Ann Pharmacol Pharm | Volume 2, Issue 4 | Research Article | Open Access
Eryaman Esra*
Private Mecidiyekoy Cevre Hospital, Turkey
*Correspondance to: Eryaman Esra
Fulltext PDFObjectives: The analysis of benign paroxysmal positional vertigo (BPPV) with videonistamography (VNG) is few.
Aim: My aim is to discuss the place of VNG in the accurate diagnosis and treatment of BPPV. Subjects and
Methods: A total of 124 patients diagnosed as BPPV were included in the study (2013-16). Visual images during diagnostic maneuvers were recorded and analyzed by VNG. The European Evaluation of vertigo scale (EEV) was administered before and after the treatment. The R Project for Statistical Computing was used for statistical analyses.
Results: The posterior canals (PC) were involved in 59.7%, the lateral canals (LC) in 26.6% and the anterior canals (AC) in 13.7%. 18.5% were cupulolithiasis, 72.6% were canalithiasis. Among the canalithiasis patients; 64.9% of PCs, 77.8% of the LCs, 93.3% of the ACs were rehabilitated with 1 maneuver, 35% of the PCs, 22.2% of the LCs, 6.7% of the ACs more than 1. Among the cupulolithiasis patients; 100% of the PCs, 81.8% of the LCs, 100% of the ACs were rehabilitated with 1 maneuver, 18.2% of the LCs more than 1 maneuver. The p values of EEV before and after treatment for PCs, LCs and ACs and in total were found meaningful as 2/(10^43) (<0.05), 1.006 / (10^22) (< 0.05) , 1.597/(10^12) (<0.05) and 2.756/(10^75) (< 0.05) .
Conclusion: With VNG we can easily differentiate the nystagmus and the positions of the debris in the exact canal and side. This gives accurate diagnosis and therapy with high success rate.
Benign paroxysmal positional vertigo; Vertigo; Videonistagmography; Videofrenzel; Canalithiasis; Cupulolithiasis
Esra E. Importance of Accurate Diagnosis in Benign Paroxysmal Positional Vertigo with Videonstagmography and the Success Rate of the Maneuvers. Ann Pharmacol Pharm. 2017; 2(4): 1039.