Long-Term Efficacy of Repositioning Maneuvers in Benign Paroxysmal Positional Vertigo

Erika Barioni Mantello, Ana Paula do Rego André, Nathali Singaretti Moreno, Miguel Ângelo Hyppolito, Julio Cesar Moriguti

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DOI: 10.4236/ijcm.2011.22029                

Abstract

To determine the characteristics of 12 patients with a diagnosis of benign paroxysmal positional vertigo (BPPV) treated by the repositioning maneuver during a 24-month follow-up period after the initial discharge a longitudinal clinical study was performed in which a questionnaire for the assessment of discomfort caused by dizziness was applied at the first visit, at the last visit after treatment and 2 years after the initial discharge. Repositioning treatment was again offered to patients who suffered relapses. In 10 cases (83.34%) there was no recurrence of symptoms and 2 patients (16.66%) presented symptoms exactly 2 years after the original discharge showing that treatment of BPPV by repositioning manuevers is effective in the long term, but new studies in larger populations are needed to determine the pattern of the rates of recurrence of BPPV.

Keywords

Positional Vertigo; Dizziness; Recurrence Omponen

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	[1] S. J. Herdman and R. J. Tusa, “Avalia??o E Tratamento dos Pacientes Com BPPV,” In: S. J. Herdman, Ed., Reabilita??o vestibular, Manole, S?o Paulo, 2002, pp. 447-471.
[2]	[2] R. S. M. Bittar, M. E .B. Pedalini, I. R. Y. Medeiros, M. A. Bottino and R. F. Bento, “Vestibular Rehabilitation in Children: Preliminary Study”, Brasilian Journal of Otorhinolaryngology, Vol. 68, No. 4, 2002, pp. 496-499.
[3]	[3] C. B. Pereira and M. Scaff, “Benign Paroxysmal Posi- tioning Vertigo”. Archives of Neuropsychiatry, Vol. 59, No. 2-B, 2001, pp.466-470.
[4]	[4] J. C. Bulamarqui, C. A. H. Campos and O. M. Neto. “Epley’s Manouver for Benign Postural Paroxismal Ver- tigo: Systematic Review”, Acta Otolaryngology, Vol. 24, No. 1, 2006, pp. 15-22.
[5]	[5] S. Sridhar, N. Panda and M. Raghunathan, “Efficacy of Particle Repositioning Maneuver in BPPV: A Prospective Study” American Journal of Otolaryngology, Vol. 24, No. 6, 2003, pp. 355-360. doi:10.1016/S0196-0709(03)00069-3
[6]	[6] J. T. Vrabec, “Benign Paroxysmal Vertigo and Otolith Repositioning”, Archives Otolaryngology and Head Neck Surgery, Vol. 124, No. 2, 1998, pp. 223-225.
[7]	[7] L. J. Teixeira and J. N. P. Machado, “Maneuvers for the Treatment of Benign Positional Paroxysmal Vertigo: A Systematic Review”, Brasilian Journal of Otorhinolaryn- gology, Vol. 72, No. 1, 2006, pp. 130-139.
[8]	[8] M. J. Ruckenstein, “Therapeutic Efficacy of the Epley Canalith Repositioning Maneuver,” The Laryngoscope, Vol. 111, No. 6, 2001, pp. 940-945. doi:10.1097/00005537-200106000-00003
[9]	[9] J. M. Epley, “The Canalith Repositioning Procedure for Treatment of Benign Paroxysmal Positional Vertigo”, Otolaryngology and Head Neck Surgery, Vol. 107, No. 3, 1992, pp. 399-404.
