Short-term efficacy of Epley's manoeuvre: a double-blind randomised trial. Issue 8 (20th March 2006)

• Record Type: Journal Article
• Authors: von Brevern, M; Seelig, T; Radtke, A; Tiel-Wilck, K; Neuhauser, H; Lempert, T
• Is Part Of: Journal of neurology, neurosurgery and psychiatry. Volume 77:Issue 8(2006)
• Page Start: 980
• Page End: 982
• Publication Date: 2006-03-20
• Subjects: PC-BPPV, benign paroxysmal positional vertigo of the posterior canal; Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Psychiatry -- Periodicals; 616.8
• DOI: 10.1136/jnnp.2005.085894
• Languages: English
• ISSNs: 0022-3050

Abstract

Abstract : Background: Benign paroxysmal positional vertigo of the posterior canal (PC-BPPV) is a common vestibular disorder and can be easily treated with Epley's manoeuvre. Thus far, the short-term efficacy of Epley's manoeuvre for treatment of PC-BPPV is unknown. Objectives: To evaluate the efficacy of Epley's manoeuvre for treatment of PC-BPPV 24 h after applying the manoeuvre. Methods: The short-term efficacy of Epley's manoeuvre was compared with a sham procedure in 66 patients with PC-BPPV by using a double-blind randomised study design. Results: 24 h after treatment, 28 of 35 (80%) patients in the Epley's manoeuvre group had neither vertigo nor nystagmus on positional testing compared with 3 of 31 (10%) patients in the sham group (p<0.001). Conclusion: Epley's manoeuvre is shown to resolve PC-BPPV both effectively and rapidly.