Canalith repositioning procedures among 965 patients with benign paroxysmal positional vertigo.
Identifieur interne : 000215 ( Main/Corpus ); précédent : 000214; suivant : 000216Canalith repositioning procedures among 965 patients with benign paroxysmal positional vertigo.
Auteurs : E. Prokopakis ; I M Vlastos ; M. Tsagournisakis ; P. Christodoulou ; H. Kawauchi ; G. VelegrakisSource :
- Audiology & neuro-otology [ 1421-9700 ] ; 2013.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Benign Paroxysmal Positional Vertigo (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Incidence (MeSH), Kaplan-Meier Estimate (MeSH), Male (MeSH), Middle Aged (MeSH), Morbidity (MeSH), Patient Positioning (methods), Prospective Studies (MeSH), Recurrence (MeSH), Semicircular Canals (physiopathology), Treatment Outcome (MeSH), Vertigo (epidemiology), Vertigo (physiopathology), Vertigo (therapy), Young Adult (MeSH).
- MESH :
- epidemiology : Vertigo.
- methods : Patient Positioning.
- physiopathology : Semicircular Canals, Vertigo.
- therapy : Vertigo.
- Adolescent, Adult, Aged, Aged, 80 and over, Benign Paroxysmal Positional Vertigo, Female, Follow-Up Studies, Humans, Incidence, Kaplan-Meier Estimate, Male, Middle Aged, Morbidity, Prospective Studies, Recurrence, Treatment Outcome, Young Adult.
Abstract
BACKGROUND
Canalith repositioning procedure (CRP) has increasingly been utilized for the last 15 years for the treatment of benign paroxysmal positional vertigo (BPPV). We assess the short- and long-term efficacy of CRP on the treatment of patients with BPPV.
METHODS
Nine hundred sixty-five patients (481 men and 484 women, from 18 to 87 years of age) were enrolled in this prospective study during 1995-2010. Inclusion criteria were a patient history compatible with BPPV and a positive provocative maneuver (either Dix-Hallpike or Roll test). Reported duration of symptoms at the time of their first examination varied from 1 day to 18 months. Variants of the Epley and Barbeque maneuver were used for posterior and anterior canal involvement, and horizontal canal involvement, respectively. Short-term follow-up was obtained 48 h and 7 days after initial treatment, whereas long-term follow-up was obtained at repeated 6-month intervals.
RESULTS
Symptoms subsided immediately in 819 patients (85%) by the first CRP. Only 19 patients (2%) required CRP more than 3 times. Patients' mean follow-up was 74 months; symptom recurrence was noted in 139 patients. A statistically significantly higher recurrence rate was noted in elderly people or those with head trauma or a history of vestibular neuropathy (p<0.001).
CONCLUSIONS
This study provides class IV evidence that CRP remains an efficient and long-lasting noninvasive treatment for BPPV, especially for younger patients without a history of head trauma or vestibular neuropathy. Elderly people have a significantly higher recurrence rate requiring additional education to minimize potential morbidity of their falls.
DOI: 10.1159/000343579
PubMed: 23147839
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Canalith repositioning procedures among 965 patients with benign paroxysmal positional vertigo.</title><author><name sortKey="Prokopakis, E" sort="Prokopakis, E" uniqKey="Prokopakis E" first="E" last="Prokopakis">E. Prokopakis</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, University of Crete School of Medicine, Heraklion, Greece. emmanuel@prokopakis.gr</nlm:affiliation></affiliation></author><author><name sortKey="Vlastos, I M" sort="Vlastos, I M" uniqKey="Vlastos I" first="I M" last="Vlastos">I M Vlastos</name></author><author><name sortKey="Tsagournisakis, M" sort="Tsagournisakis, M" uniqKey="Tsagournisakis M" first="M" last="Tsagournisakis">M. Tsagournisakis</name></author><author><name sortKey="Christodoulou, P" sort="Christodoulou, P" uniqKey="Christodoulou P" first="P" last="Christodoulou">P. Christodoulou</name></author><author><name sortKey="Kawauchi, H" sort="Kawauchi, H" uniqKey="Kawauchi H" first="H" last="Kawauchi">H. Kawauchi</name></author><author><name sortKey="Velegrakis, G" sort="Velegrakis, G" uniqKey="Velegrakis G" first="G" last="Velegrakis">G. Velegrakis</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23147839</idno><idno type="pmid">23147839</idno><idno type="doi">10.1159/000343579</idno><idno type="wicri:Area/Main/Corpus">000215</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000215</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Canalith repositioning procedures among 965 patients with benign paroxysmal positional vertigo.</title><author><name sortKey="Prokopakis, E" sort="Prokopakis, E" uniqKey="Prokopakis E" first="E" last="Prokopakis">E. Prokopakis</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology, University of Crete School of Medicine, Heraklion, Greece. emmanuel@prokopakis.gr</nlm:affiliation></affiliation></author><author><name sortKey="Vlastos, I M" sort="Vlastos, I M" uniqKey="Vlastos I" first="I M" last="Vlastos">I M Vlastos</name></author><author><name sortKey="Tsagournisakis, M" sort="Tsagournisakis, M" uniqKey="Tsagournisakis M" first="M" last="Tsagournisakis">M. Tsagournisakis</name></author><author><name sortKey="Christodoulou, P" sort="Christodoulou, P" uniqKey="Christodoulou P" first="P" last="Christodoulou">P. Christodoulou</name></author><author><name sortKey="Kawauchi, H" sort="Kawauchi, H" uniqKey="Kawauchi H" first="H" last="Kawauchi">H. Kawauchi</name></author><author><name sortKey="Velegrakis, G" sort="Velegrakis, G" uniqKey="Velegrakis G" first="G" last="Velegrakis">G. Velegrakis</name></author></analytic><series><title level="j">Audiology & neuro-otology</title><idno type="eISSN">1421-9700</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Benign Paroxysmal Positional Vertigo (MeSH)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Humans (MeSH)</term><term>Incidence (MeSH)</term><term>Kaplan-Meier Estimate (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Morbidity (MeSH)</term><term>Patient Positioning (methods)</term><term>Prospective Studies (MeSH)</term><term>Recurrence (MeSH)</term><term>Semicircular Canals (physiopathology)</term><term>Treatment Outcome (MeSH)</term><term>Vertigo (epidemiology)</term><term>Vertigo (physiopathology)</term><term>Vertigo (therapy)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Patient Positioning</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Semicircular Canals</term><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Vertigo</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Benign Paroxysmal Positional Vertigo</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Incidence</term><term>Kaplan-Meier Estimate</term><term>Male</term><term>Middle Aged</term><term>Morbidity</term><term>Prospective Studies</term><term>Recurrence</term><term>Treatment Outcome</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Canalith repositioning procedure (CRP) has increasingly been utilized for the last 15 years for the treatment of benign paroxysmal positional vertigo (BPPV). We assess the short- and long-term efficacy of CRP on the treatment of patients with BPPV.