in either English or Chinese, examining the association between osteoporosis (osteopenia) and BPPV. Seven studies were eligible for analysis, though these studies included some weaknesses. Most of the studies demonstrated a correlation between osteoporosis (osteopenia) and the occurrence and recurrence of BPPV, especially in older women. Patients with osteoporosis may require more canalith-repositioning procedures. This systematic review provides insight into currently available evidence and elucidates the possible existence of an association between BPPV and osteoporosis (osteopenia). However, the evidence supporting that conclusion is not strong, and further studies are needed to clarify the association between these conditions.