Management of bilateral benign paroxysmal positional vertigo.
OBJECTIVE
To describe a series of patients with bilateral benign paroxysmal positional vertigo (BiBPPV), with respect to demographics, management, and outcome.


METHODS
All patients who were identified and treated for BiBPPV in a previous 36-month period with a minimal follow-up period of 6 months were included. Patients were treated with Epley's maneuver (EM) on the side that was more symptomatic and that had a greater velocity and amplitude of tortional nystagmus. Patients were re-treated according to symptoms and findings on follow-up visits.


RESULTS
Ten patients were identified with BiBPPV. Most patients complained of nonlocalized positional vertigo and unsteadiness. Four were males and 6 were females, and the mean age was 54 years. There was a positive history of recent head trauma in 4 of the patients. All patients recovered after performing a mean of 2.6 EMs during a 3-month period. One patient experienced unilateral recurrence and was re-treated successfully.


CONCLUSIONS
BiBPPV has typical characteristics and can be managed successfully with EM, performed on the more symptomatic side, followed by repeated treatments as needed.


METHODS
C.
Kaplan
Daniel M
DM
Department of Otolaryngology-Head and Neck Surgery, Soroka University Medical Center and Ben Gurion University of the Negev, Beer Sheva, Israel. dankap@bgumail.bgu.ac.il
Nash
Michel
M
Niv
Alexander
A
Kraus
Mordechai
M
D000328:Adult; D000368:Aged; D015331:Cohort Studies; D004584:Electronystagmography / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D019416:Head Movements; D006801:Humans; D008297:Male; D008875:Middle Aged; D010036:Otolaryngology / Q000379:methods*; D017060:Patient Satisfaction; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014717:Vertigo / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D014724:Vestibular Function Tests