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Acta Otolaryngol. 2015 May;135(5):422-8. doi: 10.3109/00016489.2014.993089. Epub 2015 Feb 13.

Management of 210 patients with benign paroxysmal positional vertigo: AMC protocol and outcomes.

Author information

1
Department of Otorhinolaryngology-Head and Neck Surgery, Jeju National University School of Medicine , Jeju , Korea.

Abstract

CONCLUSION:

Benign paroxysmal positional vertigo (BPPV) could be treated with specific maneuvers for the involved canals. Management on a daily basis gave earlier relief than weekly treatment, especially in apogeotropic BPPV. Apogeotropic and multi-canal BPPVs were related to the increased numbers of follow-ups and trauma was related to the increased recurrence.

OBJECTIVE:

We aimed to report the short-term outcomes of our protocol for BPPV and evaluate the factors influencing the results and recurrence.

METHODS:

In 210 BPPV patients, posterior semicircular canal (PSCC), geotropic and apogeotropic lateral canal BPPVs were treated with the Epley maneuver, barbecue maneuver, and barbecue maneuver after head-shaking. The total number of follow-ups needed to have no provoked nystagmus, success rates at 1 week and 1 month, and factors for repeated maneuvers or recurrence were identified.

RESULTS:

Apogeotropic and multi-canal BPPV needed more follow-ups than PSCC BPPV. Multi-canal BPPV showed a significantly lower 1-week success rate than other types. Anterior and multi-canal BPPV showed significantly lower 1-month success rates than other types. The 1-week success rates for PSCC and geotropic and apogeotropic BPPV in patients followed up on a daily basis were higher than those in patients with weekly follow-up and the difference was significant only in apogeotropic BPPV. The overall 1-year recurrence rate was 16% and higher recurrence rate was related to trauma.

KEYWORDS:

Epley maneuver; barbecue maneuver; head-shaking; semicircular canal

PMID:
25678222
DOI:
10.3109/00016489.2014.993089
[Indexed for MEDLINE]

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