Epidemiological data from 2.270 PPV patients. Disconnect between available literature and clinical practice: exploring gaps in the management of t-BPPV in the emergency department. Clinical characteristics and treatment of benign paroxysmal positional vertigo after traumatic brain injury. Positional dizziness. Continuum (Minneap Minn). Effect of vestibular exercises associated with repositioning maneuvers in patients with benign paroxysmal positional vertigo: a randomized controlled clinical trial. Otol Neurotol. Rodrigues D, Ledesma AL, Pires de Oliveira C, Bahmad F. Vestibular dysfunction: prevalence, impact and need for targeted treatment. Disability perceived by primary care patients with posterior canal benign paroxysmal positional vertigo. BMC Fam Pract. 2022 32(1):79. Balance and gait interventions combined with canalith repositioning maneuvers may be more beneficial compared to canalith repositioning maneuvers alone for addressing balance dysfunction in individuals with BPPV.Ĭarrillo Muñoz R, Ballve Moreno JL, Villar Balboa I, et al. Effects of customized vestibular rehabilitation plus canalith repositioning maneuver on gait and balance in adults with benign paroxysmal positional vertigo: a randomized controlled trial. Unrecognized benign paroxysmal positional vertigo in elderly patients. Oghalai JS, Manolidis S, Barth JL, Stewart MG, Jenkins HA. Additional resources are needed to promote more efficient use of healthcare resources. 2022 148(12). Although BPPV can be diagnosed and treated at bedside, BPPV continues to have extraneous medical costs related to imaging and vestibular testing. Assessment of the cost burden of episodic recurrent vestibular vertigo in the US. Arch otolaryngol Head Neck Surg. Jeong SS, Simpson KN, Johnson JM, Rizk HG.Physiologische Untersuchungen ueber das Endorgan des Nervus Octavus. Repositioning maneuvers for benign paroxysmal positional vertigo. Curr Treat Options Neurol. Gold DR, Morris L, Kheradmand A, Schubert MC. Epidemiology of benign paroxysmal positional vertigo: a population based study. Von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T, Neuhauser H. The burden and impact of vertigo: findings from the REVERT patient registry. 2016:67.īenecke H, Agus S, Kuessner D, Goodall G, Strupp M. The epidemiology of dizziness and vertigo. In: Handbook of Clinical Neurology. Papers of particular interest, published recently, have been highlighted as: The purpose of this manuscript is to simplify the diagnosis and treatment of BPPV and make these techniques accessible to all healthcare providers. As multiple maneuvers are efficacious, clinicians can select the maneuvers based on their preference, complexity of the maneuvers themselves, patient response to other maneuvers, and factors of the patient’s profile including body habitus and musculoskeletal considerations. Recent findingsīPPV can be successfully treated with multiple maneuvers. Treatment typically includes the Epley or Semont maneuvers for posterior canal BPPV, the Gufoni or BBQ (Lempert) maneuvers for horizontal canal and the Yacovino or deep head hang maneuver for the anterior canal BPPV. Although medications may transiently reduce symptoms, they do not address the underlying pathology. Appropriate and timely recognition and treatment for BPPV can ameliorate symptoms of vertigo and spinning, reduce fall risk and healthcare costs, and minimize disability. Benign paroxysmal positional vertigo (BPPV) can be diagnosed and treated at bedside with positional testing and maneuvers.
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