ISSN 1612-3352

Editors in Chief

Prof. Dr. Claus F. Claussen, Neurootological Research Institute of the Research Society for Smell, Taste, Hearing and Equilibrium Disorders at Bad Kissingen (4-G-F). Bad Kissingen, Germany.
Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Otoneuroophthalmological Neurophysiology,
Buenos Aires, Argentina.

Production Managers

Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Otoneuroophthalmological Neurophysiology,
Buenos Aires, Argentina.


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The many faces of bppv: therapeutic results in 464 cases

Abstract

It has been demonstrated not only in our experimental research as well as in our clinical routine that the association of different strategies is usually highly synergic for positional vertigo relief and control. The summation of the various favourable effects of each kind of therapy seems to lead to an improvement or cure which is quicker and longer standing than with a single therapy.An integrated balance therapy was prescribed, with an emphasis on the obligatory attempt to remove or control a presumable etiologic agent, and also including vestibular suppressants, vestibular rehabilitation techniques (canalith repositioning procedure, liberatory maneuver, roll maneuver, home execises, etc.) nutritional and habit recommendations. A group of 464 patients with the diagnosis of Benign Paroxysmal Positional Vertigo (BPPV) was submmitted to the integrated balance therapy program. The selection of the appropriate rehabilitative procedure was based on the identification of the involved canal and type of pathology (canalithiasis or cupulolithiasis) in each BPPV case.A laboratory monitoring of the treatment was always done in order to evaluate the patient’s evolution and change the treatment protocol if necessary. We have reevaluated the patient every 30 or 60 days. Around 85% of the patients with BPPV presented a favourable evolution in this study. In 10% of the cases the improvement was not significant even though a presumable adequate therapy was prescribed. The difficulty to adhere completely to the therapeutic protocol seems to be the main reason behind most of the treatment failures. Only 5% of the BPPV patients were totally non-responsive to the integrated balance therapy.

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