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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 ,
A Shakir ,
S Goggins  and
D Snow
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: hughesdaniel32@yahoo.com
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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.

Keywords

Benign Paroxysmal Positional Vertigo
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 5 , May 2015 , pp. 421 - 424
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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