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Can Benign Paroxysmal Positional Vertigo Be Treated in a One Session?
Vanesa Pérez-Guillén1, Virginia Franco-Gutiérrez2, Maria Teresa Gil- Aguilar2
1Otoneurology Section, ENT Department, Hospital Universitario La Fe, Valencia.
Summary
Single-session treatment for posterior canal benign paroxysmal positional vertigo (BPPV) is as effective and safe as weekly treatments. This approach reduces patient visits and optimizes care for pc-BPPV.
Area of Science:
- Neurology
- Otolaryngology
- Vestibular Disorders
Background:
- Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo.
- Posterior canal BPPV (pc-BPPV) is the most frequent subtype.
- Current treatment often involves multiple weekly sessions.
Purpose of the Study:
- To evaluate the safety and reliability of single-session pc-BPPV treatment.
- To compare the effectiveness of single-session versus weekly treatment protocols.
- To assess maneuver requirements, side effects, and recurrence rates.
Main Methods:
- A prospective randomized study compared two groups: weekly management (27 patients) and single-session treatment (26 patients).
- Unilateral pc-BPPV patients were included.
- Outcomes measured included maneuvers needed, side effects (re-entries, canal conversions), and recurrence.
Main Results:
- No significant differences in maneuvers, side effects, or recurrence rates were observed between groups.
- The single-session group experienced a significantly shorter time to patient discharge.
- Minor side effects in the single-session group were successfully managed.
Conclusions:
- Single-session management of pc-BPPV is a safe and reliable treatment option.
- This approach can reduce outpatient clinic visits.
- It offers an optimized strategy for pc-BPPV treatment.
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