Please use this identifier to cite or link to this item:
Title: Healing criteria: How should an episode of benign paroxistic positional vertigo of posterior semicircular canal′s resolution be defined? Prospective observational study
Authors: Guerra-Jiménez, G.
Domènech-Vadillo, E.
Álvarez-Morujo de Sande, M. G.
González-Aguado, R.
Galera-Ruiz, H.
Morales Angulo, C.
Martín-Mateos, A. J.
Figuerola-Massana, E.
Ramos Macías, Ángel Manuel 
Domínguez-Durán, E.
UNESCO Clasification: 321305 Cirugía de garganta, nariz y oídos
Keywords: BPPV
Epley Maneuver
Positional Nystagmus
Positional Vertigo
Issue Date: 2019
Journal: Clinical Otolaryngology 
Abstract: Objectives: To compare the outcome of the Epley maneuver (EM) in benign paroxysmal positional vertigo of the posterior canal (CSP-BPPV) depending on the definition used for recovery. Design: Multicenter observational prospective study. Setting: Otoneurology Units of 5 tertiary reference hospitals. Participants: All patients presenting with unilateral CSP-BPPV assisted for 1-year period. Exclusion criteria: Spontaneous nystagmus, positive McClure-Pagnini maneuver, positive bilateral Dix-Hallpike maneuver (DHM), positive DHM for vertigo but negative for nystagmus and atypical nystagmus. Main outcome measures: Response to EM was measured after 7 days in 3 different outcomes: disappearance of nystagmus during the DHM in the follow-up visit, disappearance of vertigo during the DHM and general status (GS) during daily life activities. Results: 264 patients were recruited (68 male/166 female, mean age 62 years). After the EM, nystagmus disappeared in 67% of them, vertigo in 54% and 36% were asymptomatic in their daily life. These outcomes were strongly correlated, but they were not concordant in a clinically significant group of cases; only the 26% of patients met all of them. The healing process follows the next sequence: negativization of positional nystagmus, then disappearance of positional vertigo and, finally, the improvement of GS during daily life activities. Conclusion: Nowadays, healing criteria for the resolution of an PSC-BPPV episode have not been specifically defined yet. Provided that other otoneurological disorders have been ruled out, the next resolution criterion is proposed: absence of nystagmus and specifically during control DHM and disappearance of symptoms during daily life activities.
ISSN: 1749-4478
DOI: 10.1111/coa.13173
Source: Clinical Otolaryngology [ISSN 1749-4478], v. 44 (3), p. 219-226
Appears in Collections:Artículos
Show full item record


checked on Nov 27, 2022


checked on Oct 2, 2022

Page view(s)

checked on May 21, 2022

Google ScholarTM




Export metadata

Items in accedaCRIS are protected by copyright, with all rights reserved, unless otherwise indicated.