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Nine hundred sixty-five patients (481 men and 484 women, from 18 to 87 years of age) were enrolled in this prospective study during 1995-2010. Inclusion criteria were a patient history compatible with BPPV and a positive provocative maneuver (either Dix-Hallpike or Roll test). Reported duration of symptoms at the time of their first examination varied from 1 day to 18 months. Variants of the Epley and Barbeque maneuver were used for posterior and anterior canal involvement, and horizontal canal involvement, respectively. Short-term follow-up was obtained 48 h and 7 days after initial treatment, whereas long-term follow-up was obtained at repeated 6-month intervals.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Symptoms subsided immediately in 819 patients (85%) by the first CRP. Only 19 patients (2%) required CRP more than 3 times. Patients' mean follow-up was 74 months; symptom recurrence was noted in 139 patients. A statistically significantly higher recurrence rate was noted in elderly people or those with head trauma or a history of vestibular neuropathy (p<0.001).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>This study provides class IV evidence that CRP remains an efficient and long-lasting noninvasive treatment for BPPV, especially for younger patients without a history of head trauma or vestibular neuropathy. Elderly people have a significantly higher recurrence rate requiring additional education to minimize potential morbidity of their falls.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23147839</PMID><DateCompleted><Year>2013</Year><Month>07</Month><Day>23</Day></DateCompleted><DateRevised><Year>2014</Year><Month>11</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1421-9700</ISSN><JournalIssue CitedMedium="Internet"><Volume>18</Volume><Issue>2</Issue><PubDate><Year>2013</Year></PubDate></JournalIssue><Title>Audiology & neuro-otology</Title><ISOAbbreviation>Audiol Neurootol</ISOAbbreviation></Journal><ArticleTitle>Canalith repositioning procedures among 965 patients with benign paroxysmal positional vertigo.</ArticleTitle><Pagination><MedlinePgn>83-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1159/000343579</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Canalith repositioning procedure (CRP) has increasingly been utilized for the last 15 years for the treatment of benign paroxysmal positional vertigo (BPPV). We assess the short- and long-term efficacy of CRP on the treatment of patients with BPPV.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Nine hundred sixty-five patients (481 men and 484 women, from 18 to 87 years of age) were enrolled in this prospective study during 1995-2010. Inclusion criteria were a patient history compatible with BPPV and a positive provocative maneuver (either Dix-Hallpike or Roll test). Reported duration of symptoms at the time of their first examination varied from 1 day to 18 months. Variants of the Epley and Barbeque maneuver were used for posterior and anterior canal involvement, and horizontal canal involvement, respectively. Short-term follow-up was obtained 48 h and 7 days after initial treatment, whereas long-term follow-up was obtained at repeated 6-month intervals.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Symptoms subsided immediately in 819 patients (85%) by the first CRP. Only 19 patients (2%) required CRP more than 3 times. Patients' mean follow-up was 74 months; symptom recurrence was noted in 139 patients. A statistically significantly higher recurrence rate was noted in elderly people or those with head trauma or a history of vestibular neuropathy (p<0.001).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study provides class IV evidence that CRP remains an efficient and long-lasting noninvasive treatment for BPPV, especially for younger patients without a history of head trauma or vestibular neuropathy. Elderly people have a significantly higher recurrence rate requiring additional education to minimize potential morbidity of their falls.</AbstractText><CopyrightInformation>Copyright © 2012 S. Karger AG, Basel.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Prokopakis</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, University of Crete School of Medicine, Heraklion, Greece. emmanuel@prokopakis.gr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vlastos</LastName><ForeName>I M</ForeName><Initials>IM</Initials></Author><Author ValidYN="Y"><LastName>Tsagournisakis</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Christodoulou</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Kawauchi</LastName><ForeName>H</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Velegrakis</LastName><ForeName>G</ForeName><Initials>G</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2012</Year><Month>11</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>Audiol Neurootol</MedlineTA><NlmUniqueID>9606930</NlmUniqueID><ISSNLinking>1420-3030</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053208" MajorTopicYN="N">Kaplan-Meier Estimate</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009017" MajorTopicYN="N">Morbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D056888" MajorTopicYN="N">Patient Positioning</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>05</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2012</Year><Month>09</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>11</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>11</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>7</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23147839</ArticleId><ArticleId IdType="pii">000343579</ArticleId><ArticleId IdType="doi">10.1159/000343579</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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