Management Protocol for the Unilateral Posterior Canal - Benign Paroxysmal Positional Vertigo - A Prospective...

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.
• Effective treatment protocols are crucial for managing pc-BPPV.

Purpose of the Study:

• To evaluate the efficacy of a single Epley manoeuvre per session over three consecutive days for pc-BPPV.
• To establish an optimal treatment protocol for pc-BPPV.
• To assess the long-term recovery and recurrence rates.

Main Methods:

• A prospective observational study included 410 patients with unilateral pc-BPPV.
• The Epley manoeuvre was administered once daily for three consecutive days.
• Patients with persistent symptoms received the Semont manoeuvre, with protocol repetition as needed.

Main Results:

• 95.6% of patients experienced symptom relief by day 3.
• The overall cure rate was 99.8%, with a 6-month recovery rate of 99.75%.
• A 6.34% recurrence rate was noted within six months.

Conclusions:

• A treatment protocol combining the Epley and Semont manoeuvres over consecutive days is highly effective for pc-BPPV.
• This approach leads to significant symptom improvement and high rates of recovery.
• The established protocol demonstrates excellent efficacy and acceptable recurrence rates for pc-BPPV management.