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[Benign paroxysmal positional vertigo with and without manifest positional nystagmus: an 18-month follow-up study of 70 patients]. / Benigner paroxysmaler Lagerungsschwindel mit und ohne manifesten Lagerungsnystagmus: Achtzehnmonatige Verlaufsbeobachtung von 70 Patienten.
Anagnostou, E; Mandellos, D; Patelarou, A; Anastasopoulos, D.
Afiliação
  • Anagnostou E; Department of Physiology, Faculty of Health Sciences, School of Nursing, University of Athens, Greece. danastas@nurs.uoa.gr
HNO ; 55(3): 190-4, 2007 Mar.
Article em De | MEDLINE | ID: mdl-17106753
BACKGROUND: In this follow-up study of approximately 18 months we assessed parameters of medical management in a sample of 70 patients suffering from benign paroxysmal positional vertigo. METHODS: Apart from demographic data, we evaluated the time interval from the appearance of the first symptoms until a diagnostic positional manoeuvre was performed, the efficacy of liberatory manoeuvres, the prescription of medication, the use of technical diagnostic resources and the relapse rate. RESULTS: None of the patients had received a diagnostic positioning test until then. Moreover, in one out of three cases a further unnecessary technical diagnostic procedure was carried out. There was a tendency for the right labyrinth to be more frequently affected, a fact that was statistically independent from age and sex, as well as from overall prognosis, which was characterized by a 15.6% recurrence rate. All patients with manifest positional nystagmus were successfully treated: 87.2% immediately after the repositioning manoeuvre and the rest within 10 days by self-performing Brandt-Daroff exercises. Our retrospective analysis revealed that, given a normal neuro-otological examination, a typical medical history without manifest positioning nystagmus leads safely to the correct diagnosis. CONCLUSION: The delay between the onset of symptoms and the diagnosis of BPPV is very often unduly long. A focused medical history may be diagnostic even in the absence of nystagmus during the Dix-Hallpike manoeuvre.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Testes de Função Vestibular / Nistagmo Fisiológico / Vertigem / Nistagmo Patológico Tipo de estudo: Diagnostic_studies / Evaluation_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: De Revista: HNO Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Grécia
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Testes de Função Vestibular / Nistagmo Fisiológico / Vertigem / Nistagmo Patológico Tipo de estudo: Diagnostic_studies / Evaluation_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: De Revista: HNO Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Grécia