Meza-Morales RB, Gallardo-Ollervides FJ

Language: Spanish
References: 13
Page: 43-47
PDF size: 71.14 Kb.

ABSTRACT

Objective. To determine the effectiveness of Semont and Epley maneuvers for treatment of benign paroxistic postural vertigo using spinal collar and vestibular rehabilitation exercises, without resorting any other maneuver or medicine (for example, labyrinthic restrainers). Design. Analytical clinical prospective study made in 40 patients, divided in two groups of 20 individuals each one, that displayed a picture of benign postural vertigo, diagnosed with positive Dix-Hallpike maneuver. On 20 patients, canalicular Epley replacement maneuver was applied, and to other 20 maneuver of Semont. Spinal collar was placed by 48 hours and later valuation was made. After it, patients continued with vestibular rehabilitation exercises. Results. No significant differences were observed on both groups as far as results, since the diminution in the intensity of the picture was the same on both maneuvers: to month of made the maneuvers, little recurrence was observed in those with Semont, like in those with Epley. Conclusions. Correctly applied, Semont and Epley maneuvers are effective in patients with benign paroxistic postural vertigo, discarding other pathologies and with no need some other type of maneuver or medical treatment.

REFERENCES

1. Gross EM, Ress BD. Intractable benign paroxismal positional vertigo in patients with Ménière disease. Laryngoscope 2000; 110: 655-9.

2. Cohen H, Jerabek J. Efficacy of treatment to posterior canal benign paroxysmal positional vertigo. Laryngoscope l999; 109: 584-90.

3. Tirelli G, Orlando ED. Benign positional vertigo without detectable nistagmus. Laryngoscope 2001; 111: 1053-6.

4. Smouha EE. Time course of recovery after Epley maneuvers for benign paroxysmal positional vertigo. Laryngoscope 1999; 107: 187-91.

5. Blatt PJ, Georgakakis GA, Herdman RA. The effect of the canalith repositioning maneuver on resolving postural instability in patients with benign paroxysmal positional vertigo. Am J Otology 2000; 21: 356-63.

6. Dornhoffer JL, Colvin GB. Benign paroxysmal positional vertigo and canalith repositioning: clinical correlations. Am J Otol 2000; 21 (2): 230-3.

7. Banfield GK, Wood C, Knigth J, Does vestibular habituation still have a place in the treatment of benign paroxysmal positional vertigo? J Laryngol Otol 2000; 114: 501-5.

8. Baloh RW. Differentiation between peripheral and central causes of vertigo. Otolaryngol Head Neck Surg 1999; 119:55-9.

9. Macauley JR, Dickman JD, Mustain W, Positional nistagmus in asimptomatic human subjects. Otolaryngol Head Neck Surg 1996; 119: 545-53.

10. Wolf JS, Boyev PK, Manokey BJ. Succes of the modified Epley maneuver in treating paroxysmal positional vertigo, Laryngoscope 1999; 109: 900-3.

11. Atacan E, Senaroglu L, Genc A, Benign paroxysmal positional vertigo after stapedectomy. Laryngoscope 2001; 111: 1257-9.

12. Sargent EW, Bankaitis AE, Hollenbeak CS, Currens JW. Mastoid oscillation in canalith repositioning for paroxysmal positional vertigo. Otol Neurotol 2001; 22 (2): 205-9.

13. Blatt PJ, Georgakakis GA, Herdman RA. The effect of the canalith repositioning maneuver on resolving postural instability in patients with benign paroxysmal positional vertigo. Am J Otology 2000; 21: 356-63.