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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.
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