[10]	[10] H. S. Cohen and J. Jerabeck, “Efficacy of Treatments for Posterior Channel Benign Paroxysmal Positional Vertigo”, The Laryngoscope, Vol. 109, No. 4, 1999, pp. 584-590. doi:10.1097/00005537-199904000-00012
[11]	[11] T. C. Hain, J. O. Helminski, I. L. Reis and M. K. Uddin MK, “Vibration Does Not Improve Results of the Ca-nalith Repositioning Procedure,” Archieves Otolaryn- gology and Head Neck Surgery, Vol. 126, No. 5, 2000, pp. 617-622.
[12]	[12] C. A. Moreno and K. J. Renaud, “L?s Maniobras de Epley y Semont em el Tratamiento del Vértigo Postural Paroxí- stico Benigno,” Gaceta Medica de Mexico, Vol. 136, No. 5, October 2000, pp. 433-443.
[13]	[13] M. M. Ganan?a, H. H. Caovilla, F. F. Ganan?a, C. F. Ganan?a, M. S. L. Munhoz and M. L. G. Silva, “Benign paroxysmal positional vertigo after Ménière desease”, In: M. M. S. L. Munhoz, Ed. Typical and atypical Otoneu- rologic Clinical Cases, Atheneu, S?o Paulo, 2001, pp. 199-201.
[14]	[14] R. A. Maia, F. L. Diniz and A. Carlesse, “Treatment of Benign Paroxysmal Positional Vertigo with Repositioning Manevers”, Brasilian Journal of Otorhinolaryngology, Vol. 65, No. 5, 2001, pp. 612-616.
[15]	[15] E. B. Mantello, A. P. R. André, J. F. Colafêmina and M. L. Issac, “Bilateral Labyrinthine Hyporeflexy: Vestibular Rehabilitation Treatment,” Proceedings of 6th Interna-tional Conference on Pediatric Otorhinolaryngology, Vol. 68, No. 5, Athens, 2004, pp. 633-731.
[16]	[16] I. D. S. Rivera, B. S. Zeigeboim and A. L. Jurkiewicz, “Vestibular Rehabilitation in Pregnant Women with Be- nign Paroxysmal Positional Vertigo: A Study of two Cases”, Acta AWHO, Vol. 21, No. 2, 2003, 4-8.
[17]	[17] S. Sridhar, N. Panda and M. Raghunathan, “Efficacy of Particle Repositioning Maneuver in BPPV: a prospective study”, American Journal of Otolaryngology, Vol. 24, No. 6, December 2003, pp. 355-360. doi:10.1016/S0196-0709(03)00069-3
[18]	[18] N. T. Shepard, S. A. Telian and M. Smith-Weelock, “Ha- bituation and Balance Retraining Therapy: A Retrospec-tive review”, Neurologic Clinics, Vol. 8, No. 2, 1990, pp. 459-475.
[19]	[19] M. M. Ganan?a, “Rational Pharmacotherapy of the Ver- tigo”, In: M. M. Ganan?a, Ed., Is Vertigo Have Cure?, Lemos Editorial, S?o Paulo, 1998, pp. 227-235.
[20]	[20] C. F. Ganan?a, C. F. Dias and M. M. Ganan?a, “Nutri- tional Guidance and Changes of Habit of Vertiginous Pa- tient”, In: M. M. Ganan?a, Ed., Therapeutic Strategies in Otoneurology, Atheneu, S?o Paulo, 2001, pp. 55-66.
[21]	[21] M. Fetter, “Dysfunctions of the Vestibular System”, In: S. J. Herdman, Ed., Vestibular Rehabilitation, Manole, S?o Paulo, 2002, pp. 91-101.
[22]	[22] M. M. S. L. Munhoz, M. M. Ganan?a, H. H. Caovilla, L. G. Silva, F. F. Ganan?a and C. F. Ganan?a, “Benign Par- oxysmal Positional Vertigo Ductolitiasis of the Lateral Semicircular Canal on the One Hand and Cupulolitiasis of the Lateral Semicircular Canal Side of”, In: M. M. S. L. Munhoz, Ed. Typical and Atypical Otoneurologic Clinical Cases, Atheneu, S?o Paulo, 2001, pp. 195-196.