Comparison of effectiveness of maneuvers and medication in the treatment of benign paroxysmal positional vertigo.
In this paper, the treatment by medication together with two maneuvers-the particle repositioning maneuver (PRM) reported by Parnes and Price-Jones and the liberatory maneuver (LM) reported by Semont et al.-were compared with treatment by medication alone. Fourteen of 15 cases (93.3%) treated with the PRM and 11 of 14 cases (78.6%) treated with the LM showed improvement after 2 weeks. These results were better than that obtained by medication alone, in which 8 of 26 cases (30.8%) showed improvement after 2 weeks. The most important benefit of these maneuvers seemed to be the speedier recovery than with medication alone, as there was no significant difference in the late success rate after 3 months between the maneuvers and medication alone.
Itaya
T
T
Department of Otolaryngology, Kobe City General Hospital, Japan.
Yamamoto
E
E
Kitano
H
H
Yazawa
Y
Y
Kitajima
K
K
D000328:Adult; D000368:Aged; D014151:Anti-Anxiety Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001621:Betahistine / Q000008:administration & dosage / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D003975:Diazepam / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D017442:Histamine Agonists / Q000008:administration & dosage / Q000627:therapeutic use*; D006634:Histamine H1 Antagonists / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010880:Piperidines / Q000008:administration & dosage / Q000627:therapeutic use*; D014717:Vertigo / Q000188:drug therapy* / Q000628:therapy*; D014805:Vitamin B 12 / Q000008:administration & dosage / Q000627:therapeutic use*
D014151:Anti-Anxiety Agents; D017442:Histamine Agonists; D006634:Histamine H1 Antagonists; D010880:Piperidines; C004858:diphenidol; D014805:Vitamin B 12; D003975:Diazepam; D001621:Betahistine