The long-term follow-up of 61 horizontal canal BPPV after Gufoni and Barbecue maneuver: a prospective study

Abstract

Background: Horizontal canal BPPV (HC-BPPV) has a higher recurrence rate than PC-BPPV. Which maneuver is better for its prognosis is still uncertain. Objective: To compare the long-term recurrence rate after Gufoni and Barbecue maneuver. Materials and methods: We prospectively collected 61 cases of HC-BPPV which were initially diagnosed in our hospital from the first episode, and had already ruled out other diseases. Roll them into Gufoni group and Barbecue group alternatively. After the maneuver, we followed them up until December 2016. Mean follow-up time was 49.25 months. Results: The recurrence rate is 18.0% in the first year, 14.8% after the first year, and 31.1% overall. There is no statistically significant difference between Gufoni group and Barbecue group (p > .05). Age is statistically significant as a risk factor of recurrence (p<.05). Conclusions and significance: Barbecue maneuver is as good as Gufoni maneuver. The recurrence rate is only related to age. We suggest the disease relapsed within the 1st year as recurrence rather than a new disease. ARTICLE HISTORY

Treatment Results of Geotropic and Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo in a Tertiary Dizziness Clinic

“…Within 1 year, we found recurrences in 32% of the patients in the geotropic and in 24% of apogeotropic group. Our recurrence rates are slightly higher than reported in the literature (29)(30)(31)(32). However, some studies had a shorter follow-up time and others might not have included the posterior canal type of BPPV as a recurrence.…”

Diagnostic Value of Video Head Impulse Test for Patients with Benign Paroxysmal Positional Vertigo

“…The most common cause of vertigo is BPPV and is mostly caused by posterior SCC in this study and as the literature indicates [1]. Although 40% of BPPV rates originating from lateral SCC have recently been mentioned, this rate is around 20% in studies with a large number of participants and there is no prevalence study in recent literature [9,10]. In some studies, the variability of these rates has been attributed to the missed diagnosis of LSCC-induced BPPV due to the high spontaneous recovery rates [11][12][13].…”