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Published on: August 30, 2019
Benign paroxysmal positional vertigo recurrence and persistence
Ricardo S Dorigueto1, Karen R Mazzetti, Yeda Pereira L Gabilan
1Graduate Program in Otorhinolaryngology and Head and Neck Surgery - UNIFESP-EPM, Brazil.
Unlabelled:
Benign paroxysmal positional vertigo (BPPV) is one of the most common vestibular disorders.
Aim:
To study the recurrence and persistence of BPPV in patients treated with canalith repositioning maneuvers (CRM) during the period of one year.
Study Design:
longitudinal contemporary cohort series.
Materials And Methods:
One hundred patients with BPPV were followed up during 12 months after a treatment with CRM. Patients were classified according to disease evolution. Aquatic physiotherapy for vestibular rehabilitation (APVR) protocol was applied in cases of persistent BPPV.
Results:
After CRM, 96% of the patients were free from BPPV's typical nystagmus and dizziness. During the follow up period of 1 year, 26 patients returned with typical BPPV nystagmus and vertigo. Nystagmus and vertigo were persistent in 4% of the patients. Persistent BPPV presented improvement when submitted to APVR.
Conclusion:
During the period of one year, BPPV was not recurrent in 70% of the patients, recurrent in 26% and persistent in 4%.
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