Long-term follow up after Epley's manoeuvre in patients with benign paroxysmal positional vertigo

Abstract

Epley's manoeuvre remains an effective modality for treatment of benign paroxysmal positional vertigo. A patient age of less than 40 years and duration of attacks of less than three years are good prognostic factors. Exacerbation number and gender do not affect the probability of benign paroxysmal positional vertigo recurrence after five years; however, these factors do affect the duration of time free from the condition.

Long-term follow-up of patients with posterior canal benign paroxysmal positional vertigo

“…While Lopez-Escamez and colleagues found recurrence in 10% of patients with PC-BPPV after 1 year of follow-up, Nunez et al reported that the percent recurrence per year was approximately 15%, with approximately 50% having a recurrence by 40 months [10,12]. Rashad described recurrence in 7% of patients after 1 year, and after 5 years this increased to 35% [13]. Sakaida et al found 37% recurrence at 5 years [14].…”

Repositioning chairs in benign paroxysmal positional vertigo: implications and clinical outcome

“…Out of the 202 patients successfully treated 148 (73.3 %) had 1 procedure and the rest (26.7 %) required 2 procedures. The number of manual CRP treatments necessary to release patients from their condition has previously been reported to be between 2.0 and 2.4 treatments depending on the semi-circular canal affected [39], and another study [33] found that 2.5 manual procedures were required. One included study [21] compared the results of h-CAN treatment with those of h-CUP where 6 patients each required up to 7 treatments and one required 15 treatments.…”

“…On the contrary, the relatively large share of relapses among the TRV chair group and combination therapy group could reflect that the indications for this type of treatment cover the most resilient cases. Indeed, the TRV and combination therapy were overrepresented when it came to CUP that is prone to relapse and difficult to eliminate [21,33]. The symptom duration could also account for some difference in treatment efficacy.…”

Epley’s Manoeuvre in the Treatment of BPPV - Our Experience

“…6 Patient age less than 40 years and duration of attacks of vertigo less than 3 years may be a good prognostic factors according to one study. 7 This was not really applicable in our study, as there were only 2 patients below 40 years of age.…”