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Mayo Clin Proc. 2000 Jul;75(7):695-700.

The canalith repositioning procedure for the treatment of benign paroxysmal positional vertigo: a randomized controlled trial.

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  • 1Division of Area General Internal Medicine, Mayo Clinic, Rochester, Minn. 55905, USA.

Abstract

OBJECTIVE:

To compare the canalith repositioning procedure (CRP) with a sham maneuver for the treatment of benign paroxysmal positional vertigo.

PATIENTS AND METHODS:

We recruited 50 patients with a history of positional vertigo and unilateral positional nystagmus on physical examination (Dix-Hallpike maneuver). Patients were randomized to either the CRP (n = 24) or a sham maneuver (n = 26). Measured outcomes included resolution of vertigo and positional nystagmus at follow-up examination.

RESULTS:

The mean duration of follow-up was 10 days for both groups. Resolution of symptoms was reported by 12 (50%) of the 24 patients in the CRP group and by 5 (19%) of the 26 patients in the sham group (P = .02). The results of the Dix-Hallpike maneuver were negative for positional nystagmus in 16 (67%) of 24 patients in the CRP group and in 10 (38%) of 26 patients in the sham group (P = .046).

CONCLUSION:

The CRP is effective treatment of benign paroxysmal positional vertigo, and this procedure can be performed by general internists on outpatients with this disorder.

PMID:
10907384
[PubMed - indexed for MEDLINE]
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