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An Evaluation on the Severity of Dizziness Symptoms on Patients with Benign Paroxysmal Positional Vertigo and its Rate of Resolution after Treatment with Betahistine Hydrochloride.


Maria Eliza G. Gallardo,
Jose M. Acuin

Related Institution

Department of ENT - De La Salle Health Sciences Institute - De La Salle University Medical Center


Objective: To determine any relationship between the age and initial severity of symptoms to the rate of resolution of vertiginous symptoms as patients undergo  a treatment of betahistine hydrochloride.Materials & Methods: Data from a previous study was reviewed. 62 patients who were diagnosed with vertiginous dizziness were placed under a 1-month regimen of Betahistine HCl. Data from European Evaluation of Vertigo questionnaire and Berg Balance Scale scores were collected at 0, 1, 2 and 4th week of treatment as well as a take-home diary documenting daily symptoms of vertigo. Results: For the younger age group, a higher initial EEV showed significant association to the time of recovery with an estimate effect of 0.39 days added per point (p=0.013). There was no significant association however when BBS scores were applied for either age groups. As per accompanying symptoms, diarrhea and aggression delayed recovery in group A by 1.96 days (p=0.013) while in group B nausea delayed recovery by 1.01 (p=0.043.) Conclusion: Age is seen to be significantly associated to the time to recovery using only EEV scores as the criteria but not if other questionnaires that evaluate quality of life are included.Key words: betahistine hydrochloride, benign paroxysmal positional vertigo

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