Prognosis of patients with benign paroxysmal positional vertigo treated with repositioning manoeuvres

2006 ◽  
Vol 120 (7) ◽  
pp. 528-533 ◽  
Author(s):  
S Korres ◽  
D G Balatsouras ◽  
E Ferekidis
Keyword(s):  
Treatment Outcome ◽  
Prognostic Factors ◽  
Retrospective Study ◽  
Benign Paroxysmal Positional Vertigo ◽  
Duration Of Symptoms ◽  
Repeat Treatment ◽  
Positional Vertigo ◽  
Small Subgroup ◽  
Duration Of Disease ◽  
Paroxysmal Positional Vertigo

Objective: To evaluate the prognostic factors in benign paroxysmal positional vertigo (BPPV) treated with canalith repositioning procedures (CRPs).Material and methods: Retrospective study of consecutive BPPV cases diagnosed over three years. All patients underwent a complete otolaryngologic, audiologic and neurotologic evaluation. The appropriate CRP was performed, depending on the type of BPPV. Prognostic factors studied included age, sex, aetiology, duration of disease, abnormal electronystagmographic findings, canal involvement, improper performance of manoeuvres, response on first or repeat treatment, and presence of recurrences.Results: One hundred and fifty-five patients were studied, 66 men and 89 women, with mean ages of 58.7 and 60.4 years, respectively. Age and the involvement of two canals or bilateral disease had an effect on initial treatment outcome and were correlated to increased recurrences but not to repeat treatment outcome. Secondary BPPV, abnormal electronystagmographic findings and improper performance of manoeuvres had a significant effect both on initial and repeat treatment, but not on recurrences. Sex and duration of symptoms had no effect.Conclusion: Canalith repositioning procedures provide fast and long-lasting treatment of BPPV in most patients. However, in a small subgroup of patients, failures may be noticed that may be attributed to various prognostic factors.

scholarly journals Pseudo-Benign Paroxysmal Positional Vertigo: A Retrospective Study and Case Report

2020 ◽  
Vol 11 ◽  
Author(s):  
Jie Yu ◽  
Qianru Yu ◽  
Benling Guan ◽  
Yu Lu ◽  
Chengfang Chen ◽  
...  
Keyword(s):  
Case Report ◽  
Retrospective Study ◽  
Benign Paroxysmal Positional Vertigo ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

scholarly journals BENIGN PAROXYSMAL POSITIONAL VERTIGO: OUR EXPERIENCE AT A TERTIARY CARE CENTRE OF CENTRAL INDIA

2020 ◽  
pp. 1-3
Author(s):  
Patel Meghraj Singh
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Duration Of Symptoms ◽  
Common Cause ◽  
Patient Profile ◽  
Positional Vertigo ◽  
Age Range ◽  
Paroxysmal Positional Vertigo

Background: - Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo. The diagnosis is often delayed and patients are unnecessarily investigated and treated with drugs. Aim: To analyze the patient profile, duration of symptoms, etiology, associated co-morbidities, type of canal involvement and response to CRP in cases of BPPV. Material & Methods: The present prospective study was conducted at a tertiary care centre from January 2015 to December 2016 in 90 patients with a clinical diagnosis of BPPV. Patient particular and disease specific data were recorded in preset profoma and analyzed. All these patients were treated by different CRP specific for the canal involved. All cases were reassessed for post procedural response. Results: Total 90 patients were included in the study with age range of 20 to 76 year. Mean age was 46.74. Maximum patients (26.67%) were in the age range of 41-50 year with male: female was 1:1.43. The duration of symptoms was in from 2 days to more than 3 years. Most common morbidity was diabetes and most common cause was Idiopathic (82.22%). Most of these patients presented with positional vertigo (94.44%). Right posterior canal was involved in 52 cases (57.78%) and left in 30 (33.33%) cases. Conclusion: BPPV is a common cause of vertigo. More awareness needed about its symptoms, early application of Dix-Hallpike test and Epley’s procedure to reduce the suffering of patients and to reduce unnecessary diagnostic tests and costs.

scholarly journals Pseudo-spontaneous nystagmus in lateral semicircular canal benign paroxysmal positional vertigo: Correlation with bow and lean test in a pitch plane

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0242580
Author(s):  
Hyun-Jin Lee ◽  
Seong Ki Ahn ◽  
Chae Dong Yim ◽  
Dae Hwan Kim ◽  
Dong Gu Hur
Keyword(s):  
Treatment Outcome ◽  
Semicircular Canal ◽  
Benign Paroxysmal Positional Vertigo ◽  
Spontaneous Nystagmus ◽  
Sitting Position ◽  
Lateral Semicircular Canal ◽  
Video Oculography ◽  
Positional Vertigo ◽  
End Of Treatment ◽  
Paroxysmal Positional Vertigo

