Vertigo during the Epley maneuver and success rate in patients with BPPV.
Τίτλος | Vertigo during the Epley maneuver and success rate in patients with BPPV. |
Publication Type | Journal Article |
Year of Publication | 2013 |
Authors | Fyrmpas, G., Barkoulas E., Haidich A. Bettina, & Tsalighopoulos M. |
Journal | Eur Arch Otorhinolaryngol |
Volume | 270 |
Issue | 10 |
Pagination | 2621-5 |
Date Published | 2013 Sep |
ISSN | 1434-4726 |
Λέξεις κλειδιά | Aged, 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. |
DOI | 10.1007/s00405-012-2292-0 |
Alternate Journal | Eur Arch Otorhinolaryngol |
PubMed ID | 23203243 |