CANAL REPOSITIONING MANEUVER AS A SOLE TREATMENT FOR BENIGN PAROXYSMAL POSITIONAL VERTIGO

Abstract

Objective: To determine the effects of Epley's maneuver as a single line treatment of Benign paroxysmalpositional vertigo (BPPV).Material and MethodsrThis study was conducted in New Medical Center hospital Dubai from 1st June2010 to 30th may 2011. A total no of 32 patients were included in this study, with age ranged from 28 to 63years.Results: In our study out of 32 patients 19 (59.3%) were female and 13 (40.7%) were male. 20 patients werepresented with in first 48 hours of symptoms while remaining 12 presented in 1st week. All patients weresubjected to Dix-Hallpike positional testing, and positive cases were treated by canal repositioningmaneuver (Epley's maneuver). 21 (65.62%) patients symptomatically improved in first 24hrs, while 11(34%) patients were subjected to 2nd maneuver after 48 hours. 3 (9.37%) patients were advisedrehabilitation exercises on 3rd follow up later after 2 separate sessions of canal repositioning maneuver. Allpatients were on strict advise for post maneuver restrictions.Conclusion: Repositioning treatments appear to be efficacious, regardless of minor differences amongmaneuvers. Thus minor variations in techniques may not substantially influence the outcome of treatment,and the clinician can be confident in using repositioning treatments with a wide variety of patients.Keywords: Vertigo, Benign paroxysmal positional. Epley's maneuver