A retrospective study on benign paraoxysmal positional vertigo in a tertiary health care facility of North India

Abstract

<p class="abstract"><strong>Background:</strong> Benign paraoxysmal positional vertigo (BPPV) has been attributed to be one of the commonest causes of vertigo presenting to the clinician. However, this often remains undiagnosed and undertreated, epidemiology remaining an underexplored territory for this disorder.</p><p class="abstract"><strong>Methods:</strong> A study was carried out at outpatient clinic, Ear Nose Throat, Head and Neck services, Dayanand Medical College and Hospital, Punjab over a period of one year from 1<sup>st</sup> January to 31<sup>st</sup> December 2018. Based upon history, detailed otological examination, and Dix-Hallpike testing, 374 patients were evaluated for benign paroxysmal positional vertigo presenting with complaint of vertigo and dizziness in the vertigo clinic and were treated with Epley’s maneuver. </p><p class="abstract"><strong>Results:</strong> Out of 374 patients evaluated, 79 patients were diagnosed as BPPV and underwent office management in the form of Epley’s maneuver.</p><p class="abstract"><strong>Conclusions:</strong> This study helps in effective team approach among practitioners and clinicians in the hospital for referring vertigo cases to ENT OPD for effective management of vertigo.</p><p class="abstract"> </p>

A retrospective study of posterior canal benign paroxysmal positional vertigo cases in a tertiary care industrial hospital

“…In the study by Munjal et al 84.81% of the patients got symptomatic relief with Epley maneuver. 2 Through a series of head movements, the crystals are returned to the utricle, where they are either absorbed or eliminated by the endolymphatic sac. 21 However a study done by Kavathia et al showed that the Epley maneuver with medical therapy provides effective and longterm control of symptoms in patients with BPPV.…”

“…Possible etiology includes idiopathic, inflammatory insult (Viral) and trauma. 2 A study by Arya and Nunezhad showed 22% patients to be of BPPV. 3,4 A study by Bansal et al had 18.75% patients as BPPV.…”