A modified Epley's procedure for self-treatment of benign paroxysmal positional vertigo

被引:73
作者
Radtke, A [1 ]
Neuhauser, H [1 ]
von Brevern, M [1 ]
Lempert, T [1 ]
机构
[1] Neurol Klin, D-13353 Berlin, Germany
关键词
positional vertigo; therapy; nystagmus;
D O I
10.1212/WNL.53.6.1358
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We compared the efficacy of a modified Epley's procedure (MEP) and Brandt-Daroff exercises (BDE) for self-treatment of benign paroxysmal positional vertigo of the posterior semicircular canal (PC-BPPV) in 54 patients. PC-BPPV resolved within 1 week in 18 of 28 patients (64%) using the MEP and in 6 of 26 patients (23%) performing BDE (p < 0.01). Type and adequate performance of the maneuver predicted treatment outcome in the multivariate analysis. The frequency of side effects was not significantly different between the two groups. The MEP is more suitable for self-treatment of PC-BPPV than conventional BDE.
引用
收藏
页码:1358 / 1360
页数:3
相关论文
共 10 条
[1]   THERAPY FOR BENIGN PAROXYSMAL POSITIONING VERTIGO, REVISITED [J].
BRANDT, T ;
STEDDIN, S ;
ENG, D ;
DAROFF, RB .
NEUROLOGY, 1994, 44 (05) :796-800
[2]  
BRANDT T, 1980, ARCH OTOLARYNGOL, V106, P484
[3]  
Brandt T, 1993, J Vestib Res, V3, P373
[5]  
HALL SF, 1979, J OTOLARYNGOL, V8, P151
[6]   Three hundred sixty degree rotation of the posterior semicircular canal for treatment of benign positional vertigo: A placebo-controlled trial [J].
Lempert, T ;
Wolsley, C ;
Davies, R ;
Gresty, MA ;
Bronstein, AM .
NEUROLOGY, 1997, 49 (03) :729-733
[7]   MASTOID OSCILLATION - A CRITICAL FACTOR FOR SUCCESS IN THE CANALITH REPOSITIONING PROCEDURE [J].
LI, JC .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1995, 112 (06) :670-675
[8]  
MASSOUD EA, 1996, J OTOLARYNGOL, V122, P845
[9]  
SCHUKNECHT HF, 1969, ARCH OTOLARYNGOL, V90, P765
[10]  
Semont A, 1988, Adv Otorhinolaryngol, V42, P290