Effectiveness of the Particle Repositioning Maneuver in Subtypes of Benign Paroxysmal Positional Vertigo

Objectives To assess the efficacy of the particle repositioning maneuver (PRM) in patients presenting with idiopathic benign paroxysmal positional vertigo (BPPV) compared with those with evidence of additional peripheral vestibulopathies. Methods Retrospective administration of the Dizziness Handica...

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Bibliographic Details
Published in:The Laryngoscope 2000-08, Vol.110 (8), p.1385-1388
Main Authors: O'Reilly, Robert C., Elford, Brian, Slater, Robert
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Female
Humans
Male
Medical sciences
Meniere Disease - therapy
Middle Aged
Non tumoral diseases
Otorhinolaryngology. Stomatology
Treatment Outcome
Vestibular Diseases - therapy
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Summary:Objectives To assess the efficacy of the particle repositioning maneuver (PRM) in patients presenting with idiopathic benign paroxysmal positional vertigo (BPPV) compared with those with evidence of additional peripheral vestibulopathies. Methods Retrospective administration of the Dizziness Handicap Inventory (DHI) to 41 patients with primary BPPV and 31 patients with secondary BPPV to subjectively evaluate their symptoms before and after the PRM. Results Both groups indicated a marked improvement in symptoms after the PRM. Only two patients reported an increase in their symptoms after the PRM and both had secondary BPPV. Conclusions The PRM was found to be highly effective in all forms of BPPV, but careful history and judicious testing may identify patients requiring additional intervention to relieve their symptoms.
ISSN:0023-852X
1531-4995
DOI:10.1097/00005537-200008000-00031