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Epley's manoeuvre versus Epley's manoeuvre plus labyrinthine sedative as management of benign paroxysmal positional vertigo: prospective, randomised study

Published online by Cambridge University Press:  27 January 2011

I Sundararajan ,
V Rangachari ,
V Sumathi  and
K Kumar
I Sundararajan
Affiliation:
Department of Otolaryngology, Sundaram Medical Foundation, Chennai, India
V Rangachari*
Affiliation:
Department of Otolaryngology, Sundaram Medical Foundation, Chennai, India
V Sumathi
Affiliation:
Department of Otolaryngology, Sundaram Medical Foundation, Chennai, India
K Kumar
Affiliation:
Department of Otolaryngology, Sundaram Medical Foundation, Chennai, India
*
Address for correspondence: Dr Vijay Rangachari, 5/114, Ground Floor, Vaishali, Ghaziabad, Uttar Pradesh, India Fax: +91 120 4173010 E-mail: vijayrchari@gmail.com
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Abstract

Introduction:

We report a prospective, randomised study of 51 patients with benign paroxysmal positional vertigo treated with Epley's manoeuvre alone or Epley's manoeuvre plus labyrinthine sedative, at Sundaram Medical Foundation, Chennai, India.

Aim:

To compare the efficacy of Epley's manoeuvre versus Epley's manoeuvre plus labyrinthine sedative in the treatment of benign paroxysmal positional vertigo.

Materials and methods:

Consecutive patients were selected based on history and positive Dix–Hallpike test. Patients were randomised to receive either Epley's manoeuvre alone or Epley's manoeuvre plus labyrinthine sedative for one week. Both groups were followed up for four weeks.

Results:

Univariate analysis showed that one- and four-week outcomes were influenced by the number of episodes, symptom duration and treatment type. Multivariate logistic regression analysis showed that the one-week outcome was significantly influenced by symptom duration and treatment type, while the four-week outcome was significantly influenced by symptom duration alone. Patients receiving Epley's manoeuvre alone showed better recovery than those receiving both Epley's manoeuvre and labyrinthine sedative.

Conclusion:

Labyrinthine sedatives do not aid recovery from benign paroxysmal positional vertigo when used in addition to Epley's manoeuvre.

Keywords

Vertigo, ParoxysmalTherapeutics
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 6 , June 2011 , pp. 572 - 575
Copyright
Copyright © JLO (1984) Limited 2011

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