Efficacy of Treatments for Posterior Canal Benign Paroxysmal Positional Vertigo

Cohen, Helen; Jeřábek, Jaroslav

doi:10.1097/00005537-199904000-00012

Cited by 88 publications

(62 citation statements)

References 32 publications

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“…As regards the gender of the subjects, there was a prevalence of females, 42 subjects (70 %) of the total sample, which is in agreement with other literature which reported a female predominance of BPPV [18,17]. According to Guzmán et al [19], these findings are attributed to hormonal changes that occurs in women.…”

Section: Discussionsupporting

confidence: 89%

Collar Fixation as a Management Tool for Posterior Canal BPPV: Is it of Value

Mawgoud¹

2017

Otolaryngol

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Objective: To determine the necessity of use the collar after canalith repositioning maneuver on success rate of management of posterior canal BPPV.Methodology: 60 patients with posterior canal BPPV were included in this study. They were divided into two groups. Group I: Managed by Epply Maneuver and received post-maneuver instructions and the neck were fixed by collar for 4 days. Group II: The same management as group I but without collar fixation.Results: there was a statistically significant difference in the outcome between the two groups with decrease the chance of recurrence in group I with the serial follow-up. Conclusion:The use of collar fixation after canalith repositioning maneuver is necessary to improve outcome and decrease the chance of recurrence on posterior canal BPPV patients.

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Section: Discussionsupporting

confidence: 89%

Collar Fixation as a Management Tool for Posterior Canal BPPV: Is it of Value

Mawgoud¹

2017

Otolaryngol

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“…Para a manobra de Epley, os índices de cura variam de 87 a 100% 13,19,20 . Cohen e Jerabek ao comparar as duas manobras, não observaram diferença significativa entre o índices de cura 21 . Brandt e Daroff em sua descrição original relatam cura em 66 pacientes de 67 tratados 15 .…”

Section: Em Seguida O Paciente é Rapidamente Deitado Mantendo a Posiçunclassified

Vertigem de posicionamento paroxística benigna

Pereira

Scaff

2001

Arq. Neuro-Psiquiatr.

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RESUMO -A vertigem de posicionamento paroxística benigna é um distúrbio vestibular de diagnóstico fácil, baseado no exame neurológico e tratado com manobras de liberação. Nesta revisão, a fisiopatologia, os aspectos clínicos e as diferentes manobras são sucintamente discutidos.PALAVRAS-CHAVE: vertigem de posicionamento, vertigem posicional, diagnóstico, tratamento. Benign paroxysmal positioning vertigoABSTRACT -Benign paroxysmal positioning vertigo is a frequent vestibular disorder. With a simple maneuver one can easily diagnose this condition and treatment is based on liberatory maneuvers. On this review the pathogenesis, the clinical features and different maneuvers are briefly discussed. 5,6 . Essas freqüências são explicadas pela relação anatômica dos canais com o utrículo: a posição do CSC posterior facilita o depósito de otólitos soltos no seu interior, enquanto a entrada de partí-culas no canal anterior é muito mais difícil e portanto incomum. O CSC horizontal por sua vez tem uma abertura mais larga e movimentos de rotação lateral (por exemplo, ao virar na cama durante o sono) facilitam a saída das partículas. FISIOPATOLOGIA Cupulolitíase x canalolitíaseA teoria da cupulolitíase foi proposta por Schuknecht em 1969 ao encontrar, em estudos anátomo-patológicos, depósitos basofílicos aderidos à cúpu-la do CSC de indivíduos que apresentavam VPPB antes do óbito 3 . O autor argumentou que estes depó-sitos basofílicos, compostos por partículas inorgâ-nicas, se desprenderiam da mácula do utrículo e em virtude da ação da gravidade cairiam no CSC posterior, cuja abertura está situada inferiormente ao utrí-culo, e ficariam aderidas à cúpula. A teoria da canalolitíase também admite que pequenos fragmentos de carbonato de cálcio se soltam da mácula utricular e caem nos CSCs, mas contrariamente à teoria da

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“…Few of these patients reported residual vertigo, which did not require a new evaluation or treatment since these residual symptoms did not interfere with their daily routine [10].…”

Section: Discussionmentioning

confidence: 99%

“…Cohen and Jerabeck detected an almost null rate of recurrence of symptoms in a population of 87 patients after a 6 month follow-up regarding the frequency and intensity of vertigo [10]. Hain et al detected a 17% rate of recurrence during the first four to six months after treatment, increasing to 47% among patients treated with VR after 5 years of follow-up [11].…”

Section: Introductionmentioning

confidence: 98%

“…Although many studies have confirmed the therapeutic efficacy of this method, especially in BPPV, few authors have commented about the possibility of recurrence [2][3][4][5][6][7][8][10][11][12][13][14][15][16][17]. Thus, it is important to follow up patients submitted to this modality of treatment in order to determine whether the repositioning maneuvers used for BPPV were actually effective on a longterm basis.…”

Section: Introductionmentioning

confidence: 99%

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