Treatment Outcomes of Benign Paroxysmal Positional Vertigo

2001 ◽  
Vol 30 (05) ◽  
pp. 295 ◽  
Author(s):  
Denise Sherman ◽  
Emad A.S. Massoud
Keyword(s):  
Treatment Outcomes ◽  
Benign Paroxysmal Positional Vertigo ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Diagnosis and Management of Lateral Semicircular Canal Benign Paroxysmal Positional Vertigo

2005 ◽  
Vol 133 (2) ◽  
pp. 278-284 ◽  
Author(s):  
Judith A. White ◽  
Kathleen D. Coale ◽  
Peter J. Catalano ◽  
John G. Oas
Keyword(s):  
Treatment Outcomes ◽  
Study Design ◽  
Retrospective Review ◽  
Semicircular Canal ◽  
Benign Paroxysmal Positional Vertigo ◽  
Diagnostic Testing ◽  
Positional Nystagmus ◽  
Lateral Semicircular Canal ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Objective: Describe the diagnosis, treatment, and outcome of a group of 20 patients with lateral semicircular canal benign paroxysmal positional vertigo (LSC-BPPV). Study Design and Setting: Retrospective review of 20 patients with LSC-BPPV (10 with geotropic and 10 with apogeotropic nystagmus) presenting to a tertiary balance center. Diagnosis was confirmed with infrared nystagmography in Dix-Hallpike positioning tests and supine positional tests. Patients were treated with one or more particle repositioning maneuvers. Results: Addition of supine positional nystagmus tests to Dix-Hallpike positioning testing improves sensitivity in the diagnosis of LSC-BPPV. Treatment outcomes in the apogeotropic LSC-BPPV group were poorer than the geotropic LSC-BPPV group. Significance: Adding supine positional testing to routine vestibular diagnostic testing will increase the identification of LSC-BPPV. Apogeotropic LSC-BPPV is more challenging to treat.

BPPV and Variants: Improved Treatment Results with Automated, Nystagmus-Based Repositioning

2005 ◽  
Vol 133 (1) ◽  
pp. 107-112 ◽  
Author(s):  
Meiho Nakayama ◽  
John M. Epley
Keyword(s):  
Treatment Outcomes ◽  
Study Design ◽  
Clinical Setting ◽  
Benign Paroxysmal Positional Vertigo ◽  
Electronic Monitoring ◽  
Significant Problem ◽  
Treatment Results ◽  
Positional Vertigo ◽  
Infrared Video ◽  
Paroxysmal Positional Vertigo

OBJECTIVE: Although classical benign paroxysmal positional vertigo has generally been resolvable by routine manual repositioning maneuvers, nevertheless resistant cases and variants remain a significant problem. We investigated the efficacy of analyzing and treating positional vertigo with a system that provides unlimited, automated maneuverability of the patient while maintaining constant electronic monitoring of nystagmus. STUDY DESIGN AND SETTING: A power-driven, multi-axial positioning chair combined with ongoing infrared video-oculography was used to manage 986 subjects in a tertiary clinical setting with complaints of positional vertigo. A nystagmus-based strategy and condition-specific protocols were used. RESULTS: Significantly enhanced treatment outcomes were achieved, especially regarding intransigent and variant forms. Pertinent correlations were noted. CONCLUSION: This multi-axial positioning chair combination provided enhanced diagnostic and treatment capabilities for managing positional vertigo, apparently due to improved analytical capability, precision repeatability, and unlimited 360-degree maneuverability. SIGNIFICANCE: This advancement should be considered for tertiary management of complicated labyrinthine lithiasis.

Characteristics and Treatment Outcomes of Benign Paroxysmal Positional Vertigo in a Cohort of Veterans

2017 ◽  
Vol 26 (4) ◽  
pp. 473-480 ◽  
Author(s):  
Faith W. Akin ◽  
Kristal M. Riska ◽  
Laura Williams ◽  
Stephanie B. Rouse ◽  
Owen D. Murnane
Keyword(s):  
Treatment Outcomes ◽  
Benign Paroxysmal Positional Vertigo ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo
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