Sex and Age Differences in the Severity of Dizziness Complaints in Benign Paroxysmal Positional Vertigo (BPPV)

Objective This study aimed to evaluate the relationship between clinical features, BPPV subtypes, and dizziness complaints in patients with BPPV to identify factors contributing to dizziness distress.Methods This study included 129 patients diagnosed with BPPV. Demographic and clinical features of the patients were determined. The degree of dizziness was assessed using the Dizziness Handicap Inventory (DHI) and Visual Analog Scale (VAS).Results Female patients experienced longer BPPV durations and higher dizziness-related distress. Recurrent BPPV was more common in females (46.5%), with higher physical distress reported in these patients. Cupulolithiasis was associated with significantly higher emotional and functional DHI scores. There was no correlation between age and dizziness severity, but a positive correlation was found between age and BPPV duration in patients without recurrence.Conclusion Dizziness severity is influenced by sex, BPPV subtype, and recurrence. Females and patients with cupulolithiasis experience greater dizziness distress, particularly in functional and emotional domains.