Document Detail


Immediate efficacy of the canalith repositioning procedure for the treatment of benign paroxysmal positional vertigo.
MedLine Citation:
PMID:  17955608     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To study the immediate efficacy of the canalith repositioning procedure (CRP) in the treatment of benign paroxysmal positional vertigo. PATIENTS: Thirty-four patients with benign paroxysmal positional vertigo. INTERVENTION: Eighteen patients were treated with CRP (CRP group); 16 control patients did not receive CRP treatment (non-CRP group). MAIN OUTCOME MEASURES: We compared the success rates of the CRP and non-CRP groups. The treatment was considered successful if it prevented vertigo and dizziness. Patients were evaluated 3 times: immediately posttreatment (the day after the first visit), in the short term (1 wk after treatment), and in the midterm (1 mo after treatment). RESULTS: Successful outcomes occurred in 12 patients (67%) from the CRP group and in 1 patient (6%) from the non-CRP group as immediate results (p < 0.001), 13 (72%) and 4 patients (25%) in the short term, respectively, (p = 0.007), and 16 (89%) and 14 patients (88%) in the midterm, respectively, (p > 0.05). Among patients in the CRP group who did not report immediate success, 1 patient (6%) reported success after 1 week (short term), and 4 patients (67%) had successful outcomes after 1 month (midterm). CONCLUSION: The immediate efficacy of CRP supported the canalolithiasis theory. The prognosis of patients with immediate unsuccessful results with CRP was somewhat worse than that for patients without CRP treatment.
Authors:
Toru Seo; Atsushi Miyamoto; Naoki Saka; Koichi Shimano; Masafumi Sakagami
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology     Volume:  28     ISSN:  1531-7129     ISO Abbreviation:  Otol. Neurotol.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-22     Completed Date:  2007-11-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100961504     Medline TA:  Otol Neurotol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  917-9     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology, Hyogo College of Medicine, Hyogo, Japan. tseo@hyo-med.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Dizziness / prevention & control,  surgery
Female
Humans
Male
Middle Aged
Otolithic Membrane / surgery*
Otologic Surgical Procedures*
Posture
Prognosis
Treatment Outcome
Vertigo / prevention & control,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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