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Volume 12 Issue 3 ( July-September ) 2023

Original Articles

Canalith Repositioning for Benign Paroxysmal Positional Vertigo
Ankit Kumar Tiwari, Surendra Singh Moupachi, Vikas Patel, Sneha Singh

Background – Benign paroxysmal positional vertigo (BPPV) is a self-limiting condition that is characterized by vertigo and nystagmus induced by certain head positions. Canalith repositioning maneuver (CRM), as defined by Epley, can be an effective treatment for benign paroxysmal positional vertigo (BPPV). Aim & objective – To evaluate the effectiveness of canalith repositioning maneuver / Epley’s maneuver which is non-invasive, inexpensive, and easily administered in patients of BPPV. Method – A prospective observational study was done on 50 patients of both the sex, with sensation of vertigo caused by head movements or body posture changes. Epley’s manoeuvreor canalith repositioning manoeuvre was done in all the patients and evaluate the response. Responses after manoeuvreare graded as Grade I response, i.e., no vertigo on provocative head/body positioning, Grade II partial response (>50% reduction on provocative positioning or ill-defined imbalance only) and Grade III no response or <50% reduction in positional vertigo. Result – Out of 50 patients 43 patients (85.2%) had complete resolution (grade I response), 6 patients (12%) had grade II response i.e., partial response and one patient (3%) had no response. Conclusion –Epley’s manoeuvre is an effective treatment for patients of benign paroxysmal positional vertigo.It is safe, short and inexpensive procedure for patients of posterior canal BPPV.

 
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