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    
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.
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    
Department of Otolaryngology, Hyogo College of Medicine, Hyogo, Japan.
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MeSH Terms
Dizziness / prevention & control,  surgery
Middle Aged
Otolithic Membrane / surgery*
Otologic Surgical Procedures*
Treatment Outcome
Vertigo / prevention & control,  surgery*

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