Benign paroxysmal positional vertigo recurrence and persistence

UNLABELLED Benign paroxysmal positional vertigo (BPPV) is one of the most common vestibular disorders. AIM To study the recurrence and persistence of BPPV in patients treated with canalith repositioning maneuvers (CRM) during the period of one year. STUDY DESIGN longitudinal contemporary cohort series. MATERIALS AND METHODS One hundred patients with BPPV were followed up during 12 months after a treatment with CRM. Patients were classified according to disease evolution. Aquatic physiotherapy for vestibular rehabilitation (APVR) protocol was applied in cases of persistent BPPV. RESULTS After CRM, 96% of the patients were free from BPPV's typical nystagmus and dizziness. During the follow up period of 1 year, 26 patients returned with typical BPPV nystagmus and vertigo. Nystagmus and vertigo were persistent in 4% of the patients. Persistent BPPV presented improvement when submitted to APVR. CONCLUSION During the period of one year, BPPV was not recurrent in 70% of the patients, recurrent in 26% and persistent in 4%.

[1]  J. Byun,et al.  Diagnosis and Treatment of Benign Paroxysmal Positional Vertigo , 2010 .

[2]  Jamil Natour,et al.  Versão brasileira do Dizziness Handicap Inventory , 2007 .

[3]  Hall Sf,et al.  The mechanics of benign paroxysmal vertigo. , 1979 .

[4]  E Vitte,et al.  Curing the BPPV with a liberatory maneuver. , 1988, Advances in oto-rhino-laryngology.

[5]  D. Welling,et al.  Particle repositioning maneuver for benign paroxysmal positional vertigo , 1994, The Laryngoscope.

[6]  M. Norré,et al.  Comparative study of two types of exercise treatment for paroxysmal positioning vertigo. , 1988, Advances in oto-rhino-laryngology.

[7]  L. Parnes,et al.  Benign paroxysmal positional vertigo: mechanism and management , 2001 .

[8]  E. Viirre,et al.  Intractable Benign Paroxysmal Positional Vertigo in Patients With Meniere's Disease , 2000, The Laryngoscope.

[9]  A. Katsarkas.  Paroxysmal positional vertigo: an overview and the deposits repositioning maneuver. , 1995, The American journal of otology.

[10]  S. W. Denholm,et al.  Benign paroxysmal positional vertigo. , 1993, BMJ.

[11]  J. Martin.  The Halliwick Method. , 1981, Physiotherapy.

[12]  D. Koceja,et al.  Postural sway characteristics in women with lower extremity arthritis before and after an aquatic exercise intervention. , 2000, Archives of physical medicine and rehabilitation.

[13]  R. Baloh,et al.  Benign positional vertigo , 1987, Neurology.

[14]  Anil Raj,et al.  Vestibular and Balance Rehabilitation Therapy , 1993, The Annals of otology, rhinology, and laryngology.

[15]  R. Tusa,et al.  Complications of the canalith repositioning procedure. , 1996, Archives of otolaryngology--head & neck surgery.

[16]  S. Massingale,et al.  Variables Affecting Treatment in Benign Paroxysmal Positional Vertigo , 2000, The Laryngoscope.

[17]  J. Balogun,et al.  Age-related changes in balance performance. , 1994, Disability and rehabilitation.

[18]  R. Gacek.  Further Observations on Posterior Ampullary Nerve Transection for Positional Vertigo , 1978, The Annals of otology, rhinology, and laryngology.

[19]  Thomas Lempert,et al.  A Positional Maneuver for Treatment of Horizontal‐Canal Benign Positional Vertigo , 1996, The Laryngoscope.

[20]  S. Herdman,et al.  Role of vestibular adaptation in vestibular rehabilitation , 1998, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[21]  G. Velde.  Benign paroxysmal positional vertigo Part I: Background and clinical presentation , 1999 .

[22]  S. Merchant,et al.  Vestibular Atelectasis , 1988, The Annals of otology, rhinology, and laryngology.

[23]  D. Welling,et al.  Particulate Matter in the Posterior Semicircular Canal , 1997, The Laryngoscope.

[24]  Yeda Pereira L Gabilan,et al.  Fisioterapia Aquática para Reabilitação Vestibular , 2006 .

[25]  John M. Epley,et al.  The Canalith Repositioning Procedure: For Treatment of Benign Paroxysmal Positional Vertigo , 1992, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[26]  F. O. Black,et al.  Outcome analysis of individualized vestibular rehabilitation protocols. , 2000, American Journal of Otology.

[27]  R. Bittar,et al.  Treating vertigo with vestibular rehabilitation: results in 155 patients. , 2002, Revue de laryngologie - otologie - rhinologie.

[28]  W. Arnold,et al.  High-Resolution Three-Dimensional Magnetic Resonance Imaging of the Vestibular Labyrinth in Patients with Atypical and Intractable Benign Positional Vertigo , 2001, ORL.

[29]  J. Natour,et al.  [Brazilian version of the dizziness handicap inventory]. , 2007, Pro-fono : revista de atualizacao cientifica.

[30]  G. Grimby,et al.  Dynamic water exercise in individuals with late poliomyelitis. , 2001, Archives of physical medicine and rehabilitation.

[31]  J. Lopez-Escamez,et al.  Impact of Treatment on Health-Related Quality of Life in Patients with Posterior Canal Benign Paroxysmal Positional Vertigo , 2003, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[32]  C. S. Hallpike,et al.  The Pathology, Symptomatology and Diagnosis of Certain Common Disorders of the Vestibular System , 1952, Proceedings of the Royal Society of Medicine.

[33]  R. Ruby,et al.  The mechanics of benign paroxysmal vertigo. , 1979, The Journal of otolaryngology.