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Journals / Kulak Burun Boğaz Klinikleri / 2003 / Cilt: 5 - Sayı: 3

The efficacy of canalith repositioning maneuver in the treatment of benign paroxysmal positional vertigo

Benign paroksismal pozisyonel vertigo tedavisinde kanalit repozisyon manevrası

Fatma ÇAYLAKLI
SUAT AVCI
Babür AKKUZU
Pages
134–137
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: With a success rate of 98%, CRM proved to be very effective in BPPV.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: We evaluated the clinical results of treat-ment in patients with benign paroxysmal positional verti-go (BPPV) of posterior semicircular canal involvement.
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Key Findings & Data:Patients and Methods: The study included 102 patients (72 females, 30 males; mean age 50.5 years; range 15 to 85 years) with BPPV.
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Conclusion & Impact:Conclusion: With a success rate of 98%, CRM proved to be very effective in BPPV.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Nistagmus · fizyolojik · Fizik tedavi yöntemleri

Abstract

Objectives: We evaluated the clinical results of treat-ment in patients with benign paroxysmal positional verti-go (BPPV) of posterior semicircular canal involvement. Patients and Methods: The study included 102 patients (72 females, 30 males; mean age 50.5 years; range 15 to 85 years) with BPPV. Dix-Hallpike test was performed in all the patients. Patients with typical nystagmus were treated with the canalith repositioning maneuver (CRM), a modified form of the Epley's maneuver. Follow-up examinations were performed at three-day intervals, until a negative result was obtained by the Dix-Hallpike test. Results: Benign paroxysmal positional vertigo was detected in the right ear in 63 patients and in the left ear in 33 patients. Six patients had bilateral involvement. Following CRM, symptoms disappeared after one ses-sion in 69 patients (67.6%), after two sessions in 23 patients (22.5%), after three sessions in six patients (5.9%), and after four sessions in two patients (2%). Recurrence was detected in five patients within six months of treatment, all of whom responded to one session of CRM. Two patients who were lost to follow-up were regarded as the only failures (2%). Conclusion: With a success rate of 98%, CRM proved to be very effective in BPPV.

Özet

Amaç: Kliniğimizde tedavi edilen posterior semisirküler kanal tutulumlu benign paroksismal pozisyonel vertigolu (BPPV) olguların klinik sonuçlarını değerlendirdik. Hastalar ve Yöntemler: Benign paroksismal pozisyonel vertigo nedeniyle tedavi edilen 102 hasta (72 kadın, 30 erkek; ort. yaş 50.5; dağılım 15-85) incelendi. Hastaların tümüne Dix-Hallpike testi uygulandı. Tipik nistagmus saptanan hastalar Epley tarafından tarif edilen manevradan birkaç modifikasyon ile ayrılan kanalit repozisyon manevrası (KRM) ile tedavi edildi. Hastalar üç gün aralıklarla kontrollere çağırılarak KRM, Dix-Hall-pike testi negatifleşinceye kadar tekrarlandı. Bulgular: Hastaların 63'ünde sağ kulak, 33'ünde sol kulak etkilenmişti. Altı hastada her iki kulakta tutulum vardı. Kanalit repozisyon manevrasını takiben bulgular 69 hastada bir seans (%67.6), 23 hastada iki seans (%22.5), altı hastada üç seans (%5.9), iki hastada dört seans (%2) sonunda kayboldu. Tedavi sonrasında altı ay içinde beş hastada nüks görüldü; bu olgular da bir kez KRM tedavisiyle iyileşti. Takip edilemeyen iki hastada (%2) KRM başarısız olarak kabul edildi. Sonuç: Kanalit repozisyon manevrasının %98'lik başarı oranı ile BPPV tanılı hastalarda etkin bir tedavi yöntemi olduğu sonucuna varıldı.

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Cite This Article

ÇAYLAKLI, F., AVCI, S., AKKUZU, B. (2003). The efficacy of canalith repositioning maneuver in the treatment of benign paroxysmal positional vertigo. Kulak Burun Boğaz Klinikleri, Cilt: 5 - Sayı: 3, 134–137. https://ajindex.com/articles/343345

References (14)

  1. Schessel DA, Minor LB, Nedzelski JM. Meniere's disease and other peripheral vestibular disorders. In: Cumnıings CW, Fredrickson JM, Harker LA, Krause CJ, Richardson MA, Schuller DE, editors. Otolaryngology head & neck surgery. 3rd ed. St. Louis: Mosby-Year Book; 1998. p. 2672-705
  2. Akyildiz N. Periferik denge bozuklukları. In: Kulak hastalıkları ve mikrocerrahisi. II. Ankara: Bilimsel Tıp Yayınevi; 2002. s. 109-50
  3. Epley JM. Positional vertigo related to semicircular canalithiasis. Otolaryngol Head Neck Surg 1995; 112:154-61
  4. O'Reilly RC, Elford B, Slater R. Effectiveness of the particle repositioning maneuver in subtypes of benign paroxysmal positional vertigo. Laryngoscope 2000;110:1385-8
  5. Wolf JS, Boyev KP, Manokey BJ, Mattox DE. Success of the modified Epley maneuver in treating benign paroxysmal positional vertigo. Laryngoscope 1999; 109:900-3
  6. Özlüoğlu LN. Benign paroksismal pozisyonel verti- go. Aktüel Tıp Dergisi 2000;5:40-5
  7. Wolf M, Hertanu T, Novikov I, Kronenberg J. Epley's manoeuvre for benign paroxysmal positional vertigo: a prospective study. Clin Otolaryngol 1999;24:43-6
  8. Koelliker P, Summers RL, Hawkins B. Benign paroxysmal positional vertigo: diagnosis and treat- ment in the emergency department-a review of the literature and discussion of canalith-repositioning maneuvers. Ann Emerg Med 2001;37:392-8
  9. Baloh RW. Vertigo. Lancet 1998;352:1841-6
  10. Radtke A, Neuhauser H, von Brevern M, Lempert T. A modified Epley's procedure for self-treatment of benign paroxysmal positional vertigo. Neurology 1999;53:1358-60
  11. Özlüoğlu LN, Akkuzu B, Dal T, Ergin NT, Şafak F. Etiological factors in benign paroxsymal positional vertigo and effects on results of canalith reposition- ing maneuver. In: XXI. Annual Meeting of Politzer Society-International Society for Otological Surgery. June 7-11,1998; Antalya, Turkey. Abstract Book. p. 153
  12. Özlüoğlu LN, Akkuzu B, Dal T, Ergin NT, Akkuzu G. Benign paroksismal pozisyonel vertigoda kanalit repozisyon manevrası ile tedavi sonuçlarımız: 433 olgu. In: 26. Ulusal Türk Otorinolarengoloji ve Baş Boyun Cerrahisi Kongresi. 22-26 Eylül 2001; Antal- ya, Türkiye, s. 1
  13. Dal T, Ozluoglu LN, Ergin NT. The canalith reposi¬ tioning maneuver in patients with benign positional vertigo. Eur Arch Otorhinolaryngol 2000;257:133-6
  14. Brandt T. Management of vestibular disorders. J Neurol 2000;247:491-9. 15.Honrubia V, Baloh RW, Harris MR, Jacobson KM. Paroxysmal positional vertigo syndrome. Am J O