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- Title
Vertigo during the Epley maneuver and success rate in patients with BPPV.
- Authors
Fyrmpas, Georgios; Barkoulas, Eustathios; Haidich, Anna; Tsalighopoulos, Miltiadis
- Abstract
To investigate whether reported vertigo during the Epley maneuver predicts therapeutic success in patients with benign paroxysmal positioning vertigo of the posterior semicircular canal (pc-BPPV). Fifty consecutive adult patients with pc-BPPV, based on a positive Dix-Hallpike test (DHT), were treated with the Epley maneuver and retested after 2 days. Patients were asked to report the presence of vertigo upon assuming each of the four positions of the maneuver. Thirty seven patients (74 %) were treated successfully in one session. Twenty out of 23 patients who reported vertigo at turning the head to the opposite side (2nd position) had a negative DHT on follow-up. These patients had a higher chance of a successful outcome compared to patients who did not report vertigo in the 2nd position (Odds ratio 5.3, 95 % CI: 1.3-22.2, p = 0.022). Report of vertigo at the other positions was not associated with the outcome. Report of vertigo at the second position of a single modified Epley maneuver is associated with therapeutic success.
- Subjects
VERTIGO treatment; TREATMENT effectiveness; POSITIONING in surgery; OPERATIVE surgery; HEALTH outcome assessment; FOLLOW-up studies (Medicine)
- Publication
European Archives of Oto-Rhino-Laryngology, 2013, Vol 270, Issue 10, p2621
- ISSN
0937-4477
- Publication type
Article
- DOI
10.1007/s00405-012-2292-0