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Table of Contents
Vol. 18, No. 2, 2013
Issue release date: January 2013
Section title: Original Paper
Audiol Neurotol 2013;18:83–88
(DOI:10.1159/000343579)

Canalith Repositioning Procedures among 965 Patients with Benign Paroxysmal Positional Vertigo

Prokopakis E.a · Vlastos I.M.a · Tsagournisakis M.b · Christodoulou P.a · Kawauchi H.c · Velegrakis G.a
Departments of aOtorhinolaryngology and bNeurology, University of Crete School of Medicine, Heraklion, Greece; cDepartment of Otorhinolaryngology, Faculty of Medicine, Shimane University, Izumo, Japan

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: May 23, 2012
Accepted: September 17, 2012
Published online: November 06, 2012
Issue release date: January 2013

Number of Print Pages: 6
Number of Figures: 2
Number of Tables: 3

ISSN: 1420-3030 (Print)
eISSN: 1421-9700 (Online)

For additional information: http://www.karger.com/AUD

Abstract

Background: Canalith repositioning procedure (CRP) has increasingly been utilized for the last 15 years for the treatment of benign paroxysmal positional vertigo (BPPV). We assess the short- and long-term efficacy of CRP on the treatment of patients with BPPV. Methods: Nine hundred sixty-five patients (481 men and 484 women, from 18 to 87 years of age) were enrolled in this prospective study during 1995–2010. Inclusion criteria were a patient history compatible with BPPV and a positive provocative maneuver (either Dix-Hallpike or Roll test). Reported duration of symptoms at the time of their first examination varied from 1 day to 18 months. Variants of the Epley and Barbeque maneuver were used for posterior and anterior canal involvement, and horizontal canal involvement, respectively. Short-term follow-up was obtained 48 h and 7 days after initial treatment, whereas long-term follow-up was obtained at repeated 6-month intervals. Results: Symptoms subsided immediately in 819 patients (85%) by the first CRP. Only 19 patients (2%) required CRP more than 3 times. Patients’ mean follow-up was 74 months; symptom recurrence was noted in 139 patients. A statistically significantly higher recurrence rate was noted in elderly people or those with head trauma or a history of vestibular neuropathy (p < 0.001). Conclusions: This study provides class IV evidence that CRP remains an efficient and long-lasting noninvasive treatment for BPPV, especially for younger patients without a history of head trauma or vestibular neuropathy. Elderly people have a significantly higher recurrence rate requiring additional education to minimize potential morbidity of their falls.

© 2012 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: May 23, 2012
Accepted: September 17, 2012
Published online: November 06, 2012
Issue release date: January 2013

Number of Print Pages: 6
Number of Figures: 2
Number of Tables: 3

ISSN: 1420-3030 (Print)
eISSN: 1421-9700 (Online)

For additional information: http://www.karger.com/AUD


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