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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Long-term follow up after Epley's manoeuvre in patients with benign paroxysmal positional vertigo
Journal of Laryngology and Otology, Volume 123, No. 1, Year 2009
Notification
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Description
Objective: To assess the long-term efficacy of Epley's manoeuvre performed to treat benign paroxysmal positional vertigo.Patients and methods: Two hundred and sixty-nine patients suffering benign paroxysmal positional vertigo were offered Epley's manoeuvre. After five years, follow up was arranged. One hundred and three patients attended for follow up (58 women and 45 men; age range 1965 years). As mentioned 269 patients were offered the EM and 103 of them were available for follow up. Prior to initial Epley's manoeuvre treatment, these patients' duration of benign paroxysmal positional vertigo had ranged from four to 96 weeks.Results: Five years after treatment of benign paroxysmal positional vertigo with Epley's manoeuvre, 65 per cent of patients reported no further attacks. KaplanMeier testing showed that the time to recurrence was significantly longer in patients aged less than 40 years, those with a duration of attacks of less than three years prior to initial Epley's manoeuvre treatment, and those suffering less than six exacerbations prior to initial Epley's manoeuvre treatment. Gender had no effect on time to recurrence. Duration of illness before receiving Epley's manoeuvre was the only independent predictor of recurrence.Conclusion: Epley's manoeuvre remains an effective modality for treatment of benign paroxysmal positional vertigo. A patient age of less than 40 years and duration of attacks of less than three years are good prognostic factors. Exacerbation number and gender do not affect the probability of benign paroxysmal positional vertigo recurrence after five years; however, these factors do affect the duration of time free from the condition. © 2007 JLO (1984) Limited.
Authors & Co-Authors
Rashad, Usama Mohamed
Egypt, Asyut
Assiut University
Saudi Arabia, Al-ahsa
King Faisal University
Statistics
Citations: 30
Authors: 1
Affiliations: 2
Identifiers
Doi:
10.1017/S0022215108002430
ISSN:
00222151
Research Areas
Cancer
Health System And Policy
Participants Gender
Male
Female