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Effect of Combined Repositioning Maneuver on Benign Paroxysmal Position Vertigo in Old Patients

ZHONG Jian-bin;LI Xie;ZHONG Si-ming;Department of Neurology, Zenchen People's Hospital (Boji Hospital of Sun Yat-Sen University);  
Objective:To study the efficacy and safety of combined repositioning maneuver in treating benign paroxysmal positional vertigo(BPPV) in old patients. Methods: Thirty-two aged patients with horizontal canal(HC) BPPV were randomly divided into HC-control group and HC-treating group equally. In parallel, 56 aged patients with posterior canal(PC) BPPV were randomly allocated to PC-control group and PC-treating group equally. The patients in the PC-control group only received Epley maneuver while the ones in the PC-treating group received combined Semont-Epley maneuver. The cases in the HC-control group only received Barbecue maneuver and the ones in the HC-treating group was given appropriate combined maneuver according to the type of nystagmus. Results: The total effective rate in the PC-control group was 67.9% after one week and 89.3% after one month; and the total effective rate in the PC-treating group was 92.9% after one week and 100.0% after one month. There was a significant difference between the two groups after one week and one month(P 0.05). The total effective rate in the HC-control group was 56.3% after one week and 68.8% after one month whereas the total effective rate in the HC-treating group was 87.5% after one week and 100.0% after one month. There was a significant difference between the two groups after one week and one month(P0.05). No significant difference in complications was observed between the control group and treating group. Conclusion: Combined maneuver is superior to single maneuver. It is safe and effective to apply the appropriate repositioning maneuver in elderly patients with BPPV.
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