Objectives We investigated the incidence and characteristics of pseudo-spontaneous nystagmus (PSN) in benign paroxysmal positional vertigo involving the lateral semicircular canal (LC-BPPV) and evaluated the correlation between PSN and the bow and lean test. Methods We examined nystagmus in the sitting position using video-oculography goggles in 131 LC-BPPV patients. The positioning test and bow and lean test were also performed. Patients were divided into canalolithiasis and cupulolithiasis groups according to the character of nystagmus. In each group, the incidence and direction of PSN, correlation with the bow and lean test, and treatment outcome were analyzed. Results PSN was observed in 25 cases (19.1%) in LC-BPPV patients, 7 of which were canalolithiasis and 18 of which were cupulolithiasis (p = 0.098). Of the 25 patients with PSN, 21 (84%) exhibited nystagmus consistent with the lean test whereas 4 (16%) exhibited nystagmus consistent with the bow test. In patients with PSN, nystagmus was observed in the bow and lean test in all cases (23/23), but in patients without PSN, no nystagmus was observed in 13 cases (13/87) in the bow and lean test (p = 0.048). The number of barbecue maneuvers performed until the end of treatment was 1.4 ± 0.7 in patients with PSN and 1.4 ± 0.9 in those without PSN (p = 0.976). Conclusion We identified PSN in patients with LC-BPPV irrelevant of subtype. Moreover, all patients with PSN showed nystagmus in the bow and lean test. The direction of PSN was mostly consistent with that of the lean test (21/25, 84%). The presence of PSN was not related to the treatment outcome in this study.

scholarly journals Efficacy of Epley maneuver in treatment of benign paroxysmal positional vertigo of the posterior semicircular canal

2012 ◽  
Vol 69 (8) ◽  
pp. 669-674 ◽  
Author(s):  
Snezana Babac ◽  
Nenad Arsovic
Keyword(s):  
Success Rate ◽  
Semicircular Canal ◽  
Benign Paroxysmal Positional Vertigo ◽  
Spontaneous Nystagmus ◽  
Posterior Semicircular Canal ◽  
Duration Of Symptoms ◽  
Positional Vertigo ◽  
Epley Maneuver ◽  
Repositioning Maneuver ◽  
Paroxysmal Positional Vertigo

Background/Aim. Benign paroxysmal positional vertigo is one of the most frequent peripheral vestibular system disorders. The aim of this study was to examine the efficacy of the Epley maneuver in treating benign paroxysmal positional vertigo of the posterior semicircular canal (p- BPPV) and to discover possible causes of failure. Methods. This prospective study included 75 patients. In all the cases medical history showed and the positioning Dix-Hallpike test confirmed the diagnosis of p-BPPV. We also performed clinical ENT examination, searching for spontaneous nystagmus, vestibulospinal tests, caloric test, and audiometry. All the patients were treated by the modified Epley canalith repositioning maneuver. The patients were followed up at the intervals of seven and, fourteen days, and one, tree, and six months and one year. The maneuver was repeated if vertigo and nystagmus on control positioning test persisted. The transition from positive into negative Dix Hallpike test after one or two Epley maneuver was considered as success in treatment. Results. After the initial Epley maneuver the recovery rate was 90.7%, and after the second 96%. In three (4%) patients with secondary p-BPPV, symptoms did not cease even after the second repositioning maneuver. The etiology of p-BPPV had a significant effect on the maneuver?s success rate (p < 0.01), whereas duration of symptoms, age and gender had no effect (p > 0.05). After a successful treatment 11 (14.66%) patients had recurrent attack of BPPV during the first year. Conclusion. The Epley maneuver is very successful repositioning procedure in treating p- BPPV. The patients with idiopathic form p-BPPV showed higher success rate with Epley maneuver than those with secondary p-BPPV.

Short- and Long-Term Outcomes of Canalith Repositioning for Benign Paroxysmal Positional Vertigo

2000 ◽  
Vol 122 (5) ◽  
pp. 647-653 ◽  
Author(s):  
Robert A. Nunez ◽  
Stephen P. Cass ◽  
Joseph M. Furman ◽  
G. Richard Holt
Keyword(s):  
Recurrence Rate ◽  
Benign Paroxysmal Positional Vertigo ◽  
Duration Of Symptoms ◽  
Telephone Interviews ◽  
Positional Vertigo ◽  
Kaplan Meier ◽  
Study Population ◽  
Short And Long Term ◽  
Canalith Repositioning Procedure ◽  
Paroxysmal Positional Vertigo

This is a prospective, nonrandomized study of the canalith repositioning procedure (CRP) for treatment of benign paroxysmal positional vertigo (BPPV). CRP was used to treat 168 patients with BPPV. Patient data were gathered by yearly telephone interviews to determine whether symptoms of position-induced vertigo had returned. After 1 or 2 treatment sessions 91.3% of patients reported complete symptom resolution. Average follow-up for the study population after the initial treatment was 26 months. A recurrence rate of 26.8% was found among those patients who initially reported resolution of symptoms after CRP. Application of recurrence data to a Kaplan-Meier estimation suggests a 15% recurrence rate per year of BPPV, with a 50% recurrence rate of BPPV at 40 months after treatment. There was no significant association between cure or recurrence rate and sex, age, duration of symptoms, presumed cause, or treating physician.

