The efficacy of the particle repositioning maneuver in treatingeating unilateateral benign paroxysmal positional vertigo (bppv)‎

Abstract EN

Objective: Epley maneuver is a common procedure in treating benign paroxysmal positional vertigo (BPPV).

This study is carried out to assess the effectiveness and the safety of a modified form of Epley maneuver (The Particle Repositioning Maneuver) in treating unilateral benign paroxysmal positional vertigo (BPPV).

Methods: this prospective study was done over one year period (from March 2006 until February 20a07).

Fifty seven (57) patients, with age between (26-82) years, complaining of unilateral BPPV randomly allocated into two groups.

The first group (28 patients) underwent The Particle Repositioning Maneuver.

The second (control) group (29 patients) was treated conservatively with anti-vertigo medication without performing the maneuver.

All patients were followed one week after the presentation.

Results: In the first group, 24 out of 28 patients had improvement of symptoms and disappearance of nystagmus on immediate post maneuver Dix-Hall pike test, with immediate success rate of 85.7%.

Reassessment one week later showed similar results.

In the control group, only 11 patients out of 29 had symptoms improved and negative Dix-Hall pike test after one week, with improvement rate of 37.9%, p-value<0.001 which is highly significant in favor of the maneuver group.

No complications were reported in the maneuver group. Conclusions: we conclude that this repositioning maneuver is an effective method to treat BPPV.