Successful management of benign paroxysmal positional vertigo with the epley manoeuvre

Jose, Praveen Samuel; Rupa, Vedantam; Job, Anand

doi:10.1007/bf02996433

Cited by 7 publications

(25 citation statements)

References 10 publications

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“…This is nearly similar to Epley 9 , Nunez 23 , and Verma 24 who reported type I response in nearly 90% of their cases. In current study; type II response was observed in another 13% cases, which is comparable to Epley 9 , Verma 24 and Jose et al 25 who reported improved response (type II) in nearly 10% of their cases. In current study; (type III) response was observed in 5 patients (5%).This is slightly more than that revealed by Nunez 23 who also reported no 35% of our patients were totally relieved of their symptoms.…”

Section: Table (3): D-h Test With and Without Nystagmussupporting

confidence: 87%

The Efficacy of Epley Maneuvers in the Management of Subjective Benign Paroxysmal Positional Vertigo in Sulaimany Governorate

Mohammed¹,

Chalabi²

2022

Adv.med.j.

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Background and objectives: Benign paroxysmal positional vertigo is vestibular disorder with most frequent episodes. It is mostly idiopathic. Epley maneuver gives good results in most patients. The aim of this study is to confirm the diagnoses of benign paroxysmal positional vertigo by Dix-Hall pike test. And to evaluate the effectiveness of Epley maneuver in treating patients with this disorder. Methods: A prospective study conducted on (100) patients with benign paroxysmal positional vertigo, in Sulaimany training Center for Otolaryngology-Head and Neck surgery, Kurdistan audiological centre from September 2018 to November 2019. Those with induced vertigo without nystagmus were included in the study. All patients had undergone complete ear nose and throat and audiological assessment, diagnoses were confirmed by Dix Hallpike test. The maneuver was performed weekly over 4 weeks and the results were recorded accordingly. Results: Twenty eight patients were males (28%), seventy two patients were females (72%). Age ranged between 18 and 72 years. Mean age (42.23). There was complete recovery in (82%), partial recovery in (13%), and resistance in (5%) these values were significant statistically. Conclusions: Epley maneuver gave good results in management of benign paroxysmal positional vertigo and is a safe procedure without complications. Dix hallpike test gave a definite diagnosis of benign paroxysmal positional vertigo particularly the posterior canal.

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Section: Table (3): D-h Test With and Without Nystagmussupporting

confidence: 87%

The Efficacy of Epley Maneuvers in the Management of Subjective Benign Paroxysmal Positional Vertigo in Sulaimany Governorate

Mohammed¹,

Chalabi²

2022

Adv.med.j.

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“…40 Ahn et al 41 described that it is likely that posttraumatic BPPV, one of the most common underlying mechanisms of secondary BPPV, is more difficult to treat than idiopathic BPPV. Seven of the included studies in this review reported treatment failure in more than 5% of patients following multiple treatment sessions [10][11][12][13]17,18,20 (see S2). In 3 of these studies, 70% of the included patients or less suffered from idiopathic p-BPPV, 12,13,20 and in 3 studies these data were not available.…”

Section: Discussionmentioning

confidence: 99%

“…One article did not mention the time interval between sessions. 19 Successful treatment was defined as symptom relief in 2 studies, 12,20 as disappearance of nystagmus in 5 studies, 8,9,[14][15][16] and as a combination of these in the remaining 7 studies. 7,10,11,13,[17][18][19] The CRP described by Epley was used in 7 studies, 7,[11][12][13]17,19,20 and a modified version of this maneuver was used in the other 7 studies.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The treatment setting was usually a hospital or tertiary referral center. [7][8][9][14][15][16][17][18]20 Three studies were conducted in a dizziness clinic or balance center, 10,12,13 1 study was conducted in a rehabilitation center, 19 and in another study treatment was carried out by family physicians. 11 Concomitant therapy, namely, postural restrictions or a soft cervical collar, were prescribed for all patients in 5 studies, 7,13,17,18,20 whereas in 3 studies none of the included patients received concomitant therapy.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…[7][8][9][14][15][16][17][18]20 Three studies were conducted in a dizziness clinic or balance center, 10,12,13 1 study was conducted in a rehabilitation center, 19 and in another study treatment was carried out by family physicians. 11 Concomitant therapy, namely, postural restrictions or a soft cervical collar, were prescribed for all patients in 5 studies, 7,13,17,18,20 whereas in 3 studies none of the included patients received concomitant therapy. 10,11,19 In 4 studies, only a part of the included patients received postural restrictions or a soft collar, 8,9,12,16 and 2 studies did not mention whether patients received concomitant treatment.…”

Section: Study Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

Rapid Systematic Review of Repeated Application of the Epley Maneuver for Treating Posterior BPPV

Reinink

Wegner

Stegeman

et al. 2014

Otolaryngol.--head neck surg.

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Persistent Vertigo Following Particle Repositioning Maneuvers

Rupa

2004

Arch Otolaryngol Head Neck Surg

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To analyze the causes of persistent vertigo following treatment with particle repositioning maneuvers (PRMs) in patients with benign paroxysmal positional vertigo. Design: Prospective study of outcomes in patients with benign paroxysmal positional vertigo. Study Setting: Outpatient clinic of a tertiary care referral center. Patients: A sample of 90 consecutive patients with documented benign paroxysmal positional vertigo of the posterior semicircular canal who had persistent vertigo after at least 3 sessions of PRMs during a period of 2 weeks. Intervention: Particle repositioning using a modified Epley maneuver. Main Outcome Measure: Persistent vertigo following at least 3 sessions of PRMs over a period of 2 weeks. Results: Seven patients showed partial or no improvement following treatment. The causes subsequently determined included coincident horizontal canal positional vertigo (2 cases), Mé niè re's disease (2 cases), persistent posterior canal benign paroxysmal positional vertigo in association with cervical spondylosis (2 cases), and a posterior fossa meningioma (1 case). Conclusions: Patients with persistent or frequently recurring positional vertigo following treatment with PRMs should undergo detailed investigation to exclude coincidental pathology for which specific treatment is required. In patients in whom no coincident pathology requiring therapy is identified, treatment options other than the PRM already instituted should be considered.

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Successful management of benign paroxysmal positional vertigo with the epley manoeuvre

Cited by 7 publications

References 10 publications

The Efficacy of Epley Maneuvers in the Management of Subjective Benign Paroxysmal Positional Vertigo in Sulaimany Governorate

The Efficacy of Epley Maneuvers in the Management of Subjective Benign Paroxysmal Positional Vertigo in Sulaimany Governorate

Rapid Systematic Review of Repeated Application of the Epley Maneuver for Treating Posterior BPPV

Persistent Vertigo Following Particle Repositioning Maneuvers

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