The impact of vestibular-autonomic blood pressure responses derived from the head-up Tilt test on benign paroxysmal positional vertigo recurrence

The impact of vestibular-autonomic blood pressure responses derived from the head-up Tilt test on benign paroxysmal positional vertigo recurrence

Blog Article

Abstract The autonomic nervous system maintains homeostasis, with the vestibulosympathetic reflex playing a key role in regulating blood pressure during postural changes.Benign paroxysmal positional vertigo (BPPV), a common vestibular disorder, has been linked to autonomic dysfunction, but the impact of vestibular-autonomic interactions on BPPV recurrence remains unclear.This prospective study investigated whether changes in diastolic blood pressure (DBP) responses during head-up tilt tests before and after treatment are associated with BPPV conference chair recurrence in 370 patients with idiopathic BPPV.DBP responses were recorded at 1 and 2 min after tilting, and patients were categorized into three groups based on DBP changes.At 6 months, the high-response group in the 1-minute DBP category had a 1.

98-fold higher recurrence rate than the low-response group (p = 0.029).At 12 months, this group showed a 9.8-fold higher multiple recurrence rate (p = 0.033), while the high-response group in NAILBRUSH the 2-minute category had a 14.

3-fold higher rate (p = 0.012).These results suggest that elevated DBP responses during vestibulosympathetic reflex activation are significantly associated with BPPV recurrence.Monitoring DBP through head-up tilt tests could provide valuable insights into recurrence risk, highlighting the role of vestibular-autonomic interactions in BPPV.