Benign paroxysmal positional vertigo recurrence and persistence.

Autor: Dorigueto RS; Graduate Program in Otorhinolaryngology and Head and Neck Surgery - UNIFESP-EPM, Brazil., Mazzetti KR, Gabilan YP, Ganança FF
Jazyk: angličtina
Zdroj: Brazilian journal of otorhinolaryngology [Braz J Otorhinolaryngol] 2009 Jul-Aug; Vol. 75 (4), pp. 565-72.
DOI: 10.1016/s1808-8694(15)30497-3
Abstrakt: Unlabelled: Benign paroxysmal positional vertigo (BPPV) is one of the most common vestibular disorders.
Aim: To study the recurrence and persistence of BPPV in patients treated with canalith repositioning maneuvers (CRM) during the period of one year.
Study Design: longitudinal contemporary cohort series.
Materials and Methods: One hundred patients with BPPV were followed up during 12 months after a treatment with CRM. Patients were classified according to disease evolution. Aquatic physiotherapy for vestibular rehabilitation (APVR) protocol was applied in cases of persistent BPPV.
Results: After CRM, 96% of the patients were free from BPPV's typical nystagmus and dizziness. During the follow up period of 1 year, 26 patients returned with typical BPPV nystagmus and vertigo. Nystagmus and vertigo were persistent in 4% of the patients. Persistent BPPV presented improvement when submitted to APVR.
Conclusion: During the period of one year, BPPV was not recurrent in 70% of the patients, recurrent in 26% and persistent in 4%.
Databáze: MEDLINE