Academic Journal

Vitamin D and homocysteine in benign paroxysmal positional vertigo ; Витамин D и гомоцистеин при доброкачественном пароксизмальном позиционном головокружении

التفاصيل البيبلوغرافية
العنوان: Vitamin D and homocysteine in benign paroxysmal positional vertigo ; Витамин D и гомоцистеин при доброкачественном пароксизмальном позиционном головокружении
المؤلفون: A. Bedenko S., L. Antonenko M., А. Беденко С., Л. Антоненко М.
المصدر: Meditsinskiy sovet = Medical Council; № 2 (2022); 63-69 ; Медицинский Совет; № 2 (2022); 63-69 ; 2658-5790 ; 2079-701X
بيانات النشر: REMEDIUM GROUP Ltd.
سنة النشر: 2022
المجموعة: Medical Council (E-Journal) / Медицинский Совет
مصطلحات موضوعية: endothelial dysfunction, benign paroxysmal positional vertigo, rotational vertigo, vitamin D, homocysteine, эндотелиальная дисфункция, доброкачественное пароксизмальное позиционное головокружение, вращательное головокружение, витамин D, гомоцистеин
الوصف: Introduction. Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo. Among the possible pathophysiological concepts, the largest evidence to date has been collected on the relationship of BPPV with a lack of vitamin D. Few studies have also been published on the assessment of factors of endothelial dysfunction (and, as a result, disturbances in the microcirculation of the inner ear) and BPPV. The problems of metabolic disorders in BPPV were still poorly highlighted in Russian sources.Objective. To investigate the levels of 25-OH-vitamin D and homocysteine among patients with BPPV and compare these factors depending on recurrence.Materials and methods. The study included 53 patients with BPPV, age 60 ± 12.6 (Me 62 [55; 68]), men accounted for 24.5%, women – 75.5%. All patients underwent a study of the neurological status and neurovestibularexamination, which included the Halmagi test, the head shake test, the Fukuda test, the Dix – Hallpike and McClure – Pagnini tests. Plasma 25-OH-vitamin D and homocysteine levels were assessed using enzyme-linked immunosorbent assay. The severity of vertigo was assessed using the dizziness handicap inventory (DHI).Results. The level of 25-OH vitamin D in with BPPV varied from 5.2 to 40 ng/ml, the average value was 19.53 ± 9.07 ng/ml, which corresponds to the deficit according to international recommendations (Me 17 [13; 24.8]). The level of 25-OH vitamin D in the group with recurrent BPPV was (Me 15 [12 and 22]), which was significantly lower than in the group with a single BPPV episode. The DHI score was significantly lower in the group with recurrent BPPV. There was a negative relationship between 25-OH-vitamin D levels and age, and a negative relationship between 25-OH-vitamin D and homocysteine in the DPPV group.Conclusion. There was a decrease in the level of 25-OH-vitamin D among patients with BPPV; in the group with recurrent BPPV, the level of 25-OH-vitamin D was significantly lower than in the group with a single dose of BPPV. The ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: Russian
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DOI: 10.21518/2079-701X-2022-16-2-63-69
الاتاحة: https://www.med-sovet.pro/jour/article/view/6735
https://doi.org/10.21518/2079-701X-2022-16-2-63-69
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رقم الانضمام: edsbas.CAD15ABA
قاعدة البيانات: BASE
الوصف
DOI:10.21518/2079-701X-2022-16-2-63-69