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KMID : 0390220010120010041
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2001 Volume.12 No. 1 p.41 ~ p.46
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The Nystagmus Response in Final Head Position after Modified Epley Maneuver as the predictor of the Treatment Efficacy
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장동미/Dong Mi Jang
김동영/김부민/안영민/김리석/Dong Young kim/Bu Min Kim/Young Min Ahn/Lee Suk Kim
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Abstract
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Background and Objective: Benign paroxysmal positional vertigo(BPPV) is a common etiology of vertigo. Variable exercise maneuvers and treatment results of BPPV have been reported. We aim to evaluate applicability of nystagmus response in
the
final bead position after the modified Epley maneuver as the predictor of the treatment efficacy.
Materials and Methods: The nystagmus response was recorded in the final head position after the modified Epley maneuver and compared with the subsequent response obtained by Dix-Hallpike test after 1 week. The study included 12 patients
with
a
diagnosis of BPPV based on the history and Dix-Hallpike test.
Results: After the first Epley maneuver, 9 patients showed negative nystagmus response and 3 patients positive while sitting in the final head position. As compared with the results of Dix-Hallpike test after 1 week, only 2 of the 9
patients, who
had no nystagmus in the final head position after the first Epley maneuver, and 2 of the 3 patients, who had nystagmus, showed positive nystagmus response. The overall results of the Epley maneuver showed that the patients who had no nystagmus in
the
final head position tended to be better than those who had nystagmus.
Conclusion: The nystagmus response in the final head position after the modified Epley maneuver could be the predictor of the treatment efficacy.
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