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Clinical evaluation of posterior canal benign paroxysmal positional vertigo
BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is a mechanical peripheral vestibular disorder which may involve any of the three semicircular canals but principally the posterior. In as much as the literature has described theories to explain the mechanism of BPPV and also contains scholarl...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2012
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3530256/ https://www.ncbi.nlm.nih.gov/pubmed/23271854 http://dx.doi.org/10.4103/0300-1652.103550 |
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author | Ibekwe, Titus S. Rogers, C. |
author_facet | Ibekwe, Titus S. Rogers, C. |
author_sort | Ibekwe, Titus S. |
collection | PubMed |
description | BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is a mechanical peripheral vestibular disorder which may involve any of the three semicircular canals but principally the posterior. In as much as the literature has described theories to explain the mechanism of BPPV and also contains scholarly works that elucidate BPPV; its management remains an enigma to most clinicians. To this end, this work was aimed at outlining an evidence-based best practice for most common form of BPPV. MATERIALS AND METHODS: A systematic review of the literature was conducted between 1948 and June 2011 in PubMed, Embase, Ovid, and Cochrane database through the online Library of the University of Cape Town. Seventy-nine worthy articles that addressed the study were selected on consensus of the two authors. CONCLUSION: There is consensus for the use of canalith repositioning procedures as the best form of treatment for posterior canal canalolithiasis. However, successful treatment is dependent on accurate identification of the implicated canal and the form of lithiasis. Furthermore, clinicians should note that there is no place for pharmacological treatment of BPPV; unless it is to facilitate repositioning. |
format | Online Article Text |
id | pubmed-3530256 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-35302562012-12-27 Clinical evaluation of posterior canal benign paroxysmal positional vertigo Ibekwe, Titus S. Rogers, C. Niger Med J Original Article BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is a mechanical peripheral vestibular disorder which may involve any of the three semicircular canals but principally the posterior. In as much as the literature has described theories to explain the mechanism of BPPV and also contains scholarly works that elucidate BPPV; its management remains an enigma to most clinicians. To this end, this work was aimed at outlining an evidence-based best practice for most common form of BPPV. MATERIALS AND METHODS: A systematic review of the literature was conducted between 1948 and June 2011 in PubMed, Embase, Ovid, and Cochrane database through the online Library of the University of Cape Town. Seventy-nine worthy articles that addressed the study were selected on consensus of the two authors. CONCLUSION: There is consensus for the use of canalith repositioning procedures as the best form of treatment for posterior canal canalolithiasis. However, successful treatment is dependent on accurate identification of the implicated canal and the form of lithiasis. Furthermore, clinicians should note that there is no place for pharmacological treatment of BPPV; unless it is to facilitate repositioning. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3530256/ /pubmed/23271854 http://dx.doi.org/10.4103/0300-1652.103550 Text en Copyright: © Nigerian Medical Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Ibekwe, Titus S. Rogers, C. Clinical evaluation of posterior canal benign paroxysmal positional vertigo |
title | Clinical evaluation of posterior canal benign paroxysmal positional vertigo |
title_full | Clinical evaluation of posterior canal benign paroxysmal positional vertigo |
title_fullStr | Clinical evaluation of posterior canal benign paroxysmal positional vertigo |
title_full_unstemmed | Clinical evaluation of posterior canal benign paroxysmal positional vertigo |
title_short | Clinical evaluation of posterior canal benign paroxysmal positional vertigo |
title_sort | clinical evaluation of posterior canal benign paroxysmal positional vertigo |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3530256/ https://www.ncbi.nlm.nih.gov/pubmed/23271854 http://dx.doi.org/10.4103/0300-1652.103550 |
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