Abstract
Vertigo is an illusion of motion, either of one self or of the environment. Vertigo in BPPV is a very devastating experience for the patient who experiences it. However, it can be reversible with vestibular rehabilitation, with very good results. A study on 72 patients attending Otoneurology clinic in our hospital, diagnosed as BPPV with history and examination were subjected to DHI (Dizziness Handicap Index) questionnaire prior to and after intervention and results were analyzed. BPPV is more commonly seen in elderly individuals above 45 yrs, females and posterior semi circular canal. A significant improvement was noted in all the three components of DHI index in patients treated with CRM (Canalolith Repositioning Manoeuver) when compared to the patients who received only reassurance. CRM is a very safe and effective treatment of BPPV which has the added advantage of being noninvasive procedure, with excellent results.
Similar content being viewed by others
References
Furman JM, Raz Y, Whitney SL (2010) Geriatric vestibulopathy assessment and management. Curr Opin Otolaryngol Head Neck Surg 18(5):386–391
Neuhauser HK, Radtke A, von Brevern M et al (2008) Burden of dizziness and vertigo in the community. Arch Intern Med 168(19):2118–2124
Strupp M, Brandt T (2013) Peripheral vestibular disorders. Curr Opin Neurol 26(1):81–89. https://doi.org/10.1097/WCO.0b013e32835c5fd4
Bárány R (1921) Diagnose von Krankheitserscheinungen im Bereiche des Otolithenapparates. Acta Otolaryngol 2:434–437
Dix MR, Hallpike CS (1952) The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Ann Otol Rhinol Laryngol 61:987–999
Schuknecht HF (1969) Cupulolithiasis. Arch Otolaryngol 90(6):765–778
Bloom J, Katsarkas A (1989) Paroxysmal positional vertigo in the elderly. J Otolaryngol 18(3):96–98
Baloh RW, Honrubia V, Jacobson K (1987) Benign positional vertigo: clinical and oculographic features in 240 cases. Neurol 37(3):371–378
Epley JM (1980) New dimensions of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 88(5):599–605
Katsarkas A (1999) Benign paroxysmal positional vertigo (BPPV): idiopathic versus post-traumatic. Acta Otolaryngol 119(7):745–749
Kurre A, Bastiaenen CH, van Gool CJ, Gloor-Juzi T, de Bruin ED, Straumann D (2010) Exploratory factor analysis of the Dizziness Handicap Inventory (German version). Ear Nose Throat Disord 10:3
Jacobson GP, Newman CW (1990) The development of the Dizziness Handicap Inventory. Arch Otolaryngol 116:424–427
Gaur S, Awasthi SK, Bhadouriya SKS, Saxena R, Pathak VK, Bisht M, (2015) Efficacy of Epley’s Maneuver in treating BPPV patients: a prospective observational study. Int J Otolaryngol 487160:5. https://doi.org/10.1155/2015/487160
Halker RB, Barrs DM, Wellik KE, Wingerchuk DM, Demaerschalk BM (2008) Establishing a diagnosis of benign paroxysmal positional vertigo through the dix-hallpike and side-lying maneuvers: a critically appraised topic. Neurologist 14(3):201–204
López-Escámez JA, López-Nevot A, Gámiz MJ et al (2000) Diagnosis of common causes of vertigo using a structured clinical history. Acta Otorrinolaringol Esp 51(1):25–30
Steenerson RL, Cronin GW, Marbach PM (2005) Effectiveness of treatment techniques in 923 cases of benign paroxysmal positional vertigo. Laryngoscope 115(2):226–231
Fife TD (1998) Recognition and management of horizontal canal benign positional vertigo. Am J Otol 19(3):345–351
Korres S, Balatsouras DG, Kaberos A et al (2002) Occurrence of semicircular canal involvement in benign paroxysmal positional vertigo. Otol Neurotol 23(6):926–932
Honrubia V, Baloh RW, Harris MR et al (1999) Paroxysmal positional vertigo syndrome. Am J Otol 20(4):465–470
Imai T, Ito M, Takeda N, Uno A, Matsunaga T, Sekine K et al (2005) Natural course of the remission of vertigo in patients with benign paroxysmal positionalvertigo. Neurol 64:920–921
Seok JI, Lee HM, Yoo JH, Lee DK (2008) Residual dizziness after successful repositioning treatment in patients with benign paroxysmal positional vertigo. J Clin Neurol 4:107–110
White J, Savvides P, Cherian N, Oas J (2005) Canalith repositioning for benign paroxysmal positional vertigo. Otol Neurotol 26(7):704–710
Hilton M, Pinder D (2014) The Epley manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Rev 12:1–38
Herdman SJ, Tusa RJ, Zee DS, Proctor LR, Mattox DE (1993) Single treatment approaches to benign paroxysmal positional vertigo. Arch Otolaryngol: Head Neck Surg 119(4):450–454
Parnes LS, Robichaud J (1997) Further observations during the particle repositioning maneuver for benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 116(2):238–243
Lempert T, Tiel-Wilck K (1996) A positional maneuver for treatment of horizontal-canal benign positional vertigo. Laryngoscope 106(4):476–478
Anagnostou E, Kouzi I, Spengos K (2015) Diagnosis and treatment of anterior-canal benign paroxysmal positional vertigo: a systematic review. J Clin Neurol 11(3):262–267
Saxena A, Prabhakar MC (2013) Performance of DHI score as a predictor of benign paroxysmal positional vertigo in geriatric patients with dizziness/ vertigo: a cross-sectional study. PLoS ONE 8(3):e58106. https://doi.org/10.1371/journal.pone.0058106
Zamyslowska-Szmytke E, Politanski P, Dizziness J-KM (2021) Handicap inventory in clinical evaluation of dizzy patients. Int J Environ Res Public Health 18(5):2210. https://doi.org/10.3390/ijerph18052210
Herdman SJ, Tusa RJ (1996) Complications of the canalith repositioning procedure. Arch Otolaryngol Head Neck Surg 122(3):281–286
Acknowledgements
We thank the Superintendent of Government ENT Hospital,Hyderabad for allowing us to use the Hospital records in the study and guiding us.We thank all the Faculty Members and Residents of our Hospital for their cooperation in the smooth conduct of the study.We thank the patients and their attendants for their permission to use their data and for their cooperation in the completion of the study.
Funding
No funding sources.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
All authors declare that they have no conflict of interest.
Ethical approval
The study was approved by the Institutional Ethics Committee.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Akula, S., Reddy, L.S., Kiran, A.S. et al. Clinical Study of BPPV and the Effectiveness of Canalolith Repositioning Manoeuvre in Subjects of BPPV. Indian J Otolaryngol Head Neck Surg 74, 96–102 (2022). https://doi.org/10.1007/s12070-021-02779-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-021-02779-3