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Using Zebrafish Larvae to Study the Pathological Consequences of Hemorrhagic Stroke
Published on: June 5, 2019
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Hemorrhagic stroke after Epley maneuver: a case report
Paige Moore1, Trung Le2, Brian Blakley3
1Department of Otolaryngology - Head & Neck Surgery, University of Manitoba, GB421 - 820 Sherbrook Street, Winnipeg, MB, R3A 1R9, Canada. moorep35@myumanitoba.ca.
Summary
The Epley maneuver, a common treatment for benign paroxysmal positional vertigo (BPPV), has a rare reported serious adverse event. A patient experienced a hemorrhagic stroke after the procedure, resulting in permanent visual deficits.
Area of Science:
- Neurology
- Otolaryngology
- Neuroscience
Background:
- Benign paroxysmal positional vertigo (BPPV) is the most common vestibular disorder.
- The Epley maneuver is the standard treatment for BPPV.
Observation:
- A 77-year-old female underwent the Epley maneuver for BPPV.
- She developed severe nausea, vomiting, and visual changes post-procedure.
- A CT angiogram revealed an acute occipital lobe intraparenchymal hemorrhage.
Findings:
- This is the first reported case of a serious adverse event following the Epley maneuver.
- The patient sustained a permanent visual field deficit due to the hemorrhagic stroke.
- The event is considered an indirect and extremely rare complication.
Implications:
- The Epley maneuver remains a safe and effective treatment for BPPV.
- This rare complication does not necessitate changes in clinical practice patterns.
- Highlights the importance of vigilance for rare adverse events in common procedures.
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