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CASE STUDY
BENIGN PAROXYSMAL POSITIONAL VERTIGO
(BPPV): CASE REPORT WITH EPLEY MANOEUVER
1
Department of Audiology, Laboratory of Audiology, Superior School of Health,
Polytechnic Institute of Porto, Porto, Portugal
2
Department of Pharmacy, Faculty of Health, North University, Bodo, Norway
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
Publication date: 2017-03-31
Corresponding author
David Tome
David Tome, Department of Audiology, Laboratory of Audiology, Superior School of Health, Polytechnic Institute of Porto, Porto, Portugal, e-mail: dts@eu.ipp.pt
David Tome, Department of Audiology, Laboratory of Audiology, Superior School of Health, Polytechnic Institute of Porto, Porto, Portugal, e-mail: dts@eu.ipp.pt
J Hear Sci 2017;7(1):49-51
KEYWORDS
ABSTRACT
Background:
Benign paroxysmal positional vertigo (BPPV) is a peripheral vestibular dysfunction which represents about 70% of vestibular pathology presented at ENT clinics. However, a variety of first treatment approaches are reported among clinicians.
Case report:
We present the case of a 39-year-old woman who presented vertigo which worsened with head movement to the left. The patient reported dizziness and migraine over the previous three days. Audiological testing revealed normal hearing, but under postural examination the Dix-Hallpike manoeuver was positive to BPPV of the left posterior canal. The patient was treated with a single Epley manoeuver.
Conclusions:
After the Epley manoeuver the patient had no further symptoms of vertigo or dizziness. The Dix-Hallpike manoeuver was effective as a differential diagnosis. The Epley manoeuver was successful in a case in which canalithiasis was believed to be the cause of the vertigo.
Benign paroxysmal positional vertigo (BPPV) is a peripheral vestibular dysfunction which represents about 70% of vestibular pathology presented at ENT clinics. However, a variety of first treatment approaches are reported among clinicians.
Case report:
We present the case of a 39-year-old woman who presented vertigo which worsened with head movement to the left. The patient reported dizziness and migraine over the previous three days. Audiological testing revealed normal hearing, but under postural examination the Dix-Hallpike manoeuver was positive to BPPV of the left posterior canal. The patient was treated with a single Epley manoeuver.
Conclusions:
After the Epley manoeuver the patient had no further symptoms of vertigo or dizziness. The Dix-Hallpike manoeuver was effective as a differential diagnosis. The Epley manoeuver was successful in a case in which canalithiasis was believed to be the cause of the vertigo.
REFERENCES (19)
1.
Barany R, Dix MR, Hallpike CS. The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Proc Royal Soc Med, 1921; 45: 341–54.
3.
Hall SF, Rudy R, McClure JA. The mechanics of benign paroxysmal positional vertigo. J Otolaryngol, 1979; 8: 151–58.
4.
Bhattacharyya N, Baugh RF, Orvidas L, Barrs D, Bronston L, Cass S et al. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol-Head Neck Surg, 2008; 139 (5 Suppl. 4): S47–81.
5.
Macedo A. [Abordagem da sindrome vertiginoso.] Acta Med Port, 2010; 23(1): 95–100 [in Portuguese].
6.
Portmann C, Michel P. [Précis D’Audiométrie Clinique.] 6ª Edição: Masson; 1998 [in Portuguese].
7.
Dix MR, Hallpike CS. The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Proc Royal Soc Med, 1952; 45: 341–54.
8.
Parnes LS, Agrawal SK, Atlas J. Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ, 2003; 169(7): 681–93.
9.
Maia RA, Diniz FL, Carlesse A. Treatment of benign paroxysmal positional vertigo with repositioning manoeuvers. Rev Bras ORL, 2001; 67(5): 612–16.
10.
Helminski JO, Zee DS, Janssen I, Hain TC. Effectivenss of particle repositioning maneuvers in the treatment of benign paroxysmal positional vertigo: A systematic review. Phys Ther, 2010; 90(5): 663–78.
11.
Epley JM. The canalith repositioning procedure for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg, 1992; 107: 399–404.
12.
Bureau International D’Audiophonologie. Audiometric classification of hearing impairment: Recommendation 02/1 2003; BIAP.
13.
Braschi E, Ross D, Korownyk C. Evaluating the Epley manoeuver. Can Fam Physician, 2015; 61(10): 878.
14.
Balikci HH, Ozbay I. Effects of postural restriction after modified Epley maneuver on recurrence of benign paroxysmal positional vertigo. Auris Nasus Larynx, 2014; 41(5): 428–31.
15.
Hughes D, Shakir A, Goggins S, Snow D. How many Epley manoeuvers are required to treat benign paroxysmal positional vertigo? JLO, 2015; 129(5): 421–24.
16.
Brandt T, Steddin S. Current view of the mechanism of benign paroxysmal positioning vertigo: Cupulolithiasis or canalolithiasis? J Vestibular Res, 1993; 3: 373–82.
17.
Epley JM. Positional vertigo related to semicircular canalithiasis. Otolaryngol Head Neck Surg, 1995; 112: 154–61.
18.
Pereira CB, Scaff M. Vertigem de posicionamento paroxistica benigna. Arq Neuro-Psiq, 2001; 59: 2B.
19.
Babic BB, Jesic SD, Milovanovic JD et al. Unintentional conversion of benign paroxysmal positional vertigo caused by repositioning procedures for canalithiasis: Transitional BPPV. Eur Arch Otorhinolaryngol, 2014; 271: 967–73.
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