Δημοσίευση

Vertigo during the Epley maneuver and success rate in patients with BPPV.

ΤίτλοςVertigo during the Epley maneuver and success rate in patients with BPPV.
Publication TypeJournal Article
Year of Publication2013
AuthorsFyrmpas, G., Barkoulas E., Haidich A. Bettina, & Tsalighopoulos M.
JournalEur Arch Otorhinolaryngol
Volume270
Issue10
Pagination2621-5
Date Published2013 Sep
ISSN1434-4726
Λέξεις κλειδιάAged, Benign Paroxysmal Positional Vertigo, Cohort Studies, Female, Humans, Male, Middle Aged, Otolithic Membrane, Patient Positioning, Semicircular Canals, Treatment Outcome, Vertigo
Abstract

To investigate whether reported vertigo during the Epley maneuver predicts therapeutic success in patients with benign paroxysmal positioning vertigo of the posterior semicircular canal (pc-BPPV). Fifty consecutive adult patients with pc-BPPV, based on a positive Dix-Hallpike test (DHT), were treated with the Epley maneuver and retested after 2 days. Patients were asked to report the presence of vertigo upon assuming each of the four positions of the maneuver. Thirty seven patients (74 %) were treated successfully in one session. Twenty out of 23 patients who reported vertigo at turning the head to the opposite side (2nd position) had a negative DHT on follow-up. These patients had a higher chance of a successful outcome compared to patients who did not report vertigo in the 2nd position (Odds ratio 5.3, 95 % CI: 1.3-22.2, p = 0.022). Report of vertigo at the other positions was not associated with the outcome. Report of vertigo at the second position of a single modified Epley maneuver is associated with therapeutic success.

DOI10.1007/s00405-012-2292-0
Alternate JournalEur Arch Otorhinolaryngol
PubMed ID23203243

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Τμήμα Ιατρικής, Πανεπιστημιούπολη ΑΠΘ, T.K. 54124, Θεσσαλονίκη
 

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