1st Academic Department of Otolaryngology Head and Neck Surgery, AHEPA Hospital, Aristotle University of Thessaloniki, S.Kiriakidi 1, 54636 Thessaloniki, Greece.
Eur Arch Otorhinolaryngol. 2013 Sep;270(10):2621-5. doi: 10.1007/s00405-012-2292-0. Epub 2012 Dec 1.
To investigate whether reported vertigo during the Epley maneuver predicts therapeutic success in patients with benign paroxysmal positioning vertigo of the posterior semicircular canal (pc-BPPV). Fifty consecutive adult patients with pc-BPPV, based on a positive Dix-Hallpike test (DHT), were treated with the Epley maneuver and retested after 2 days. Patients were asked to report the presence of vertigo upon assuming each of the four positions of the maneuver. Thirty seven patients (74 %) were treated successfully in one session. Twenty out of 23 patients who reported vertigo at turning the head to the opposite side (2nd position) had a negative DHT on follow-up. These patients had a higher chance of a successful outcome compared to patients who did not report vertigo in the 2nd position (Odds ratio 5.3, 95 % CI: 1.3-22.2, p = 0.022). Report of vertigo at the other positions was not associated with the outcome. Report of vertigo at the second position of a single modified Epley maneuver is associated with therapeutic success.
研究 Epley 复位手法中报告的眩晕是否可以预测后半规管良性阵发性位置性眩晕（pc-BPPV）患者的治疗效果。50 例经 Dix-Hallpike 试验（DHT）确诊为 pc-BPPV 的成年患者接受 Epley 复位手法治疗，2 天后复查。患者在复位手法的 4 个位置中，每次转头时都需报告是否有眩晕感。37 例（74%）患者一次性复位成功。23 例向对侧转头（第 2 个位置）时报告有眩晕的患者，在随访时 DHT 为阴性。与未报告第 2 个位置有眩晕的患者相比，这些患者更有可能成功（比值比 5.3，95%CI：1.3-22.2，p=0.022）。在其他位置报告的眩晕与结果无关。在单个改良 Epley 复位手法的第 2 个位置报告眩晕与治疗效果相关。
