The Effects of Betahistine in Addition to Epley Maneuvre in the Posterior Canal BPPV Management

Abstract

Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder that accounts for one fth of all admissions to hospital due to vertigo although it is commonly undiagnosed.5 The most common form is idiopathic, and BPPV tends to occur at a higher rates in women than in men.6 The main mechanism underlying BPPV is accumulation of otoconia (calcium carbonate structures) in the lumen (canalolithiasis) or in the cupula (cupulolithiasis) of the semicircular canal, resulting in impaired uid dynamics of the semicircular canal. This randomized controlled trial and hospital based study was conducted at calcutta national medical college and hospital ENT OPD on July 2020 to June 2021. Total 75cases were taken in our study. Group A (Epley maneuver only) Group B (Epley maneuver only+ Tab Pentoprazol 40) Group C: Epley maneuver with betahistine (16mg TDS) Our study showed that in A Group, 10 patients had previous vertigo attack. In B Group, 13 patients had previous vertigo attack. In C Group, 11 patients had previous vertigo attack. Rest of the patient in our study presented with vertigo attack for 1st time in their life. Association of previous vertigo attack with group was not statistically signicant (p=0.290). In A Group, the mean visual vertigo analog scale Baseline (mean± s.d.) of patients was 6.98 ± 2.133. In B Group, the mean visual vertigo analog scale Baseline (mean± s.d.) of patients was 6.27 ± 2.148. In C Group, the mean visual vertigo analog scale Baseline (mean± s.d.) of patients was 6.21+/- 2.133. Difference of mean visual vertigo analog scale Baseline with Group was not statistically signicant (p=0.100). We concluded that group-C was better result in comparison with group-B and group-A respectively. So in our study it is found that patients treated with Epley's maneuver and Betahistine got better result than the patients treated with only Epley's maneuver.