Some of the interventions performed in BPPV patients are the vestibular training exercises, labyrinth sedative drugs that aggravate the symptomatology, while waiting for a natural BPPV regression surgical ablation of the posterior semicircular canal and the repositioning maneuvers, such as: Sermont releasing maneuver and Epley canalith repositioning (6).īPPV's diagnostic research is performed by Dix-Hallpike maneuver (6) that consists of moving the patient's head in a way to displace the endolymph and, as a result, the cupola of the posterior semicircular canal.Ĭanalith repositioning maneuver, presenting a high ratio of improvement or cure is the most used one to treat BPPV that impairs the posterior or anterior semicircular canal, is comprised of a range of head movements enabling the otolithes to return to utricle, where they will be absorbed or eliminated by the endolymphatic sac. In general, individuals can identify the position that unleashes the crisis and start avoiding it regularly, leading to postural alterations and/or disorders that worsen the disease and increase functional inability (4, 5). BPPV's frequent clinical characteristic is a sudden crisis, sometimes severe, sometimes short-lasting, with the symptom completely disappearing within 45 seconds, and it has typically unleashing movements, such as laying down, getting up from bed, turning around when laying down, moving head to look upward. In 85% of the cases, its background is associated with vestibular system disorders, and its symptomatology generally occurs when moving the head or changing postures (2-4).īenign Paroxysmal Positional Vertigo (BPPV) is one of the most frequent alterations of the vestibular system and impairs a big percentage of the elderly (2-3). When rotating, dizziness is called vertigo, what is a disturbance sensation of the body equilibrium found in quite a lot of diseases, and it affects especially the elderly. Whenever there is a disagreement about the integration of sensorial information responsible for postural control, dizziness appears to be a symptom of equilibrium dysfunction (1). Conclusion: Epley's repositioning maneuver proved to be a simple and effective BPPV treatment method for this study's patients at length. Only one patient showed BPPV in the first reevaluation of the study term, and nystagmus reoccurred in the second evaluation only. Results: Only one Epley's maneuver, as the only therapeutic procedure, was enough to eliminate nystagmus and positional vertigo in 4 patients, who did not show a positive Dix-Hallpike maneuver in the two reevaluations performed. Method: Study of a series of 9-month-long cases of five female individuals aged between 46 and 64 with BPPV, who were submitted to Epley's maneuver at a scholar clinics, having the positive Dix-Hallpike maneuver at the first consultation as an inclusion criterion, and evaluations were repeated in a six and nine-month term. Objective: To report the result of Epley's maneuver when treating BPPV patients. Introduction: Benign paroxysmal positional vertigo (BPPV) is probably the most common cause of vertigo in women. Luciana Lozza de Moraes Marchiori1, Juliana Jandre Melo2, Caroline Ravaghani Romagnoli3, Thaís Butieri de Oliveira3. Epley's Maneuver in Benign Paroxysmal Positional Vertigo: Series of Cases Reports. Marchiori LLM, Melo JJ, Romagnoli CR, Oliveira TB.
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