Treatment of Benign Positional Vertigo Using the Semont Maneuver: Efficacy in Patients Presenting Without Nystagmus
| Autor: | Bradley T. Kovach, Luis E. Scheker, David S. Haynes, Robert F. Labadie, Christopher R. Girasole, John R. Resser, Donald C. Walker |
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| Rok vydání: | 2002 |
| Předmět: |
Male
medicine.medical_specialty Benign paroxysmal positional vertigo Posture Nystagmus Semont maneuver Vertigo Occlusion otorhinolaryngologic diseases Humans Medicine Physical Therapy Modalities Retrospective Studies biology medicine.diagnostic_test business.industry Electronystagmography Retrospective cohort study Middle Aged medicine.disease biology.organism_classification Surgery Treatment Outcome Otorhinolaryngology Positional vertigo Retreatment Female sense organs medicine.symptom business Follow-Up Studies |
| Zdroj: | The Laryngoscope. 112:796-801 |
| ISSN: | 0023-852X |
| DOI: | 10.1097/00005537-200205000-00006 |
| Popis: | Objective: To evaluate and compare the efficacy of the Semont liberatory maneuver on objective benign paroxysmal positional vertigo (BPPV) defined as vertigo with geotropic nystagmus in Dix-Hallpike positioning versus subjective BPPV defined as vertigo without nystagmus in Dix-Hallpike positioning. Study Design: Retrospective chart review. Methods: One hundred sixty-two patients with positional vertigo during Dix- Hallpike positioning were identified. Patients were evaluated for the presence or absence of nystagmus. All patients underwent the Semont liberatory maneuver. The patient's condition at follow-up was documented at 3 weeks as complete, partial, or failure. Repeated procedures were performed if necessary. Results: There were 127 cases of objective BPPV and 35 cases of subjective BPPV. Overall, 90% of all patients tested had significant improvement of their vertigo after 1.49 maneuvers on average. Improvement was seen in 91% of patients with objective BPPV after 1.59 maneuvers on average, compared with 86% in subjective BPPV after 1.13 maneuvers on average (X 2 test, not significant [P =.5]). Patients with a history of traumatic origin or cause had an overall success rate of 81% compared with 92% for nontraumatic causes or origins (X 2 test, not significant [P =.1]). Recurrences were seen in 29% of patients after a successful initial maneuver; however, 96% of these patients responded to further maneuvers. Four patients with persistent symptoms after conservative management underwent posterior semicircular canal occlusion with resolution of symptoms. Conclusion: The Semont liberatory maneuver provides relief of vertigo in patients with positional vertigo, even in patients without objective nystagmus. |
| Databáze: | OpenAIRE |
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