Abstract | BACKGROUND: METHODS: A total of 78 consecutive patients were consecutively enrolled from January 2017. All CPV patients had a National Institutes of Health Stroke Scale score of 0 and cerebellar infarctions confirmed by brain MR imaging. Vascular risk factors and serum 25-hydroxyvitamin D levels were compared between the two groups of patients. RESULTS: The proportion of men was higher in the CPV than in the BPPV group (p = 0.004). Atrial fibrillation was common in the CPV group on univariate analysis (p = 0.046). However, there were no independent differentiating factors between the two groups. The proportion of patients according to the number of risk factors was significantly different between the two groups (linear by linear association test, p = 0.02). The mean serum 25-hydroxyvitamin D level did not differ. Also, the proportions of vitamin D insufficiency and deficiency did not differ significantly between the two groups. CONCLUSIONS: Increased number of vascular risk factors including male sex suggested more CPV than BPPV. However, the serum vitamin D level was below the normal range in both groups. Our results demonstrate that serum vitamin D level has little value in the differential diagnosis of positional vertigo. Efforts to identify differentiating factors are warranted, and accumulating evidences including our research may lead to a diagnostic algorithm for isolated positional vertigo.
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Authors | Jae-Myung Kim, Seung-Han Lee, Soo Hyun Cho, Kyung Wook Kang, Kang-Ho Choi, Tai-Seung Nam, Joon-Tae Kim, Seong-Min Choi, Man-Seok Park, Byeong C Kim, Myeong-Kyu Kim |
Journal | Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
(Neurol Sci)
Vol. 42
Issue 3
Pg. 1045-1052
(Mar 2021)
ISSN: 1590-3478 [Electronic] Italy |
PMID | 32725450
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Benign Paroxysmal Positional Vertigo
(complications, diagnosis)
- Calcifediol
- Humans
- Infarction
- Male
- Risk Factors
- Vitamin D Deficiency
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