scholarly journals Benign Paroxysmal Positional Vertigo (BPPV) in Adult Patients between 15-40 years of age: A study on Treatment Outcome in Teaching Hospitals

2021 ◽  
Vol 15 (6) ◽  
pp. 2115-2118
Author(s):  
Zafar Iqbal ◽  
Rehan Saleem ◽  
Muhammad Tayyab Rasheed ◽  
Mohammed Habib ◽  
Naseem ul Haq ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Medical Treatment ◽  
Benign Paroxysmal Positional Vertigo ◽  
Combined Treatment ◽  
Clinical History ◽  
Adult Patients ◽  
Teaching Hospitals ◽  
Vestibular Disorder ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Objectives: To study treatment outcome of positional vertigo in adult patients of 15-40 years of age. Place and duration of study: This study was conducted at ENT department of Chaudhary Muhammad Akram Teaching & Research Hospital, Lahore and Kuwait Teaching Hospital, Peshawar from June 2019 to June 2020. Material and Methods: 50 patients with diagnosis of benign positional vertigo were included in the study. Patients were treated and their outcomes were analyzed. Results: 50 patients of age between 15-40 years were included in the study. The analysis of treatment outcome showed that 35 patients (70%) showed maximum improvement in vertigo with medical treatment, 10 patients (20%) showed improvement in their symptoms with positional exercises and 5 patients (10%) showed improvement by combined treatment. Conclusion: Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder and presents as brief, episodic, positional provoked vertigo. The diagnosis can be made through clinical history along with diagnostic maneuvers and it can have a considerable impact on the quality of life. The medical treatment with vestibular dilators and vestibular suppressant is best option, with particle repositioning maneuver (Epley maneuver) for resistant and recurrent patients. Key words: Vestibular exercises, Dizziness, Positional vertigo, Dis equilibrium

Atypical Forms of Paroxysmal Positional Nystagmus

1995 ◽  
Vol 74 (9) ◽  
pp. 649-656 ◽  
Author(s):  
Eric E. Smouha ◽  
Claudia Roussos
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Clinical Course ◽  
Positional Nystagmus ◽  
Cns Disorders ◽  
Duration Of Symptoms ◽  
Favorable Prognosis ◽  
Positional Vertigo ◽  
Vascular Insufficiency ◽  
Physical Findings ◽  
Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo, and has a typical constellation of physical findings. Atypical forms of paroxysmal positional nystagmus (APPN) also exist, and are thought to represent conditions which are in fact not “benign”. We studied 100 consecutive patients with positional vertigo in order to learn whether APPN differed from classic BPPV in etiology or clinical fate, and to learn the incidence of central nervous system (CNS) disorders in these patients. APPN was present in 38% of these patients with diverse causes. One-fourth had CNS disorders or vascular insufficiency, the remainder, otogenic or idiopathic. APPN was more likely than BPPV to have a prolonged (persistent or recurring) clinical course. Although most cases eventually resolved, duration of symptoms tended to be longer, regardless of etiology. We conclude that APPN has a less favorable prognosis than typical BPPV, and that a CNS etiology should be suspected in prolonged cases.

scholarly journals Benign Paroxysmal Positional Vertigo in Irradiated Nasopharyngeal Carcinoma Survivors

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Shaoyan Feng ◽  
Yunping Fan ◽  
Liqing Guo ◽  
Zibin Liang ◽  
Jiaoping Mi
Keyword(s):  
Hearing Loss ◽  
Retrospective Study ◽  
Nasopharyngeal Carcinoma ◽  
Otitis Media ◽  
Medical Records ◽  
Benign Paroxysmal Positional Vertigo ◽  
Control Group ◽  
Positional Vertigo ◽  
Radiation Induced ◽  
Paroxysmal Positional Vertigo

Purpose. It has been assumed that postirradiated nasopharyngeal carcinoma (NPC) patients are prone to benign paroxysmal positional vertigo (BPPV). The purpose of this study was to better understand this clinical entity. Materials and Methods. From September 2003 to June 2011, we conducted a retrospective study of 11 irradiated NPC patients with BPPV in our institute. During the same period, 11 irradiated NPC patients without BPPV were randomly selected and enrolled as the control group. All medical records of these patients were evaluated. Results. The risk of BPPV rises significantly when the patient undergoes radiotherapy (RT) twice and the threshold radiation dose is >120 Gy (P=0.027). The occurrence of postirradiated BPPV was significantly related to incidences of otitis media and sensorineural hearing loss (SNHL) (P=0.011 and 0.009, resp.). All the patients responded well to repositioning maneuvers. Conclusion. A second course of RT, postirradiated otitis media, or SNHL is associated with the potential risk of radiation-induced BPPV. Repositioning maneuvers were safe and effective for relief of this disease.

Sign in / Sign up

Export Citation Format

Share Document