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J Neurol Neurosurg Psychiatry. 2006 Aug;77(8):980-2. Epub 2006 Mar 20.

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

Author information

1
Department of Neurology, Charité, Campus Virchow-Klinkum, Berlin, Germany. michael.von_brevern@charite.de

Abstract

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
PMCID:
PMC2077628
DOI:
10.1136/jnnp.2005.085894
[Indexed for MEDLINE]
Free PMC Article
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