Treatment of Benign Paroxysmal Positional Vertigo with Positional Tests and Canalith Repositioning Procedures

Aim:To value the efficacy of positional tests in diagnosis of benign paroxysmal positional vertigo(BPPV) and canalith repositioning procedures(CRP).Methods: 50 cases of BPPV patients were reviewed retrospectively.After comprehensive history-taking,Dix-Hallpike test and Roll test were performed to determine the type and the laterality of BPPV.Epley maneuver was used to posterior canal BPPV(PC-BPPV),Barbecue maneuver to canalithiasis of horizontal semicircular canal BPPV(HC-BPPV),Gufoni maneuver,Casani maneuver,and Barbecue maneuver to cupulolithiasis of HC-BPPV.Results: After 3 week following up,84% of patients(42/50) were cured,98%(49/50) effective,while 2%(1/50) ineffective.None of them had obvious side effect.Conclusion: The type and the laterality of BPPV were determined by typical case history and positional tests.Treatment of BPPV with CRP is thought to be effective,simple,safe and worth to popularize.