Treatment of benign paroxysmal positional vertigo. A clinical review

Pérez-Vázquez, Paz; Franco‐Gutiérrez, Virginia

doi:10.1016/j.joto.2017.08.004

Cited by 16 publications

(11 citation statements)

References 85 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The diagnosis of BPPV is based on the different characteristics of the nystagmus elicited by the provoking manoeuvres ( Pérez-Vázquez and Franco-Gutiérrez, 2017 ). The comprehensive diagnosis of BPPV includes the specification of the affected semi-circular canal(s) and pathophysiology (canalolithiasis or cupulolithiasis) ( Von Brevern et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

RETRACTED: A Deep Learning Model for Three-Dimensional Nystagmus Detection and Its Preliminary Application

et al. 2022

Front. Neurosci.

View full text Add to dashboard Cite

Symptoms of vertigo are frequently reported and are usually accompanied by eye-movements called nystagmus. In this article, we designed a three-dimensional nystagmus recognition model and a benign paroxysmal positional vertigo automatic diagnosis system based on deep neural network architectures (Chinese Clinical Trials Registry ChiCTR-IOR-17010506). An object detection model was constructed to track the movement of the pupil centre. Convolutional neural network-based models were trained to detect nystagmus patterns in three dimensions. Our nystagmus detection models obtained high areas under the curve; 0.982 in horizontal tests, 0.893 in vertical tests, and 0.957 in torsional tests. Moreover, our automatic benign paroxysmal positional vertigo diagnosis system achieved a sensitivity of 0.8848, specificity of 0.8841, accuracy of 0.8845, and an F1 score of 0.8914. Compared with previous studies, our system provides a clinical reference, facilitates nystagmus detection and diagnosis, and it can be applied in real-world medical practices.

show abstract

Section: Discussionmentioning

confidence: 99%

RETRACTED: A Deep Learning Model for Three-Dimensional Nystagmus Detection and Its Preliminary Application

et al. 2022

Front. Neurosci.

View full text Add to dashboard Cite

show abstract

“…Based on these positional tests, we found that the posterior canal was most commonly affected in patients with BPPV, the horizontal canal was less affected. This is in line with reported percentages in the literature of 80–90% for the posterior canal [ 30 ]. Frenzel goggles or video-oculoscopy were not available in this physiotherapy setting.…”

Section: Discussionsupporting

confidence: 93%

Outcome for dizzy patients in a physiotherapy practice: an observational study

et al. 2022

View full text Add to dashboard Cite

Background Dizziness is a common reason for referral to physiotherapy. Additional information on clinical characteristics, treatment effect and prognostic indicators in physiotherapy practice are needed. Methods A retrospective observational study. Based on a standardised clinical evaluation patients were labelled as having Benign Paroxysmal Positioning Vertigo (BPPV) or not (no-BPPV). BPPV was treated with repositioning manoeuvres and exercises. In no-BPPV, treatment was based on additional clinical tests. Treatment was provided once per week and considered successful when the patient was free of symptoms confirmed by negative positional tests. Results From 148 referred patients, 88 were labelled as having BPPV, 60 as no-BPPV. The symptom of a short-lasting spinning sensation provoked by head movements was highly suggestive of BPPV. On average, in BPPV treatment was completed after 2.27 ± 1.68 treatments, in no-BPPV this was after 4.91 ± 3.46 treatments. The delayed outcome was related to higher ‘age’ and ‘concomitant neck pain’ in BPPV and with higher ‘age’ only in no-BPPV. Favourable outcome was related to the feature ‘dizziness provoked by movements in the horizontal plane’ in BPPV. Conclusions Clinical evaluation and treatment in physiotherapy practice can be an effective and safe option for patients with dizziness. Several clinical variables with prognostic values were identified. Key messages Clinical evaluation and treatment in physiotherapy practice can be part of low threshold care for dizzy patients. Despite prior medical screening, one-third of patients without signs of BPPV were sent back for further evaluation, illustrating the need for interdisciplinary collaboration. Based on the description of the dizziness symptom (vertigo rather than light-headedness), provocation of the dizziness by movements, and a short duration of the dizziness attack, and positive clinical vestibular tests, BPPV treatment could be initiated.

show abstract

“…Epley's maneuver for treating posterior canal canalolithiasis (depicted in Figure 2 for a right-sided posterior canal-BPPV). 6 1. The patient is seated with the head turned 45 • to the affected side (right in this case).…”

Section: Exclusion Criteriamentioning

confidence: 99%

Comparison between efficacy of Epley’s maneuver with medical therapy versus medical therapy alone in treating BPPV patients

Kavathia¹,

Bathla²,

Doshi³

et al. 2021

IJOAS

View full text Add to dashboard Cite

Background: Dizziness and disequilibrium are common complaints in both general adult and the geriatric population. Dizziness is often used to describe the sensations of vertigo, lightheadedness, imbalance, presyncope, disorientation, and/or gait instability. The cause may be otologic, neurologic, cardiovascular, psychiatric, orthopedic or ophthalmologic. Benign paroxysmal positional vertigo(BPPV) is, by far, the most common cause of episodic vertigo. Materials and M ethods: This study was done in a tertiary care center of Ahmedabad, Gujarat, in patients above age of 20 and with BPPV. The purpose of the study was to compare the efficacy of Epley's maneuver with medical therapy versus medical therapy alone in patients of BPPV. Results: A total of 50 patients were divided into two groups: 25 to the group A which received Epley's maneuver with drug therapy and 25 to the group B which received only drug therapy. In our study, Epley's maneuver with medical therapy was found to be more effective than medicine given alone. Conclusion: This study shows that the Epley maneuver with medical therapy provides effective and longterm control of symptoms in patients with BPPV. It benefits over medical therapy alone in terms of avoiding the delay in vestibular compensation and recurrence.

show abstract

Treatment of benign paroxysmal positional vertigo. A clinical review

Cited by 16 publications

References 85 publications

RETRACTED: A Deep Learning Model for Three-Dimensional Nystagmus Detection and Its Preliminary Application

RETRACTED: A Deep Learning Model for Three-Dimensional Nystagmus Detection and Its Preliminary Application

Outcome for dizzy patients in a physiotherapy practice: an observational study

Comparison between efficacy of Epley’s maneuver with medical therapy versus medical therapy alone in treating BPPV patients

Contact Info

Product

Resources

About