Nunez RA, Cass SP, Furman JM (2000) Short- and long-term outcomes of canalith repositioning for benign paroxysmal positional vertigo. Cochrane Database Syst Rev (12):CD003162. Hilton MP, Pinder DK (2014) The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Gans RE, Harrington-Gans PA (2002) Treatment efficacy of benign paroxysmal positional vertigo (BPPV) with Canalith repositioning Maneuver and Semont Liberatory Maneuver in 376 patients. Arch Otolaryngol Neck Surg 119(4):450–454Īranda-Moreno C, Jáuregui-Renaud K (2000) Epley and Semont maneuvers in the treatment of benign paroxysmal postural vertigo. Herdman SJ, Tusa RJ, Zee DS, Proctor LR, Mattox DE (1993) Single treatment approaches to benign paroxysmal positional vertigo. Adv Otorhinolaryngol 42:290–293Įpley JM (1992) The canalith repositioning procedure for benign paroxysmal positional vertigo. Semont A, Freyss G, Vitte E (1988) Curing the BPPV with a liberatory maneuver. Otolaryngol Neck Surg 122(3):440–444īhattacharyya N, Baugh RF, Orvidas L, Barrs D, Bronston LJ, Cass S et al (2008) Clinical practice guideline: benign paroxysmal positional vertigo. Nuti D, Nati C, Passali D (2000) Treatment of benign paroxysmal positional vertigo: no need for post maneuver restrictions. Migueis AC, Sémont A, Garcia CS, Paço J (2005) Up-to-date on the BPPV: semont maneuver for the posterior canal. Gold DR, Morris L, Kheradmand A, Schubert MC (2014) Repositioning maneuvers for benign paroxysmal positional vertigo. Motin M, Keren O, Groswasser Z, Gordon CR (2005) Benign paroxysmal positional vertigo as the cause of dizziness in patients after severe traumatic brain injury: diagnosis and treatment. The Epley maneuver may be more relevant in the treatment of BPPV compared to others, considering the slightly higher improvement rate and the requirement for fewer attempts for the treatment.īadawy WMA, El-Mawla EKG, Chedid AEF, Mustafa AHA (2015) Effect of a hybrid maneuver in treating posterior canal benign paroxysmal positional vertigo. All three maneuvers show equal efficacy in reducing vertigo. The recurrence of the symptoms was seen in a total of 11 patients: 27.27% (3 patients) of the Epley maneuvers group, 36.36% (4 patients) of the Gans maneuvers group, and 36.36% (4 patients) of the Semont maneuvers group. In Semont maneuver groups, 80% (24) required only one attempt, and 20% (6) required two attempts. Similarly, 83.33% (25) required only one attempt in the Gans maneuvers group, and 16.67% (5) required two attempts. In the Epley maneuvers group, 86.66% (26) required only one attempt, 10% (3) required two attempts, and 3.33% (1) required three attempts. Overall, 83.33% (75) of patients required only one attempt, 15.56% (14) required two attempts, and 1.11% (1) required three attempts to improve. In the study, 54.44% (49) of the 90 patients were female, whereas 45.56% (41) were male. All the patients were called for a reassessment 30 days after the last intervention to assess the durability of the maneuver. Based on the result of the Dix-Hallpike test’s positivity, the maneuvers were repeated up to three times. After performing the maneuver, the patients were again subjected to the Dix-Hallpike test. The patients were uniformly quasi-randomized in a 1:1:1 ratio to be treated with Epley, Semont, and Gans maneuvers. Typical posterior canal BPPV, the most frequent form of BPPV, is characterized by paroxysmal nystagmus evoked through the Dix-Hallpike test the nystagmus is torsional clockwise for the left side, counter-clockwise for the right side, with a vertical up-beating component. Diagnosis of BPPV was done by Dix Hallpike maneuver. All patients over the age of 20 who met the BPPV diagnostic criteria, regardless of gender, were included in the study. A prospective, quasi-randomized study was carried out to compare the efficacy of Epley, Semont, and Gans maneuvers in the treatment of posterior canal BPPV and their durability. Canalolith repositioning maneuvers, including Epley, Semont, and Gans maneuvers, have been recommended for treating posterior canal BPPV with a high rate of success. Pharmacological therapies are used to control Benign paroxysmal positional vertigo (BPPV) symptoms for a brief period, discontinuing them usually results in recurrence.
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