Benign paroxsymal positional vertigo – recommendations for treatment in primary care

Figures & data

Figure 1 Summary of patient treatment protocol.

Abbreviations: BPPV, benign paroxysmal positional vertigo; PRMs, particle repositioning maneuvers.

Table 1 The success rates and recurrence according to the types of BPPV (n=359)

Involved SC	Number of patients	Success rate at 1 week	Success rate at 2 weeks	Success rate at 3 weeks	Success rate at 1 month
PSC	264	207 (78.4%)	246 (93.2%)	250 (94.7%)	253 (95.8%)
G-HSC	53	50 (94.3%)	51 (96.2%)	53 (100%)	53 (100%)
Ag-HSC	28	22 (78.6%)	28 (100%)	28 (100%)	28 (100%)
ASC	2	1 (50%)	1 (50%)	2 (100%)	2 (100%)
Multicanal	12	3 (25%)	8 (66.7%)	9 (75%)	9 (75%)

Abbreviations: PSC, posterior semicircular canal; G-HSC, horizontal semicircular canalithiasis; Ag-HSC, horizontal semicircular cupulolithiasis; ASC, anterior semicircular canal; BPPV, benign paroxysmal positional vertigo.

Figure 2 Benign paroxsymal positional vertigo (BPPV) distribution.

Abbreviations: PSC, posterior semicircular canal; G-HSC, geotropic horizontal semicircular canal; Ag-HSC, apogeotropic horizontal semicircular canal; ASC, anterior semicircular canal.

Table 2 Summary of studies comparing success rates of treatment maneuvers for Ag-HSC (%)

FPP	Gufoni	Vannucchi-Asprella
73^Citation8–90^Citation26	57.9^Citation18–76.7^Citation26,Citation27	40^Citation26–65.4^Citation18

Abbreviations: FPP, forced prolonged positioning; Ag-HSC, horizontal semicircular cupulolithiasis.

Table 3 Summary of studies comparing success rates of treatment maneuvers for G-HSC (%)

FPP	Gufoni	Vannucchi-Asprella	Affected-ear-up 120°
62^Citation26	93^Citation16	75^Citation26	94^Citation21

Abbreviations: FPP, forced prolonged positioning; G-HSC, geotropic horizontal semicircular canal.

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