There is a recognized association of Meniere’s disease (MD) and benign paroxysmal positional vertigo (BPPV). However,
the frequency and clinical characteristics of BPPV in MD are unclear. The aim of this review was to determine the mean
frequency and clinical features of BPPV in MD. Three databases were searched: MEDLINE, PubMed and Google Academia.
Studies reporting the frequency of BPPV in MD were pooled. A total of 4198 references were identifed, of which 20 studies
were considered eligible. The pooled frequency of BPPV in MD was 14% (95% CI 9–18%). It was 38% (95% CI 26–49%) in
longitudinal studies and 8% (95% CI 6–11%) in cross-sectional ones. BPPV comorbid with MD was mostly observed in the
ear afected by hydrops, in females, in patients with more advanced disease. Canalolithiasis of the horizontal semicircular
canal was more common in patients with BPPV associated with MD than