Skip Navigation LinksHome > August 2014 - Volume 21 - Issue 8 > Menopause and benign paroxysmal positional vertigo
doi: 10.1097/GME.0000000000000190
Brief Reports

Menopause and benign paroxysmal positional vertigo

Ogun, Oluwaseye Ayoola MD1; Büki, Bela MD, PhD2; Cohn, Edward S. MD1; Janky, Kristen L. AuD, PhD1; Lundberg, Yunxia Wang PhD1

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Objective: This study was designed to examine the age and sex distribution and the effects of menopause in a large cohort of participants diagnosed with benign paroxysmal positional vertigo (BPPV).

Methods: We analyzed 1,377 BPPV patients and surveyed 935 women from this group—all diagnosed at the Boys Town National Research Hospital in the last decade.

Results: A detailed age and sex distribution analysis of BPPV onset showed that aging had a profound impact on BPPV occurrence in both sexes, and that perimenopausal women were especially susceptible to BPPV (3.2:1 female-to-male ratio). The latter is a novel finding and was confirmed by a direct survey of female BPPV patients (168 participated). In addition, there was a pronounced female preponderance (6.8:1 female-to-male ratio) in BPPV in the teenage group despite its low prevalence in this age group.

Conclusions: Data suggest that hormonal fluctuations (especially during menopause) may increase the tendency to develop BPPV.

© 2014 by The North American Menopause Society.


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