Revista Brasileira de Otorrinolaringologia
versão impressa ISSN 0034-7299
GANANCA, Cristina Freitas et al. Epleys maneuver in benign paroxysmal positional vertigo associated with Menieres disease . Rev. Bras. Otorrinolaringol. [online]. 2007, vol.73, n.4, pp. 506-512. ISSN 0034-7299. http://dx.doi.org/10.1590/S0034-72992007000400009.
The effects of Epleys maneuver in benign paroxysmal positional vertigo (BPPV) associated with Menières disease are controversial. AIMS: To evaluate the progression of positional vertigo and nystagmus after one or more of Epleys maneuvers in BPPV associated with Menières disease, and the recurrence of BPPV. METHOD: a retrospective study of 62 patients with BPPV associated with Menières disease, that underwent Epleys maneuver, and that were monitored during 12 months after elimination of positional nystagmus. RESULTS: One Epleys maneuver was required to eliminate positional nystagmus in 80.7% of the patients, two in 16.1%, and three in 3.2%; after elimination of nystagmus, positional vertigo was suppressed in 71.0% of the patients, improved in 27.4% and remained unaltered in 1.6%. Four weeks after elimination of positional nystagmus, all patients were asymptomatic. Recurrence of BPPV was seen in 19.4% of the cases, with elimination of the positional vertigo and nystagmus by means of the specific maneuver for the involved canal. CONCLUSION: In BPPV associated with Menières disease, vertigo and positioning nystagmus were eliminated with one, two or three Epley maneuvers. BPPV recurrence was resolved by using a specific maneuver for the affected canal.
Palavras-chave : labyrinth; menieres disease; positional nystagmus; dizziness.