Abstract
In recent years, different forms of physical therapy have been proposed for the treatment of benign paroxysmal positional vertigo (BPPV). These mainly consist of maneuvers aiming to reposition and disperse free-floating endolymph particles in the posterior semicircular canal. We report our experience with one of these procedures, the Epley maneuver (EM), in treating 30 cases of BPPV. Twenty-six patients (87%) were cured, while four (13%) did not respond to treatment. These results are similar to those reported in the literature for the EM and the Sémont maneuver.
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Barany R (1921) Diagnose von Krankheitserscheinungen im Bereiche des Otolithenapparates. Acta Otolaryngol (Stockh) 2: 434–437
Brandt T, Daroff RB (1980) Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol 106: 484–485
Brandt T, Steddin S (1993) Current view of the mechanism of benign paroxysmal positioning vertigo: cupulolithiasis or canalolithiasis? J Vestib Res 3: 373–382
Cawthome T (1944) The physiologic basis for head exercise. J Chart Soc Physiother 30: 106–107
Ciniglio Appiani G, Lucertini M, Gagliardi M (1992) Vertigine parossistica posizionale benigna: esperienza di trattamento con manovra liberatoria secondo Sémont. Audiol Ital 9: 40–44
Dix R, Hallpike CS (1952) The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Ann Otol Rhinol Laryngol 6: 987–1016
Epley JM (1980) New dimension of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 88: 599–605
Epley JM (1992) The canalith repositioning procedure for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 107: 399–404
Gacek RR (1991) Singular neurectomy update. II. Review of 102 cases. Laryngoscope 101: 855–862
Herdman SJ, Tusa RS, Zee DS, Proctor LR, Mattox DE (1993) Single treatment approaches to benign paroxysmal positional vertigo. Arch Otolaryngol Head Neck Surg 119: 450–454
Kornhuber HH (1974) Handbook of sensory physiology, vol 4, part 2. Springer, Berlin Heidelberg New York
Meyerhoff WL (1985) Surgical section of the posterior ampullary nerve. Laryngoscope 95: 933–935
Norré ME (1987) Rationale of rehabilitation treatment for vertigo. Am J Otolaryngol 8: 31–35
Parnes LS, McClure JA (1990) Posterior semicircular canal occlusion for intractable benign paroxysmal positional vertigo. Ann Otol Rhinol Laryngol 99:330–334
Parnes LS, McClure JA (1991) Posterior semicircular canal occlusion in the normal hearing ear. Otolaryngol Head Neck Surg 104: 52–57
Parnes LS, McClure JA (1992) Free-floating endolymph particles: a new operative finding during posterior semicircular canal occlusion. Laryngoscope 102: 988–992
Parnes LS, Price-Jones RG (1993) Particle repositioning maneuver for benign paroxysmal positional vertigo. Ann Otol Rhinol Laryngol 102: 325–331
Schuknecht HF (1969) Cupulolithiasis. Arch Otolaryngol 90: 765–778
S'emont A, Freyss G, Vitte E (1988) Curing the BPPV with a liberatory maneuver. Adv Otorhinolaryngol 42: 290–293
Silverstein H (1982) Singular neurectomy: a treatment for benign positional vertigo. In: Brackman DE (ed) Neurological surgery of the ear and skull base. Raven Press, New York, pp 331–335
Weider DJ, Ryder CJ, Stram JR (1994) Benign paroxysmal positional vertigo: analysis of 44 cases treated by the canalith repositioning procedure of Epley. Am J Otol 15: 321–326
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Appiani, G.C., Gagliardi, M., Urbani, L. et al. The Epley maneuver for the treatment of benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 253, 31–34 (1996). https://doi.org/10.1007/BF00176699
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DOI: https://doi.org/10.1007/BF00176699