Author, as appears in the article.: Guerra-Jiménez G; Domènech-Vadillo E; Álvarez-Morujo de Sande M; González-Aguado R; Galera-Ruiz H; Morales Angulo C; Martín-Mateos A; Figuerola-Massana E; Ramos-Macías; Domínguez-Durán E

Department: Medicina i Cirurgia

URV's Author/s: Figuerola Massana, Enric

Keywords: Positional vertigo Positional nystagmus Nystagmus Epley maneuver Bppv positional nystagmus nystagmus epley maneuver bppv

Abstract: © 2018 John Wiley & Sons Ltd Objectives: To compare the outcome of the Epley maneuver (EM) in benign paroxysmal positional vertigo of the posterior canal (CSP-BPPV) depending on the definition used for recovery. Design: Multicenter observational prospective study. Setting: Otoneurology Units of 5 tertiary reference hospitals. Participants: All patients presenting with unilateral CSP-BPPV assisted for 1-year period. Exclusion criteria: Spontaneous nystagmus, positive McClure-Pagnini maneuver, positive bilateral Dix-Hallpike maneuver (DHM), positive DHM for vertigo but negative for nystagmus and atypical nystagmus. Main outcome measures: Response to EM was measured after 7 days in 3 different outcomes: disappearance of nystagmus during the DHM in the follow-up visit, disappearance of vertigo during the DHM and general status (GS) during daily life activities. Results: 264 patients were recruited (68 male/166 female, mean age 62 years). After the EM, nystagmus disappeared in 67% of them, vertigo in 54% and 36% were asymptomatic in their daily life. These outcomes were strongly correlated, but they were not concordant in a clinically significant group of cases; only the 26% of patients met all of them. The healing process follows the next sequence: negativization of positional nystagmus, then disappearance of positional vertigo and, finally, the improvement of GS during daily life activities. Conclusion: Nowadays, healing criteria for the resolution of an PSC-BPPV episode have not been specifically defined yet. Provided that other otoneurological disorders have been ruled out, the next resolution criterion is proposed: absence of nystagmus and specifically during control DHM and disappearance of symptoms during daily life activities.

Thematic Areas: Saúde coletiva Otorhinolaryngology Medicine (miscellaneous) Medicina iii Medicina i General medicine

licence for use: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 03077772

Author's mail: enric.figuerola@urv.cat

Record's date: 2023-02-18

Papper version: info:eu-repo/semantics/acceptedVersion

Link to the original source: https://onlinelibrary.wiley.com/doi/abs/10.1111/coa.13173

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Clinical Otolaryngology. 44 (3): 219-226

APA: Guerra-Jiménez G; Domènech-Vadillo E; Álvarez-Morujo de Sande M; González-Aguado R; Galera-Ruiz H; Morales Angulo C; Martín-Mateos A; Figuerola-Massan (2019). Healing criteria: How should an episode of benign paroxistic positional vertigo of posterior semicircular canal′s resolution be defined? Prospective observational study. Clinical Otolaryngology, 44(3), 219-226. DOI: 10.1111/coa.13173

Article's DOI: 10.1111/coa.13173

Entity: Universitat Rovira i Virgili

Journal publication year: 2019

Publication Type: Journal Publications