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How many Epley manoeuvres are required to treat benign paroxysmal positional vertigo?

Published online by Cambridge University Press:  30 March 2015

D Hughes*
Affiliation:
Department of Otolaryngology, Wrexham Maelor Hospital, Wales, UK
A Shakir
Affiliation:
Department of Otolaryngology, Wrexham Maelor Hospital, Wales, UK
S Goggins
Affiliation:
Department of Audiology, Wrexham Maelor Hospital, Wales, UK
D Snow
Affiliation:
Department of Otolaryngology, Wrexham Maelor Hospital, Wales, UK
*
Address for correspondence: Dr D Hughes, Vice Chancellor's Residence, University of Wales Trinity St Davids, College Road, Carmarthen SA31 3EP, Wales, UK Fax: 01978 727402 E-mail: [email protected]

Abstract

Objective:

To evaluate the total number of Epley manoeuvres required to provide symptomatic relief to patients newly diagnosed with benign paroxysmal positional vertigo.

Methods:

This retrospective audit assessed every patient referred to the audiology department for investigations of their symptoms over a period of one year. Only patients diagnosed with benign paroxysmal positional vertigo confirmed via a positive Dix–Hallpike test result, with no suggestion of dual pathology, were included.

Results:

Seventy patients with a positive Dix–Hallpike test result were identified. The total number of Epley manoeuvres required ranged from one to five. Thirty-three patients (47 per cent) were asymptomatic following one Epley manoeuvre. Eleven patients (16 per cent) needed 2 manoeuvres and 15 patients (21 per cent) required 3 manoeuvres for symptomatic control.

Conclusion:

Symptomatic control of benign paroxysmal positional vertigo was obtained following a single Epley manoeuvre for 47 per cent of patients. The majority of patients (84 per cent) experienced symptomatic improvement following three Epley manoeuvres.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2015 

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Footnotes

Presented as a poster at the North of England Otolaryngology Society Meeting, 14 March 2014, Liverpool, UK.

References

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