Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of recurrent vertigo and is characterized by transient vertigo and nystagmus elicited by change of head position. Direction-changing positional nystagmus (DCPN) is typically observed upon head turning to either side in supine position in patients with horizontal canal (HC) BPPV. The geotropic nystagmus of HC canalolith...

Vertigo and balance disorders are among the most common symptoms encountered in patients who visit ENT outpatient department. This is associated with risk of falling and is compounded in elderly persons with other neurologic deficits and chronic medical problems. BPPV is the most common cause of peripheral vertigo. BPPV is a common vestibular disorder leading to significant morbidity, psychosoc...

Benign paroxysmal positional vertigo (BPPV) is a common peripheral vestibular disorder encountered in primary care and specialist otolaryngology and neurology clinics. It is associated with a characteristic paroxysmal positional nystagmus, which can be elicited with specific diagnostic positional maneuvers, such as the Dix-Hallpike test and the supine roll test. Current clinical research focuse...

UNLABELLED The effects of Epley's maneuver in benign paroxysmal positional vertigo (BPPV) associated with Menière's disease are controversial. AIMS To evaluate the progression of positional vertigo and nystagmus after one or more of Epley's maneuvers in BPPV associated with Menière's disease, and the recurrence of BPPV. METHOD a retrospective study of 62 patients with BPPV associated with M...

OBJECTIVE Recent studies indicate interrelation of benign paroxysmal positional vertigo (BPPV) and Meniere's disease (MD). These two entities may have different clinical characteristics. MATERIALS AND METHODS Five hundred thirty patients with BPPV evaluated between 2009-2015 were enrolled in the study. 351 patients who had no clear problem associated with BPPV (idiopathic) and 17 patients wit...

Benign paroxysmal positional vertigo (BPPV) is the most commonly encountered peripheral vestibular disorder in clinical practice. The prevalence rate of BPPV has been reported to be higher older adults than younger individuals. Although there evidence for effectiveness canalith repositioning procedure (CRP) posterior canal BPPV, success this significantly lower patients as compared with patient...

OBJECTIVES/HYPOTHESIS To evaluate the short-term efficacy of the computer-controlled canalith repositioning procedure (CRP) for treatment of posterior canal benign paroxysmal positional vertigo (BPPV) compared with the current standard CRP. STUDY DESIGN Prospective case series. METHODS One hundred thirty-two patients diagnosed as having idiopathic posterior canal BPPV, with an age range of ...

Objectives: This study aimed to investigate clinical significance of a head-bending test in benign paroxysmal positional vertigo (BPPV) involving the posterior semicircular canal (PC-BPPV).Methods: We retrospectively recruited 256 patients with unilateral PC-BPPV between January 2016 and December 2021, assessed characteristics showing nystagmus (HBN).Results: Of patients, 138 (53.9%) showed HBN...

These treatments destroy all or part of the labyrinth, or deconnect it from the vestibular centres. 1. Labyrinthectomy a) Total labyrinthectomy This procedure may be either chemical or surgical. The intratympanic application of Gentamycin is the gold standard for the treatment of intractable chronic vertigo of the kind found in Ménière's disease. 1-4 Ideally, the aminoglycosides are administere...

OBJECTIVES Benign paroxysmal positional vertigo (BPPV) can be treated using a simple repositioning maneuver. This study demonstrates the effects of early repositioning therapy in patients with BPPV, especially with regard to recurrence. METHODS We enrolled 138 consecutive patients who had been diagnosed with BPPV in the emergency rooms and ENT out-patient clinics of Chung-Ang University Hospi...