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Relationship between clinical features and therapeutic approach for benign paroxysmal positional vertigo outcomes

Published online by Cambridge University Press:  19 September 2013

K Otsuka ,
Y Ogawa ,
T Inagaki ,
S Shimizu ,
U Konomi ,
T Kondo  and
M Suzuki
K Otsuka*
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
Y Ogawa
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
T Inagaki
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
S Shimizu
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
U Konomi
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
T Kondo
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
M Suzuki
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Japan
*
Address for correspondence: Dr K Otsuka, Department of Otolaryngology, Tokyo Medical University, 6-7-1 Nishi-shinjuku, Shinjuku-ku, Tokyo 160-0023, Japan Fax: +81-(0)3-3346-9275 E-mail: [email protected]
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Abstract

Objective:

To examine the clinical features, age and gender distribution of patients, treatment methods, and outcomes of benign paroxysmal positional vertigo.

Methods:

This paper reports a review of 357 patients treated for this condition at a single institution over a duration of 5 years. Patients with posterior canal benign paroxysmal positional vertigo were divided into two groups: one group underwent the Epley manoeuvre and the other received medication. The lateral canal canalolithiasis patients were also divided into two groups: one underwent the Lempert manoeuvre and the other received medication. Lastly, the lateral canal cupulolithiasis patients were treated with medication and non-specific physical techniques.

Results and conclusion:

For patients with posterior canal benign paroxysmal positional vertigo, resolution time was significantly shorter in the Epley manoeuvre group than in the medication group. For the lateral canal canalolithiasis patients, resolution time was significantly shorter in the Lempert manoeuvre group than in the medication group. Resolution time was significantly longer in the lateral canal cupulolithiasis patients than in the other patients. The average age of patients increased with the number of recurrences, as did predominance in females. Average age and rate of sensorineural hearing loss were significantly higher in patients with intractable benign paroxysmal positional vertigo compared with those in the curable benign paroxysmal positional vertigo group.

Keywords

BPPVBenign Paroxysmal Positional VertigoVertigoPeripheralTherapyDiagnosisRecurrencePrognosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 10 , October 2013 , pp. 962 - 967
Copyright
Copyright © JLO (1984) Limited 2013 

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References

1Epley, JM. The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1992;107:399–404CrossRefGoogle ScholarPubMed
2Lempert, T, Tiel-Wilck, K. A positional maneuver for treatment of horizontal-canal benign positional vertigo. Laryngoscope 1996;106:476–8CrossRefGoogle ScholarPubMed
3Brandt, T, Daroff, RB. Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol 1980;160:484–5CrossRefGoogle Scholar
4Otsuka, K, Suzuki, M, Furuya, M. A model experiment of BPPV mechanism using the whole membranous labyrinth. Acta Otolaryngol 2003;123:515–18CrossRefGoogle Scholar
5Otsuka, K. Mechanism of intractable BPPV. In: Suzuki, M, ed. Basic and Clinical Approach to BPPV Based on Model Experiment Results. Tokyo: SPIO, 2012;66–70Google Scholar
6Kim, SH, Jo, SW, Chung, WK, Byeon, HK, Lee, WS. A cupulolith repositioning maneuver in the treatment of horizontal canal cupulolithiasis. Auris Nasus Larynx 2012;39:163–8CrossRefGoogle ScholarPubMed
7Otsuka, K, Suzuki, M, Negishi, M, Shimizu, S, Inagaki, T, Konomi, U et al. The efficacy of physical therapy for intractable cupulolithiasis in an experimental model. J Laryngol Otol 2013;127:463–7CrossRefGoogle Scholar
8Steenerson, RL, Cronin, GW, Marbach, PM. Effectiveness of treatment techniques in 923 cases of benign paroxysmal positional vertigo. Laryngoscope 2005;115:226–31CrossRefGoogle ScholarPubMed
9Brandt, T, Huppert, D, Hecht, J, Karch, C, Strupp, M. Benign paroxysmal positioning vertigo: a long-term follow-up (6-17 years) of 125 patients. Acta Otolaryngol 2006;126:160–3CrossRefGoogle ScholarPubMed
10Kansu, L, Avci, S, Yilmaz, I, Ozluoglu, LN. Long-term follow-up of patients with posterior canal benign paroxysmal positional vertigo. Acta Otolaryngol 2010;130:1009–12CrossRefGoogle ScholarPubMed
11Ahn, SK, Jeon, SY, Kim, JP, Park, JJ, Hur, DG, Kim, DW et al. Clinical characteristics and treatment of benign paroxysmal positional vertigo after traumatic brain injury. J Trauma 2011;70:442–6Google ScholarPubMed
12Pérez, P, Franco, V, Cuesta, P, Aldama, P, Alvarez, JM, Méndez, CJ. Recurrence of benign paroxysmal positional vertigo. Otol Neurotol 2012;33:437–43CrossRefGoogle ScholarPubMed
13Vibert, D, Sans, A, Kompis, M, Travo, C, Muhlbauer, RC, Tschudi, I et al. Ultrastructural changes in otoconia of osteoporotic rats. Audiol Neurootol 2008;13:293–301CrossRefGoogle ScholarPubMed
14Takumida, M, Zhang, DM. Electron probe X-ray microanalysis of otoconia in guinea pig inner ear: a comparison between young and old animals. Acta Otolaryngol 1997;117:529–37CrossRefGoogle ScholarPubMed
15Motohashi, R, Takumida, M, Shimizu, A, Konomi, U, Fujita, K, Hirakawa, K et al. Effects of age and sex on the expression of estrogen receptor alpha and beta in the mouse inner ear. Acta Otolaryngol 2010;130:204–14CrossRefGoogle ScholarPubMed
16Konomi, U, Suzuki, M, Otsuka, K, Shimizu, A, Inagaki, T, Hasegawa, G et al. Morphological change of the cupula due to an ototoxic agent: a comparison with semicircular canal pathology. Acta Otolaryngol 2010;130:652–8CrossRefGoogle Scholar
17Kondo, T, Suzuki, M, Konomi, U, Otsuka, K, Inagaki, T, Shimizu, S et al. Changes in the cupula after disruption of the membranous labyrinth. Acta Otolaryngol 2012;132:228–33CrossRefGoogle ScholarPubMed
18Suzuki, M. Cupula changes due to various insults. In: Suzuki, M, ed. Basic and Clinical Approach to BPPV Based on Model Experiment Results. Tokyo: SPIO, 2012;82–90Google Scholar