How many Epley manoeuvres are required to treat benign paroxysmal positional vertigo?

Hughes, Daniel Llwyd; Shakir, Afaaf; Goggins, Susannah; Snow, D. G.

doi:10.1017/s0022215115000481

Cited by 18 publications

(11 citation statements)

References 8 publications

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“…Some patients learn to treat themselves. A single Epley maneuver has a success rate of up to 80 % [13, 14]; the success rate increases to over 90 % with four repetitions on the same day. Previous head trauma and prolonged bedrest are risk factors for a poor outcome after a single Epley maneuver, while BPV secondary to some inner ear disease is not [15].…”

Section: Posterior Canal Bpvmentioning

confidence: 99%

Neuro-otology- some recent clinical advances

2016

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Section: Posterior Canal Bpvmentioning

confidence: 99%

Neuro-otology- some recent clinical advances

2016

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“…Our study yielded similar results since the response rates of 75.32 and 92.20% after 1 day and 1 week follow up were observed, which could be explained by the number of maneuvers. Some studies showed that the canalith repositioning maneuver in treating PC-BPPV should be repeatedly applied ( 5 , 10 ). Thus, patients with PC-BPPV needed to be treated several times, which is inconvenient.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment of PC-BPPV relies on a canalith repositioning maneuver, and the most common approach is the Epley maneuver ( 4 ). In a retrospective study, 84% of patients obtained symptomatic control of PC-BPPV after three Epley maneuvers ( 5 ), which means repeated Epley maneuvers are required for some patients until PC-BPPV resolves completely. PC-BPPV also has a high recurrence rate ( 6 , 7 ) and frequent recurrences render patients with PC-BPPV dependent on costly and time-consuming medical care.…”

Section: Introductionmentioning

confidence: 99%

Self-Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo: A Preliminary Study

Gan¹,

Zhou²,

Yang³

et al. 2021

Front. Med.

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Objectives: The purpose of this study is to investigate a modified Epley maneuver for self-treatment of posterior canal benign paroxysmal positional vertigo (PC-BPPV).Methods: The study recruited 155 patients with PC-BPPV. All patients were randomized into the Epley maneuver group (n = 77) and modified Epley maneuver group (n = 78). We analyzed the resolution rate (1 day and 1 week), residual symptoms after the maneuver, and adverse effects.Results: It was found that the modified Epley maneuver group had a higher resolution rate than that of the Epley maneuver group in the treatment of PC-BPPV after 1 day of the initial maneuver (p < 0.05). However, there was no difference in resolution rate between the Epley maneuver group and the modified Epley maneuver group in resolution rate after 1 week of the initial maneuver (p > 0.05). The modified Epley maneuver group had fewer residual symptoms than that of the Epley maneuver group 1 week after treatment of PC-BPPV (p < 0.05). Significant improvements were also observed in average DHI scores in patients who underwent the modified Epley maneuver compared to the Epley maneuver (p < 0.05). There was no significant difference in adverse effects between the two groups (p > 0.05).Conclusions: The modified Epley maneuver has a satisfactory therapeutic efficacy with less residual symptoms and could be recommended as a self-treatment for patients with PC-BPPV.

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“…On the other hand, if the manoeuver is not effective we recommend a more complete evaluation, using exams such as the caloric test and the video head impulse test (vHIT). Alternatively, any posturography protocol can be used as a complementary exam in order to provide a prognosis [15].…”

Section: Discussionmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo (Bppv): Case Report With Epley Manoeuver

Silva¹,

Tomé²,

Olsen³

2017

J Hear Sci

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Background: Benign paroxysmal positional vertigo (BPPV) is a peripheral vestibular dysfunction which represents about 70% of vestibular pathology presented at ENT clinics. However, a variety of first treatment approaches are reported among clinicians. Case report:We present the case of a 39-year-old woman who presented vertigo which worsened with head movement to the left. The patient reported dizziness and migraine over the previous three days. Audiological testing revealed normal hearing, but under postural examination the Dix-Hallpike manoeuver was positive to BPPV of the left posterior canal. The patient was treated with a single Epley manoeuver. Conclusions:After the Epley manoeuver the patient had no further symptoms of vertigo or dizziness. The Dix-Hallpike manoeuver was effective as a differential diagnosis. The Epley manoeuver was successful in a case in which canalithiasis was believed to be the cause of the vertigo.

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How many Epley manoeuvres are required to treat benign paroxysmal positional vertigo?

Abstract: Symptomatic control of benign paroxysmal positional vertigo was obtained following a single Epley manoeuvre for 47 per cent of patients. The majority of patients (84 per cent) experienced symptomatic improvement following three Epley manoeuvres.

Cited by 18 publications

References 8 publications

Neuro-otology- some recent clinical advances

Neuro-otology- some recent clinical advances

Self-Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo: A Preliminary Study

Benign Paroxysmal Positional Vertigo (Bppv): Case Report With Epley Manoeuver

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