Strategies to Prevent Recurrence of Benign Paroxysmal Positional Vertigo

Helminski, Janet Odry; Janssen, İmke; Kotaspouikis, Despina; Kovacs, Karen; Sheldon, P. W. E.; McQueen, Kristin; Hain, Timothy C.

doi:10.1001/archotol.131.4.344

Cited by 37 publications

(43 citation statements)

References 8 publications

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“…Macias et al 32 reported 13.5% recurrence of BPPV six months after the repositioning maneuver. Helminski et al 33 found 43% BPPV recurrence after the repositioning maneuver, without statistical significance between the patients who did and those who did not do the Brandt . Such result variability among the authors can be explained by the difference in time and means of patient follow up.…”

Section: Discussionmentioning

confidence: 97%

Quedas em idosos com Vertigem Posicional Paroxística Benigna

Ganança¹,

Gazzola²,

Ganança³

et al. 2010

Braz. j. otorhinolaryngol. (Impr.)

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Summary Benign Paroxysmal Positional Vertigo (BPPV) can cause falls, especially in the elderly. Aim to study whether or not elderly patients with BPPV have a reduction on their falls after the particle repositioning maneuver (PRM). Materials and Methods retrospective study including elderly with BPPV who had fall(s) during the last year. All patients were submitted to the PRM according to the affected semicircular canal (SCC). After the abolition of positioning vertigo and nystagmus, the patients were submitted to a 12 month follow-up and were investigated about the number of fall(s). Wilcoxon's test was performed to compare the number of fall(s) before and after 12 months of the PRM. Results One hundred and twenty one patients were included in the study. One hundred and one patients presented involvement of the posterior SCC, 16 of the lateral and four of the anterior. We noticed a reduction on the number of falls, with statistically significant difference when all the patients were analyzed together (p<0.001), the posterior canal BPPV patients (p<0,001) and the lateral canal VPPB patients (p=0.002). We also found a tendency of statistically significant difference for the anterior canal BPPV patients (p=0.063). Conclusion BPPV elderly patients had indeed a reduction on the number of falls after the PRM.

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Section: Discussionmentioning

confidence: 97%

Quedas em idosos com Vertigem Posicional Paroxística Benigna

Ganança¹,

Gazzola²,

Ganança³

et al. 2010

Braz. j. otorhinolaryngol. (Impr.)

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“…In a study involving 116 subjects [17], 37% experienced recurrence of symptoms after performance of the exercises, compared to 47% in the control group. There was also no significant difference in the frequency of recurrence or time to recurrence between the case and control groups (Helminski et al, 2005). …”

Section: Discussionmentioning

confidence: 97%

Evaluation of vestibular exercises in the management of benign paroxysmal positional vertigo

Karanjai

2010

Indian J Otolaryngol Head Neck Surg

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Aim (1) To evaluate the role of vestibular exercises in the management of benign paroxysmal positional vertigo (BPPV). (2) To compare the three vestibular exercises (Semont`s manoeuvre, Epley`s manoeuvre or Brandt-Daroff exercises) in the treatment of BPPV. Settings and Design Prospective randomised studyMethods and Material Fourty-eight patients diagnosed as BPPV in the study period November 2005-2006 were included in the study. They were randomly assigned to one of three groups, and the corresponding manoeuvre was done on them. Follow-up were at 2 weeks and 3 months.Results Thirty-five of the 48 patients (72.91%) reported relief of symptoms at 2 weeks and no recurrence of symptoms at 3 months. Result was best for the group which was subjected to the Epley manoeuvre (87.5%).Conclusions Performance of any of the three manoeuvres can be expected to give good results in the management of BPPV. The Epley manoeuvre appears to be better than the other two in terms of relief of symptoms and prevention of recurrence.

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“…16 After successful treatment of BPPV patients by using Epley's maneuver, recurrence rates of signs and symptoms have been quoted at 6.6% 32 to 12.0% of cases after six months, 31 15% 27 to 30% 20,26 of cases at one year, 50% of cases at 40 months, 28 37% of cases 60 months after treatment,29 and 43% of cases at two years. 33 Recurrence was seen in 50% of cases after a ten-year follow-up period. Recurrences occurred in 80% of cases during the first year following the treatment.…”

Section: Discussionmentioning

confidence: 97%

“…17 The efficacy of Epley's maneuver in the treatment of BPPV patients has been underlined in the literature. [16][17][20][21]26,28,[30][31][32][33][34][35]42,[43][44][45] Only a few authors with smaller series compared to this series have investigated Epley's maneuver in patients diagnosed as having BPPV associated with Ménière's disease. Two patients remained with positional vertigo and four patients remained with nystagmus as evidenced by the Dix-Hallpike test.46 Elimination of positional nystagmus with the persistence of dizziness or mild positional unbalance was seen in 32.1% of the affected labyrinths.…”

Section: Discussionmentioning

confidence: 99%

“…[22][23][24][25] Recurrence is common and require repetition of the maneuver. 20,[26][27][28][29][30][31][32][33][34][35] BPPV-associated endolymphatic hydrops may lead to recurring vertigo and positional nystagmus after repositioning maneuvers, with persistence of symptoms in some patients. 12,[36][37][38] The aim of this paper was to assess the clinical progression of vertigo and positional nystagmus after one or more Epley's maneuvers in BPPV patients with Ménière's disease and upon recurrence of BPPV.…”

Section: Introductionmentioning

confidence: 99%

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Manobra de Epley na vertigem posicional paroxística benigna associada à doença de Ménière

Ganança

Caovilla

Gazzola

et al. 2007

Rev. Bras. Otorrinolaringol.

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Os efeitos da manobra de Epley na vertigem posicional paroxística benigna (VPPB) associada à doença de Ménière são controvertidos. OBJETIVO: Avaliar a vertigem e o nistagmo de posicionamento após uma ou mais manobras de Epley na vertigem posicional paroxística benigna (VPPB) associada à doença de Ménière e na recorrência da VPPB. MATERISL E MÉTODO: Estudo retrospectivo de 62 pacientes com VPPB associada à doença de Ménière submetidos à manobra de Epley e acompanhados durante 12 meses após a extinção do nistagmo de posicionamento. RESULTADOS: Para abolir o nistagmo de posicionamento, foi necessária uma manobra de Epley em 80,7% dos pacientes, duas em 16,1% e três em 3,2%. A vertigem foi eliminada em 71,0% dos pacientes, melhorou em 27,4% e permaneceu inalterada em 1,6%. Quatro semanas após a extinção do nistagmo de posicionamento, todos os pacientes ficaram assintomáticos. Recorrência da VPPB foi observada em 19,4% dos casos, com eliminação da vertigem e nistagmo de posicionamento à manobra específica para o canal afetado. CONCLUSÕES: Na VPPB associada à doença de Ménière, vertigem e nistagmo de posicionamento foram eliminados com uma, duas ou três manobras de Epley. A recorrência da VPPB foi resolvida com uma manobra para o canal envolvido.

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Strategies to Prevent Recurrence of Benign Paroxysmal Positional Vertigo

Cited by 37 publications

References 8 publications

Quedas em idosos com Vertigem Posicional Paroxística Benigna

Quedas em idosos com Vertigem Posicional Paroxística Benigna

Evaluation of vestibular exercises in the management of benign paroxysmal positional vertigo

Manobra de Epley na vertigem posicional paroxística benigna associada à doença de Ménière

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