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1: J Neurol Neurosurg Psychiatry. 2006 Aug;77(8):980-2. Epub 2006 Mar 20.Click here to read Links

Short-term efficacy of Epley's manoeuvre: a double-blind randomised trial.

von Brevern M, Seelig T, Radtke A, Tiel-Wilck K, Neuhauser H, Lempert T.

Department of Neurology, Charité, Campus Virchow-Klinkum, Berlin, Germany. michael.von_brevern@charite.de

BACKGROUND: Benign paroxysmal positional vertigo of the posterior canal (PC-BPPV) is a common vestibular disorder and can be easily treated with Epley's manoeuvre. Thus far, the short-term efficacy of Epley's manoeuvre for treatment of PC-BPPV is unknown. OBJECTIVES: To evaluate the efficacy of Epley's manoeuvre for treatment of PC-BPPV 24 h after applying the manoeuvre. METHODS: The short-term efficacy of Epley's manoeuvre was compared with a sham procedure in 66 patients with PC-BPPV by using a double-blind randomised study design. RESULTS: 24 h after treatment, 28 of 35 (80%) patients in the Epley's manoeuvre group had neither vertigo nor nystagmus on positional testing compared with 3 of 31 (10%) patients in the sham group (p<0.001). CONCLUSION: Epley's manoeuvre is shown to resolve PC-BPPV both effectively and rapidly.

PMID: 16549410 [PubMed - indexed for MEDLINE]