Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-10T08:12:27.339Z Has data issue: false hasContentIssue false
  • English
  • Français

How many Epley manoeuvres are required to treat benign paroxysmal positional vertigo?

Published online by Cambridge University Press:  30 March 2015

D Hughes ,
A Shakir ,
S Goggins  and
D Snow
D Hughes*
Affiliation:
Department of Otolaryngology, Wrexham Maelor Hospital, Wales, UK
A Shakir
Affiliation:
Department of Otolaryngology, Wrexham Maelor Hospital, Wales, UK
S Goggins
Affiliation:
Department of Audiology, Wrexham Maelor Hospital, Wales, UK
D Snow
Affiliation:
Department of Otolaryngology, Wrexham Maelor Hospital, Wales, UK
*
Address for correspondence: Dr D Hughes, Vice Chancellor's Residence, University of Wales Trinity St Davids, College Road, Carmarthen SA31 3EP, Wales, UK Fax: 01978 727402 E-mail: hughesdaniel32@yahoo.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To evaluate the total number of Epley manoeuvres required to provide symptomatic relief to patients newly diagnosed with benign paroxysmal positional vertigo.

Methods:

This retrospective audit assessed every patient referred to the audiology department for investigations of their symptoms over a period of one year. Only patients diagnosed with benign paroxysmal positional vertigo confirmed via a positive Dix–Hallpike test result, with no suggestion of dual pathology, were included.

Results:

Seventy patients with a positive Dix–Hallpike test result were identified. The total number of Epley manoeuvres required ranged from one to five. Thirty-three patients (47 per cent) were asymptomatic following one Epley manoeuvre. Eleven patients (16 per cent) needed 2 manoeuvres and 15 patients (21 per cent) required 3 manoeuvres for symptomatic control.

Conclusion:

Symptomatic control of benign paroxysmal positional vertigo was obtained following a single Epley manoeuvre for 47 per cent of patients. The majority of patients (84 per cent) experienced symptomatic improvement following three Epley manoeuvres.

Keywords

Benign Paroxysmal Positional Vertigo
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 5 , May 2015 , pp. 421 - 424
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented as a poster at the North of England Otolaryngology Society Meeting, 14 March 2014, Liverpool, UK.

References

1von Brevern, M, Radtke, A, Lezius, F, Feldmann, M, Ziese, T, Lempert, T et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry 2007;78:710–15CrossRefGoogle ScholarPubMed
2Xiang-Dong, G. Benign paroxysmal positional vertigo. J Neurosci Rural Pract 2011;2:109–10Google ScholarPubMed
3Gámiz, MJ, Lopez-Escamez, JA. Health-related quality of life in patients over sixty years old with benign paroxysmal positional vertigo. Gerontology 2004;50:82–6CrossRefGoogle ScholarPubMed
4Gordon, CR, Zur, O, Furas, R, Kott, E, Gadoth, N. Pitfalls in the diagnosis of benign paroxysmal positional vertigo [in Hebrew]. Harefuah 2000;38:1024–7Google Scholar
5Helminski, JO, Zee, DS, Janssen, I, Hain, CT. Effectiveness of particle repositioning maneuvers in the treatment of benign paroxysmal positional vertigo: a systematic review. Phys Ther 2010;90:663–78CrossRefGoogle ScholarPubMed
6Hilton, MP, Pinder, DK. The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Rev 2004;(2):CD003162CrossRefGoogle ScholarPubMed
7National Institute for Health and Care Excellence. Benign paroxysmal positional vertigo. In: http://cks.nice.org.uk/benign-paroxysmal-positional-vertigo#!topicsummary [3 February 2015]Google Scholar
8Prokopakis, EP, Chimona, T, Tsagournisakis, M, Christodoulou, P, Hirsch, BE, Lachanas, VA et al. Benign paroxysmal positional vertigo: 10-year experience in treating 592 patients with canalith repositioning procedure. Laryngoscope 2005;115:1667–71CrossRefGoogle ScholarPubMed
9Bruintjes, TD, Companjen, J, van der Zaag-Loonen, HJ, van Benthem, PP. A randomised sham-controlled trial to assess the long-term effect of the Epley manoeuvre for treatment of posterior canal benign paroxysmal positional vertigo. Clin Otolaryngol 2014;39:39–44CrossRefGoogle ScholarPubMed