Role of electronystagmography as a definitive tool in evaluation of vertigo: a clinical study

<p class="abstract"><strong>Background:</strong> Vertigo is one of the most distressing symptoms. It is difficult to identify, practically impossible to measure and not easy to treat. Electronystagmography (ENG) objectively records eye movements and thus tests the functional integrity of vestibulo-ocular reflex and its connections from inner ear to the brain. Hence, this present study was taken to evaluate the role of ENG in the diagnosis of vertigo, to know the peripheral, central and other causes of vertigo and to know the side of lesion. The aim of this study was to evaluate the role of ENG in the diagnosis of vertigo, to know the peripheral, central and other causes of vertigo and to know the side of lesion.</p><p class="abstract"><strong>Methods:</strong> This study included 60 patients who presented with primary complaints of vertigo or dizziness. Patients were subjected to ENG under optimal conditions and the results were obtained in the form of a graphical recordings after analysis of the ENG data.</p><p class="abstract"><strong>Results:</strong> Of the 60 patients subjected to ENG, a peripheral cause was seen in 33 patients. 21 patients were diagnosed with benign positional paroxysmal vertigo (BPPV), whereas 06 patients showed a central lesion of the vestibular system.</p><p class="abstract"><strong>Conclusions:</strong> ENG acts as a useful screening tool to differentiate between peripheral cause of vertigo and central cause of vertigo. It has special significance in localizing the side of the lesion. Hence, ENG has proven to be a useful first line investigation in the diagnosis of vertigo.</p>

Benign Positional Paroxysmal Vertigo in Children

The aim of this study was to assess the prevalence and analyze clinical parameters of benign positional paroxysmal vertigo (BPPV) in a pediatric age. A cohort of 423 children under the age of 15 (median age 11. interquartile range 9–13) was submitted to vestibular assessment for balance disorders. Dix-Hallpike and Roll-Supine tests were performed to look for positioning nystagmus using video-infrared goggles. BPPV was found in 43 of 423 children evaluated for balance disorders (10.2%). There were 28 females (65.1%) and 15 (34.9%) males. The posterior canal was involved in 79% of cases and the horizontal canal in 21% of cases. No apogeotropic bilateral or anterior canal form were seen. Thus, BPPV is not an infrequent type of vertigo in children and must be evaluated as soon as possible in order to plan the most appropriate maneuver and restore daily activities as soon as possible, avoiding anxiety and fear.

Comparing the Effects of Epley Maneuver and Cinnarizine on Benign Positional Paroxysmal Vertigo: A Randomized Clinical Trial

Background: The fastest and safest treatment method of BPPV is repositioning maneuvers. In Iran, these methods are not widely used, and many physicians use medical therapy, despite their side effects, for management of BPPV. Materials and Methods: In this randomized clinical trial patients with BPPV were randomly allocated to Epley repositioning maneuver or Cinnarizine (25mg every 8 hours) for two weeks. The patients were evaluated for symptoms using visual analogue scale (VAS) scoring system before the intervention, first and second weeks after intervention. In the second and third visitd, the results of the hallpike test were recorded for both groups. Results: 43 patients with a mean age of 46.88±11.08 years in two Epley and Cinnarizine group underwent analysis. The mean VAS score for improvement of symptoms after the intervention was 1.66±1.06 in Epley and 1.50±0.91 in Cinnarizine group (P=0.57). Conclusion: we found that there is no significant difference between Epley maneuver and Cinnarizine for treatment and controlling symptoms of BPPV. [GMJ.2019;Inpress:e866]

Comparing the Effects of Epley Maneuver and Cinnarizine on Benign Positional Paroxysmal Vertigo; A Randomized Clinical Trial

Background: The fastest and safest treatment method of BPPV is repositioning maneuvers. In Iran, this methods are not widely used, and many physicians use medical therapy, despite their side effects, for management of BPPV. Materials and Methods: In this randomized clinical trial patients with BPPV were randomly allocated to Epley repositioning maneuver or Cinnarizine (25mg every 8 hours) for two weeks. The patients were evaluated for symptoms using visual analogue scale (VAS) scoring system before intervention, first and second weeks after intervention. In the second and third visitd the results of hallpike test was recorded for both groups. Results: 43 patients with a mean age of 46.88±11.08 years in two Epley and Cinnarizine group underwent analysis. The mean VAS score for improvement of symptoms after intervention was 1.66±1.06 in Epley and 1.50±0.91 in Cinnarizine group (P=0.57). Conclusion: we found that there is no significant difference between Epley maneuver and Cinnarizine for treatment and controlling symptoms of BPPV. [GMJ.2019;8:e866]

Clinical characteristics of benign paroxysmal positional vertigo (DPPG) in perimenopausal women

The article presents the structural features of benign positional paroxysmal vertigo (BPPV) to gender differences in the comprehensive assessment of the epidemiology of vestibular dysfunction in women of perimenopausal period, allowing for flow of advanced reproductive disorders and medical background correction dishormonal states.