Diagnosis and Treatment of Benign Paroxysmal Positional Vertigo:A Case Series Report
YANG Peizhen
CHEN Yanlin
MA Yanyi
CHEN Zhipeng
WANG Dongqing
Abstract：Objective To report results of a retrospective analysis of risk factors and treatment outcomes in a group of patients with BPPV in the hope to improve diagnosis and treatment.Methods A total of 1,200 patients diag-nosed with BPPV between June 2010 and November 2016 were enrolled in the study by vertigo questionnaires.All were treated with either Epley,Barbecue,Semont or Brandt-Daroff maneuvers,supplemented with drug or psychological ther-apies as needed.Results The male to female ratio was 1:2.2,with onset ages ranging from 60 to 70 years.Vertigo symp-toms were associated with postures only,and no underlying diseases or comorbidities were observed.The lesion was lo-cated to the posterior semicircular canal in 1,012 patients (84.33%),to horizontal semicircular canal in 162 patients (13.50%)and to multiple semicircular canals in 26 patients(2.17%).There was no involvement of the anterior semicir-cular canal.The most effective treatment for this roup of patients was otolith repositioning maneuvers with an effective rate of 88%.Conclusion Detailed history and typical clinical characteristics through comprehensive evaluation are the key to correct diagnosis.The key to successful management in BPPV is personalized treatment.
Keywords：Benign Paroxysmal Positional VertigoPosterior Semicircular CanalOtolith Reduction
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 653-656 )