Clinical inquiries. What is the best approach to benign paroxysmal positional vertigo in the elderly?
A canalith repositioning maneuver (CRM), such as the Epley or Semont maneuver, should be the first-line treatment for benign paroxysmal positional vertigo (BPPV) in the elderly. Following the Epley maneuver with self-treatment at home using a modified Epley procedure improves outcomes. Postural restrictions are not necessary after CRM treatment. Medications do not work as well as a CRM, but studies comparing treatments are limited.
Clinch
C Randall
CR
Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Kahill
Ailisa
A
Klatt
Laura A
LA
Stewart
David
D
D000368:Aged; D000932:Antiemetics / Q000627:therapeutic use; D019416:Head Movements; D006801:Humans; D026201:Musculoskeletal Manipulations / Q000379:methods; D011187:Posture; D016032:Randomized Controlled Trials as Topic; D014717:Vertigo / Q000628:therapy*
D000932:Antiemetics