Zhou Ran, Wang Huan, Shan Jiachen, Li Chengcheng, Han Lin
Department of Anesthesiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Department of Neurology, West China School of Public Health and West China Forth Hospital, Sichuan University, Chengdu, China.
Front Neurol. 2025 Jun 16;16:1623914. doi: 10.3389/fneur.2025.1623914. eCollection 2025.
The typical age of benign paroxysmal positional vertigo (BPPV) is between 50 and 60 years. With the development of diagnostic techniques and the growth of the elderly, the number of elderly patients has been on the rise gradually. This study compared the clinical characteristics, treatments, and prognoses with patients.
Patients were divided into two age groups based on age at onset of the disease: middle-aged BPPV (50-59 years) and elderly BPPV (60-80 years old). We compared clinical characteristics, treatment, prognosis, BPPV location, questionnaires between the two groups.
Female patients constituted a high proportion in both the middle-aged BPPV group (21, 75.0%) and the elderly BPPV group (39, 67.2%). The elderly group had significantly higher median scores in the DHI impact than the middle-aged group (24 vs. 16, = 0.008). In contrast, the BBS score decreased (44 vs. 49, = 0.019), and the elderly group exhibited higher fall rates (6.9% vs. 0%, = 0.381) at the last follow-up. However, the elderly BPPV group had lower rates of maneuver (82.8% vs. 89.3%, = 0.638). Age at onset was positively correlated with the DHI score (r = 0.316, = 0.005) and negatively correlated with the BBS score (r = -0.330, = 0.002).
Compared to the middle-aged BPPV group, elderly patients with BPPV exhibited a higher DHI score, increased fall rates, lower BBS scores, and lower rate maneuver, which had a more significant negative impact on daily life.
良性阵发性位置性眩晕（BPPV）的典型发病年龄在50至60岁之间。随着诊断技术的发展和老年人口的增加，老年患者数量逐渐上升。本研究对患者的临床特征、治疗方法和预后进行了比较。
根据疾病发病年龄将患者分为两个年龄组：中年BPPV组（50 - 59岁）和老年BPPV组（60 - 80岁）。我们比较了两组之间的临床特征、治疗、预后、BPPV定位及问卷调查情况。
中年BPPV组（21例，75.0%）和老年BPPV组（39例，67.2%）中女性患者占比均较高。老年组DHI影响评分中位数显著高于中年组（24对16，P = 0.008）。相比之下，在最后一次随访时，BBS评分降低（44对49，P = 0.019），且老年组跌倒率更高（6.9%对0%，P = 0.381）。然而，老年BPPV组手法复位成功率较低（82.8%对89.3%，P = 0.638）。发病年龄与DHI评分呈正相关（r = 0.316，P = 0.005），与BBS评分呈负相关（r = -0.330，P = 0.002）。
与中年BPPV组相比，老年BPPV患者DHI评分更高、跌倒率增加、BBS评分更低且手法复位成功率更低，对日常生活的负面影响更大。
