Efficacy of computer-controlled repositioning maneuvers for post-traumatic benign paroxysmal positional vertigo

Area of Science:

• Neurology
• Otolaryngology
• Vestibular Disorders

Background:

• Post-traumatic benign paroxysmal positional vertigo (T-BPPV) is a common secondary vestibular disorder.
• Diagnosing and treating T-BPPV presents challenges due to patient physical limitations.
• Computer-controlled repositioning maneuvers (CCRM) offer a potential solution for T-BPPV management.

Purpose of the Study:

• To evaluate the short-term efficacy and safety of CCRM for treating T-BPPV.
• To assess the impact of CCRM on vertigo and nystagmus resolution in T-BPPV patients.

Main Methods:

• Thirty-six patients with T-BPPV were treated using CCRM.
• CCRM was administered every 48 hours until symptom resolution.
• Dix-Hallpike and supine roll tests assessed treatment efficacy; a six-month follow-up was conducted.

Main Results:

• 66.7% of patients had multiple semicircular canal involvement.
• All patients achieved resolution of vertigo and nystagmus.
• No significant adverse effects or complications were reported during CCRM treatment.

Conclusions:

• T-BPPV frequently involves multiple canals and can be challenging to treat.
• CCRM is an effective and secure treatment for T-BPPV, particularly beneficial for patients with limited cervical mobility.
• CCRM simplifies the diagnostic and therapeutic process for T-BPPV.