scholarly journals Medical Education of Doctors who are not Specialists in Vestibular Disorders on the Diagnosis and Treatment of Benign Paroxysmal Positional Vertigo

2017 ◽  
Vol 120 (5) ◽  
pp. 733-739
Author(s):  
Takao Imai ◽  
Suetaka Nishiike ◽  
Kazuo Oshima ◽  
Yukinori Tsuruta ◽  
Yuya Ueno ◽  
...  
Keyword(s):  
Medical Education ◽  
Benign Paroxysmal Positional Vertigo ◽  
Diagnosis And Treatment ◽  
Vestibular Disorders ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Epley’s manoeuvre: treatment of choice for benign paroxysmal positional vertigo

2000 ◽  
Vol 114 (11) ◽  
pp. 844-847 ◽  
Author(s):  
Najam-Ul-Hasnain Khan F.C.P.S. ◽  
Mohammad Mujeeb
Keyword(s):  
Prospective Study ◽  
Benign Paroxysmal Positional Vertigo ◽  
Vestibular Disorders ◽  
Positional Vertigo ◽  
Epley’S Manoeuvre ◽  
Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV) is one of the commonest causes of peripheral vestibular disorders. In this prospective study 21 patients with BPPV were treated by Epley’s manoeuvre. All patients had an immediate improvement in their symptoms. Recurrence was noted in three patients who required further treatment sessions with resultant improvement in all. However, one patient who originally had suffered from Me´nie`re’s disease involving the same ear for more than 14 years developed another recurrence which was treated successfully by further application of Epley’s manoeuvre. This study supports the usefulness of Epley’s manoeuvre for the treatment of BPPV.

Diagnosis and treatment of anterior canal benign paroxysmal positional vertigo

2018 ◽  
Vol 57 (9) ◽  
pp. 673-680 ◽  
Author(s):  
Xia Ling ◽  
Kang-Zhi Li ◽  
Bo Shen ◽  
Li-Hong Si ◽  
Yuan Hong ◽  
...  
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Diagnosis And Treatment ◽  
Positional Vertigo ◽  
Anterior Canal ◽  
Paroxysmal Positional Vertigo

Improving diagnosis and treatment of benign paroxysmal positional vertigo

2021 ◽  
pp. 42-46
Author(s):  
Larry D. McIntire ◽  
Kindall Martin ◽  
Kunal Shah ◽  
Lauren Malinowski ◽  
John Paulson
Keyword(s):  
Primary Care ◽  
Population Health ◽  
Healthcare Costs ◽  
Benign Paroxysmal Positional Vertigo ◽  
Primary Care Providers ◽  
Diagnosis And Treatment ◽  
Care Providers ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Background: Vertigo is defined as an illusion of motion caused by a mismatch of information between the visual, vestibular and somatosensory systems. The most common diagnosis associated with whirling vertigo is benign paroxysmal positional vertigo (BPPV), which affects approximately 3.4% of patients older than 60 years of age. Objective: This paper aims to educate primary care providers on how to diagnose BPPV by performing canalith repositioning maneuvers at the initial point of care. Timely treatment of BPPV in the primary care office is believed to reduce healthcare costs by way of limiting unnecessary diagnostic testing and lowering referrals for specialty care. Immediate treatment is also believed to improve the quality of healthcare delivery for the vertigo patient by reducing morbidity and resolving the condition without the need for referrals or imaging. Population Health: A review of the literature finds that delayed diagnosis and treatment of BPPV is associated with a host of deleterious effects on patients. Population health impacts include increased rates of anxiety and depression; loss of work and/or change of career paths; inappropriate use of medications or emergency care resources; decreased access to healthcare services; increased healthcare costs; and reduced quality of care. Diagnosis: A history of positional vertigo and evidence of nystagmus with Dix-Hallpike positioning confirms the diagnosis. A detailed description of the performance of this test is elucidated. Treatment: The observed nystagmus is analyzed and classified based on directionality. Treatment can be initiated immediately with canalith repositioning maneuvers.

scholarly journals Horizontal canal benign paroxysmal positional vertigo: diagnosis and treatment of 37 patients

2015 ◽  
Vol 73 (6) ◽  
pp. 487-492 ◽  
Author(s):  
Eliana Teixeira Maranhão ◽  
Péricles Maranhão Filho
Keyword(s):  
Complete Resolution ◽  
Elderly Population ◽  
Benign Paroxysmal Positional Vertigo ◽  
The Elderly ◽  
Diagnosis And Treatment ◽  
High Morbidity ◽  
Posterior Semicircular Canal ◽  
Horizontal Canal ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV), the most frequent cause of vertigo is associated with high morbidity in the elderly population. The most common form is linked to debris in the posterior semicircular canal. However, there has been an increasing number of reported BPPV cases involving the horizontal canals. The purpose of this article is to highlight the clinical features, diagnosis, and treatment in 37 patients with horizontal canal BPPV; twenty-six with geotropic nystagmus, and eleven with the apogeotropic form. Treatment consisted of the Gufoni manoeuver in eighteen patients (48.6%), the barbecue 360° maneuver in twelve patients (32.4%), both manoeuvers in four patients (10.8%), both manoeuvers plus head shaking in one patient (2.7%), and the Gufoni maneuver plus head shaking in two patients. Cupulolithiasis patients were asked to sleep in a forced prolonged position. We obtained a complete resolution of vertigo and nystagmus in 30 patients (81.0%) on the initial visit.

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