Benign Paroxysmal Positional Vertigo: comparison of two recent international guidelines

Abstract

Beni gn paroxysmal positional Vertigo (BppV) is characterized by vertigo, lasting for a few seconds and usually managed by head positioning maneuvers. To educate clinicians concerning the state-ofthe art knowledge about its management, the international societies developed guidelines.Aim: the aim of this paper is to discuss, in a practical fashion, the current options available to manage BppV. Method:Study design: non-systematic review. This study reviews two recent guidelines regarding the evaluation and treatment of BppV. The first one was published by the American Academy of Otolaryngology Head and neck surgery (AAO-HnS) and the other by the American Academy of neurology (AAn). The similarities were presented in different tables.Results: Those guidelines presented differences regarding methods. Only the AAO-HnS guidelines recommend the dix-Hallpike test for the diagnosis of BppV. Only canalith repositioning maneuver, Semont maneuver and vestibular rehabilitation had showed some benefit and were recommended as good treatment options. Conclusions:Both guidelines fulfilled all the aspects required for clinicians to diagnosed and manage BppV; only the AAO-HnS's guidelines were more comprehensive and of better quality. Braz J Otorhinolaryngol. 2011;77(2):191-200. ORIgInAL ARTIcLE

Influência da reabilitação vestibular na qualidade de vida de indivíduos labirintopatas

“…The mean number of sessions was 5.64 (range, 1-25), which is corroborated by other studies [22][23][24] noting that the duration of BPPV treatment is typically short, of less than one month. In the present study, most cases were in fact BPPV (Figure 1), a condition whose treatment is done through repositioning maneuvers that surpass vestibular rehabilitation therapy in terms of speediness and practicality and have an advantage over pharmacological treatments due to the absence of significant adverse effects 13 .…”

Prevalência e associações da vertigem posicional paroxística benigna em idosos

“…BPPV is one of the most common causes of dizziness and its main symptom is the feeling of spinning dizziness caused by the change in the position of the head 21 .In the United States, between 17 and 42% of the patients with vertigo are diagnosed with BPPV and, although this disorder affects people throughout their lifetime, it has the tendency to affect people between 50 and 70 years old, having, therefore, attention called to it in terms of social security and health assistance 2,3 .…”

Influence of osteopathic manipulation on blood flow velocity of the cerebral circulation in chronic mechanical neck pain

“…During these tests, there may be typical symptoms such as dizziness or vertigo, visual disorders, nystagmus or even fainting, but seldom they cause stroke or death [9][10][11][12][13] . However, such signs and symptoms may also suggest benign paroxysmal positional vertigo and not VBI 14 . Osteopathic Manipulation (OM) aims at treating somatic dysfunctions or vertebral hypomobility correlated to pain, myofascial tensions, loss of movement amplitude, postural change, dizziness of cervical origin, some headaches, etc.…”