Journal of Otology (Dec 2017)

Treatment of benign paroxysmal positional vertigo. A clinical review

  • Paz Pérez-Vázquez,
  • Virginia Franco-Gutiérrez

DOI
https://doi.org/10.1016/j.joto.2017.08.004
Journal volume & issue
Vol. 12, no. 4
pp. 165 – 173

Abstract

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Benign paroxysmal positional vertigo (BPPV) is the most frequent episodic vestibular disorder. It is due to otolith rests that are free into the canals or attached to the cupulas. Well over 90% of patients can be successfully treated with manoeuvres that move the particles back to the utriculus. Among the great variety of procedures that have been described, the manoeuvres that are supported by evidenced-based studies or extensive series are commented in this review. Some topics regarding BPPV treatment, such as controlling the accuracy of the procedures or the utility of post-manoeuvre restrictions are also discussed.

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