Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
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Otolaryngol Head Neck Surg · Oct 2006
Natural history of benign paroxysmal positional vertigo and efficacy of Epley and Lempert maneuvers.
We assessed the efficacy of Epley maneuver in patients with posterior canal benign paroxysmal positional vertigo (P-BPPV) and Lempert maneuver in patients with horizontal canal BPPV (H-BPPV). In patients with P-BPPV, positional vertigo in patients treated by Epley maneuver was significantly resolved more quickly than that in untreated patients. ⋯ Epley maneuver was effective for the treatment of patients with P-BPPV, whereas the efficacy of Lempert maneuver for the treatment of patients with H-BPPV was limited. The natural courses in remission of positional vertigo in untreated patients with H-BPPV showed significantly faster resolution than that in patients with P-BPPV.
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Otolaryngol Head Neck Surg · Oct 2006
Surgical treatment for vertigo: patient survey of vertigo, imbalance, and time course for recovery.
To assess surgical treatment of vertigo by patient ratings of postoperative vertigo, imbalance, and timing of symptom improvement. ⋯ Based on patient ratings, surgery improved vertigo in all surgical groups and improved imbalance for ES and VNS groups. Imbalance will likely remain after surgery for vertigo. Patients should be informed that symptoms may not immediately resolve.