Serveur d'exploration sur le test Dix-Hallpike

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Long-term follow-up of patients with posterior canal benign paroxysmal positional vertigo.

Identifieur interne : 000271 ( Main/Exploration ); précédent : 000270; suivant : 000272

Long-term follow-up of patients with posterior canal benign paroxysmal positional vertigo.

Auteurs : Leyla Kansu [Turquie] ; Suat Avci ; Ismail Yilmaz ; Levent N. Ozluoglu

Source :

RBID : pubmed:20297928

Descripteurs français

English descriptors

Abstract

CONCLUSIONS

Recurrence of posterior canal benign paroxysmal positional vertigo (PC-BPPV) developed in one-third of patients when followed for an average of 5 years from diagnosis. History of head trauma and Ménière's disease contributed significantly to recurrence (p < 0.05). History of head trauma as an etiologic cause was more frequent in patients with recurrence of PC-BPPV.

OBJECTIVES

To estimate recurrence in the long-term follow-up of patients with PC-BPPV after successful canalith repositioning maneuvers, and to determine which factors contribute to recurrence.

METHODS

The charts of 118 patients with PC-BPPV were reviewed. Data of patients were recorded from the initial evaluation and treatment. Follow-up was performed at mean of 64 +/- 7.7 months after the initial phase. The Dix-Hallpike maneuver was performed for diagnosis, and all patients were treated by the canalith repositioning maneuver, which was repeated every 3 days until the patients were symptom-free or results of the Dix-Hallpike maneuver were negative.

RESULTS

At diagnosis, the most common etiology was idiopathic in 55 patients (46.6%). Recurrence occurred in 39 of 118 patients (33.1%). Recurrence occurred within the first 2 years in 21 of the 39 patients (53.8%). History of head trauma was a more frequent finding in patients who developed recurrence (12 of 39, 30.8%).


DOI: 10.3109/00016481003629333
PubMed: 20297928


Affiliations:


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Le document en format XML

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<title xml:lang="en">Long-term follow-up of patients with posterior canal benign paroxysmal positional vertigo.</title>
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<name sortKey="Kansu, Leyla" sort="Kansu, Leyla" uniqKey="Kansu L" first="Leyla" last="Kansu">Leyla Kansu</name>
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<nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Baskent University, Ankara, Turkey. leylakansu@hotmail.com</nlm:affiliation>
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<name sortKey="Yilmaz, Ismail" sort="Yilmaz, Ismail" uniqKey="Yilmaz I" first="Ismail" last="Yilmaz">Ismail Yilmaz</name>
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<name sortKey="Ozluoglu, Levent N" sort="Ozluoglu, Levent N" uniqKey="Ozluoglu L" first="Levent N" last="Ozluoglu">Levent N. Ozluoglu</name>
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<term>Follow-Up Studies (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Recurrence (MeSH)</term>
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<term>Turkey (epidemiology)</term>
<term>Vertigo (epidemiology)</term>
<term>Vertigo (therapy)</term>
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<b>CONCLUSIONS</b>
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<p>Recurrence of posterior canal benign paroxysmal positional vertigo (PC-BPPV) developed in one-third of patients when followed for an average of 5 years from diagnosis. History of head trauma and Ménière's disease contributed significantly to recurrence (p < 0.05). History of head trauma as an etiologic cause was more frequent in patients with recurrence of PC-BPPV.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVES</b>
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<p>To estimate recurrence in the long-term follow-up of patients with PC-BPPV after successful canalith repositioning maneuvers, and to determine which factors contribute to recurrence.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>The charts of 118 patients with PC-BPPV were reviewed. Data of patients were recorded from the initial evaluation and treatment. Follow-up was performed at mean of 64 +/- 7.7 months after the initial phase. The Dix-Hallpike maneuver was performed for diagnosis, and all patients were treated by the canalith repositioning maneuver, which was repeated every 3 days until the patients were symptom-free or results of the Dix-Hallpike maneuver were negative.</p>
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<p>
<b>RESULTS</b>
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<p>At diagnosis, the most common etiology was idiopathic in 55 patients (46.6%). Recurrence occurred in 39 of 118 patients (33.1%). Recurrence occurred within the first 2 years in 21 of the 39 patients (53.8%). History of head trauma was a more frequent finding in patients who developed recurrence (12 of 39, 30.8%).</p>
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