The role of vitamin D deficiency in the development of benign paroxysmal positional vertigo


K.N. Bgantseva, S.Ya. Kosyakov

Russian Medical Academy of Continuous Professional Education, Moscow, Russia
Background. Benign paroxysmal positional vertigo (BPPV) is the most common pathology of the peripheral part of the vestibular ana-lyzer.
Objective. Assessment of the effect of serum vitamin D levels on the occurrence and recurrence of BPPV episodes.
Methods. From 2010 to 2022, a systematic review of original PubMed medical articles investigating the relationship between the onset and recurrence of BPPVand vitamin D levels was conducted.
Results. It has been established that a low vitamin D level (<20 ng/ml) increases the risk of idiopathic BPPV due to an imbalance in the calcium metabolism in the inner ear. The degeneration of the otoliths that occurs in this condition leads to the idiopathic form of BPPV. A decrease in serum vitamin D <10 ng/ml leads to a relapsing course of the disease.
Conclusion. Thus, patients with an established diagnosis of BPPV should be included in the diagnostic and treatment algorithm for determining the serum vitamin D level and prescribing vitamin D and calcium carbonate to prevent the recurrence of this condition.

About the Autors

Corresponding author: Ksenia N. Bgantseva, Senior Laboratory Assistant, Department of Otorhinolaryngology, Russian Medical Academy of Continuous Professional Education, Moscow, Russia;

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