Epley’s maneuver in benign paroxysmal positional vertigo associated with Meniere’s disease

Revista Brasileira de Otorrinolaringologia

Ganança, Maurício Malavasi¹  Ganança, Fernando Freitas¹  Universidade Bandeirante de São Paulo¹  UNIFESP¹  Caovilla, Heloisa Helena¹  Gazzola, Juliana Maria¹  Ganança, Cristina Freitas¹  Universidade Federal de São Paulo¹ 

关键词: labyrinth;    meniereÂ’s disease;    positional nystagmus;    dizziness.;   

DOI  :  10.1590/S0034-72992007000400009

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

The effects of EpleyÂ’s maneuver in benign paroxysmal positional vertigo (BPPV) associated with MenièreÂ’s disease are controversial. AIMS: To evaluate the progression of positional vertigo and nystagmus after one or more of EpleyÂ’s maneuvers in BPPV associated with MenièreÂ’s disease, and the recurrence of BPPV.METHOD: a retrospective study of 62 patients with BPPV associated with MenièreÂ’s disease, that underwent EpleyÂ’s maneuver, and that were monitored during 12 months after elimination of positional nystagmus.RESULTS: One EpleyÂ’s maneuver was required to eliminate positional nystagmus in 80.7% of the patients, two in 16.1%, and three in 3.2%; after elimination of nystagmus, positional vertigo was suppressed in 71.0% of the patients, improved in 27.4% and remained unaltered in 1.6%. Four weeks after elimination of positional nystagmus, all patients were asymptomatic. Recurrence of BPPV was seen in 19.4% of the cases, with elimination of the positional vertigo and nystagmus by means of the specific maneuver for the involved canal.CONCLUSIONS: In BPPV associated with MenièreÂ’s disease, vertigo and positioning nystagmus were eliminated with one, two or three Epley maneuvers. BPPV recurrence was resolved by using a specific maneuver for the affected canal.

【 授权许可】

Unknown