Akoğlu Ertap, Okuyucu Semsettin, Okuyucu Esra, Melek Ismet Murat, Duman Taşkin, Dağli Ali Safak
Department of Otolaryngology, Medicine Faculty of Mustafa Kemal University, Hatay, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2007;17(4):212-6.
We investigated the role of the direction of nystagmus that might occur during the Epley maneuver as an early indicator for treatment success in benign paroxysmal positional vertigo (BPPV).
The study included 47 patients (24 males, 23 females; mean age 46+/-12 years; range 29 to 70 years) who underwent the Epley maneuver for BPPV. The occurrence and the direction of nystagmus were observed.
Nystagmus occurred in 16 patients during the maneuver, being ipsilateral in nine patients and contralateral in seven patients. The treatment was successful in seven patients (77.8%) with ipsilateral nystagmus, whereas none of the patients with contralateral nystagmus benefited from the maneuver. While there was no significant relationship between ipsilateral nystagmus and the success of the treatment (p=0.625), a significant correlation was found between contralateral nystagmus and treatment failure (p=0.000).
The occurrence of contralateral nystagmus during the Epley maneuver may be a sign of an unsuccessful result.
我们研究了在Epley手法治疗良性阵发性位置性眩晕（BPPV）过程中可能出现的眼震方向作为治疗成功早期指标的作用。
该研究纳入了47例接受Epley手法治疗BPPV的患者（24例男性，23例女性；平均年龄46±12岁；范围29至70岁）。观察眼震的发生情况及方向。
16例患者在手法操作过程中出现眼震，其中9例为同侧眼震，7例为对侧眼震。同侧眼震的7例患者治疗成功（77.8%），而对侧眼震的患者无一从该手法中获益。虽然同侧眼震与治疗成功之间无显著相关性（p = 0.625），但对侧眼震与治疗失败之间存在显著相关性（p = 0.000）。
Epley手法治疗过程中出现对侧眼震可能提示治疗效果不佳。
