Prognosis of patients with benign paroxysmal positional vertigo treated with repositioning manoeuvres

Korres, Stavros; Balatsouras, Dimitrios G.; Ferekidis, E.

doi:10.1017/s0022215106000958

Cited by 42 publications

(71 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Various modifications proposed by several researchers, since Epley's original description, developed and improved repositioning procedure towards an essential and efficient therapeutic tool because of its simplicity, noninvasive nature, and apparent effectiveness in relieving vertigo [1,2]. Therefore, CRP has progressively made BPPV the most successfully treatable cause of vertigo.…”

Section: Discussionmentioning

confidence: 99%

“…However, most authors agree that the majority of the recurrences are experienced within the first 6 months from the initial treatment [1,2,4,6]. Therefore, a follow-up period of 6-12 months is recommended to avoid underestimating recurrence rates.…”

Section: Discussionmentioning

confidence: 99%

“…Typically, BPPV is associated with a characteristic paroxysmal positional nystagmus, which can be elicited with specific diagnostic positional maneuvers [1][2][3]. The clinical presentation of acute vertigo after certain head movements is believed to be caused by free-floating degenerative debris in the endolymph, originating from the macula of the utricle, which moves during a head movement and gravitates into one of the semicircular canals, usually the posterior, rarely the horizontal, and more rarely the anterior semicircular canal [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…In the past, patients were advised to restrict posture because after a repositioning maneuver, otoconial particles floating freely inside the utricle can return to other semicircular canals, before they dissolved. That is the reason why BPPV treatment protocols, based on canalith repositioning maneuvers, traditionally included subsequent postural restrictions to prevent debris from reentering the canal [1,2]. The patient is usually advised to avoid head and trunk movement, use a cervical collar, and sleep in a semiseated position for two days.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The Influence of Sleep Position on Benign Paroxysmal Positional Vertigo

Shin¹,

Park²,

Gu³

et al. 2016

Res Vestib Sci

View full text Add to dashboard Cite

Background. Canalith repositioning techniques are adequately established in the literature, as the treatment of choice for benign paroxysmal positional vertigo. However, the role of the posttreatment instructions is still not clearly defined. Patients and Methods. A retrospective chart review of 82 patients was conducted in order to determine the efficacy of postural restrictions, when combined with the classic canalith repositioning techniques, in terms of successful treatment and recurrence rates. Follow-up period reached at least 12 months after the initial treatment. Results. In this study, postural restrictions did not appear to significantly affect the outcomes of repositioning maneuvers, as well as the recurrence rate. Conclusions. Although this study, as well as most recent control studies, states that there is no significant effect of postmaneuver postural restrictions on both treatment and recurrence rates, larger multicentric research projects, adopting improved methodology, are still necessary in order to determine the contribution of such restrictions to both the therapeutic results and the prevention of recurrence. Adequate followup, focusing on the first six months after the initially successful repositioning maneuver, is also of paramount importance.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Influence of Sleep Position on Benign Paroxysmal Positional Vertigo

Shin¹,

Park²,

Gu³

et al. 2016

Res Vestib Sci

View full text Add to dashboard Cite

show abstract

“…Patient should be cooperative, because improper performance of Epley's manoeuvre and secondary BPPV may affect the initial treatment. 4 The effect of Epley's manoeuvre in the treatment of positional vertigo is strongest in the first month. 5 In intractable cases, surgical treatment may be resorted by posterior semicircular canal occlusion.…”

Section: Introductionmentioning

confidence: 99%

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

Jacob¹,

M²

2017

jemds

View full text Add to dashboard Cite

show abstract

Systematic Review of Bilateral Benign Paroxysmal Positional Vertigo

2021

View full text Add to dashboard Cite

Objectives: To evaluate the success rates of canalith repositioning maneuvers (CRM) in the treatment of patients diagnosed with bilateral benign paroxysmal positional vertigo (BiBPPV).Study Design: Systematic review. Methods: A comprehensive search of only English studies in PubMed, Ovid (1946 to the present), and Embase (1974 to the present) databases was done up until January 1, 2021. Studies that diagnosed patients with BiBPPV specifically and evaluated the CRM success from all published years were included. Studies were excluded if follow-up was less than 6 months or if they failed to distinguish BiBPPV from ipsilateral multi-canal BPPV. A total of nine studies were included with a total study population of 325 patients. Included studies were evaluated for bias with the National Institutes of Health (NIH) Study Quality Assessment Tool. Success rates of CRM, number of treatments required, and disease recurrence rates were extracted.Results: The overall success rate was compiled using a fixed-effect binary inverse variance model and was 95.2% (CI: 92.9%-97.5%). A qualitative review suggested treating the more affected side first on separate visits until resolved, followed by contralateral treatment (recommendation). The mean number of treatments was 2.9 (CI: 2.4-3.4), and the recurrence rate was 19.8% (CI: 11.7%-27.9%). There was a higher proportion of trauma etiology of BiBPPV compared to unilateral, with an odds ratio of 8.9 (CI: 5.1-15.3).Conclusions: Overall, this meta-analysis shows high success rates for CRM in the treatment of BiBPPV. Rates are similar to CRM efficacy for unilateral BPPV.

show abstract

Prognosis of patients with benign paroxysmal positional vertigo treated with repositioning manoeuvres

Abstract: Canalith repositioning procedures provide fast and long-lasting treatment of BPPV in most patients. However, in a small subgroup of patients, failures may be noticed that may be attributed to various prognostic factors.

Cited by 42 publications

References 24 publications

The Influence of Sleep Position on Benign Paroxysmal Positional Vertigo

The Influence of Sleep Position on Benign Paroxysmal Positional Vertigo

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

Systematic Review of Bilateral Benign Paroxysmal Positional Vertigo

Contact Info

Product

Resources

About