

Recurrence of BPPV was seen in 19.4% of the cases, with elimination of the positional vertigo and nystagmus by means of the specific maneuver for the involved canal. Four weeks after elimination of positional nystagmus, all patients were asymptomatic. One Epley's maneuver was required to eliminate positional nystagmus in 80.7% of the patients, two in 16.1%, and three in 3.2% after elimination of nystagmus, positional vertigo was suppressed in 71.0% of the patients, improved in 27.4% and remained unaltered in 1.6%. 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.Ī retrospective study of 62 patients with BPPV associated with Menière's disease, that underwent Epley's maneuver, and that were monitored during 12 months after elimination of positional nystagmus. Weider DJ, Ryder CJ, Stram JR (1994) Benign paroxysmal positional vertigo: analysis of 44 cases treated by the canalith repositioning procedure of Epley.The effects of Epley's maneuver in benign paroxysmal positional vertigo (BPPV) associated with Menière's disease are controversial. In: Brackman DE (ed) Neurological surgery of the ear and skull base. Silverstein H (1982) Singular neurectomy: a treatment for benign positional vertigo. S'emont A, Freyss G, Vitte E (1988) Curing the BPPV with a liberatory maneuver. Parnes LS, Price-Jones RG (1993) Particle repositioning maneuver for benign paroxysmal positional vertigo. Parnes LS, McClure JA (1992) Free-floating endolymph particles: a new operative finding during posterior semicircular canal occlusion. Parnes LS, McClure JA (1991) Posterior semicircular canal occlusion in the normal hearing ear. Parnes LS, McClure JA (1990) Posterior semicircular canal occlusion for intractable benign paroxysmal positional vertigo. Norré ME (1987) Rationale of rehabilitation treatment for vertigo. Meyerhoff WL (1985) Surgical section of the posterior ampullary nerve. Kornhuber HH (1974) Handbook of sensory physiology, vol 4, part 2.

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