Meta-analysis of Misdiagnosis Literature of Benign Paroxysmal Positional Vertigo
GUO Quan-lai
CHEN Xiao-zhu
ZHOU Yue-peng
QIN Xiao-lan
Abstract：Objective To investigate misdiagnosed causes of benign paroxysmal positional vertigo (BPPV) so as to provide prevention strategy.Methods Published studies about BPPV misdiagnosis were searched from CNKI,VIP,CBM and WanFang databases during January 1979 and September 2016,and related data was performing statistical analysis.Results A total of 33 studies involving 1525 patients met the inclusion criteria.The studies were either case reports or clinical reviews,among them 1367 patients were misdiagnosed clearly,and the top 3 misdiagnosed diseases were posterior circulation ischemia or transient ischemic attack (24.58%),cervical spondylosis (21.80%) and cerebral insufficiency or vertebral basilar artery insufficiency (19.09%) in turn.Misdiagnosed causes were divided into 16 categories (146 entries),which mainly included lack of experience or awareness of BPPV (21.23%),interfered diagnosis by past history and multiple coexisting diseases (17.81%),without inquiring history detail fully or ignoring relation between dizzy with position (10.96%),overdependence medical examination (9.59%) and so on.The course of disease and misdiagnosed time was 2 hours-20 years.Hospital of being misdiagnosis were mainly three levels of first-class hospitals.All patients were misdiagnosed,but no adverse outcome was found.Conclusion BPPV is often misdiagnosed as posterior circulation ischemia and other diseases.The misdiagnosed causes involve three aspects as follow medical staff,patients and hospitals management,and lack of awareness of BPPV in medical staff is the main cause.
Keywords：Benign paroxysmal positional vertigoMisdiagnosisIschemic attacktransientCervical spondylosisVertebrobasilar insufficiency
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 40-44 )