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Epley's maneuver in the same session in benign positional paroxysmal vertigo.
Gustavo Polacow Korn1, Ricardo S Dorigueto, Maurício Malavasi Ganança
1Paulista School of Medicine, Federal University of São Paulo, SP.
Brazilian Journal of Otorhinolaryngology
|October 10, 2007
Summary
Performing multiple Epley
Area of Science:
- Neurology
- Otolaryngology
Background:
- Benign paroxysmal positional vertigo (BPPV) is a common inner ear disorder.
- Canalolithiasis of the posterior semicircular canal is a frequent cause of BPPV.
Purpose of the Study:
- To determine if multiple Epley's maneuvers per session reduce treatment duration for BPPV.
- To compare the efficacy of single versus repeated Epley's maneuvers in suppressing positional nystagmus.
Main Methods:
- 123 patients with unilateral posterior semicircular canal canalolithiasis were studied.
- Group I (n=75) received one Epley's maneuver weekly.
- Group II (n=48) underwent four Epley's maneuvers in a single session.
Main Results:
- Group II exhibited increased nystagmus latency and duration (p<0.05).
- Fewer sessions were required in Group II (p=0.008).
- Group II had 21.4% more nystagmus-free patients after one session.
Conclusions:
- Multiple Epley's maneuvers in one session are more effective than single maneuvers over multiple sessions.
- This approach leads to a higher rate of nystagmus suppression and fewer treatment sessions.
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