Document Detail


Particle repositioning maneuver for benign paroxysmal positional vertigo.
MedLine Citation:
PMID:  8052079     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The recent demonstration of free-floating particles in the endolymph of the posterior semicircular canal in patients with benign paroxysmal positional vertigo (BPPV) has renewed interest in the physiology and treatment of this entity. The particle repositioning maneuver (PRM) relocates the free-floating particles from the posterior semicircular canal back into the utricle, relieving the patient of bothersome, often long-standing vertigo. This report represents a prospective study of 27 consecutive patients seen with a diagnosis of BPPV. Eighty-four percent of the patients treated with the particle repositioning maneuver who had no other associated pathology were cured or significantly improved with this new technique. Two patients who failed conservative management went on to surgical intervention with the posterior semicircular canal occlusion. The authors find the particle repositioning maneuver effective for many patients with benign positional vertigo and recommend it as the first-line treatment modality for BPPV.
Authors:
D B Welling; D E Barnes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  104     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1994 Aug 
Date Detail:
Created Date:  1994-09-07     Completed Date:  1994-09-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  946-9     Citation Subset:  IM; S    
Affiliation:
Department of Otolaryngology, Ohio State University, Columbus 43210.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Endolymph*
Follow-Up Studies
Gravitation
Humans
Middle Aged
Nystagmus, Pathologic / physiopathology
Posture
Prospective Studies
Rotation
Saccule and Utricle
Supine Position
Vertigo / physiopathology,  surgery,  therapy*

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


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