Abstract:

Objective    To investigate the better schema of diagnosis and treatment for positional vertigo. Methods    The clinical features and treatment effectiveness of 233 positional vertigo patients were reviewed. Results    In 233 cases, there were 226 benign paroxysmal positional vertigo, 1 atlantoaxial dislocation, and 6 central vertigo, including 1  Arnold-Chiari malformation, 2 multiple-sclerosis lesions, 2 cerebellar lacunar infarction, and 1 cerebellar hemorrhage. Within 182 cases of posterior semicircular canal BPPV, 129 cases were cured (70.88%), 39 cases improved (21.43%), and 14 cases ineffective (7.70%) after the manipulative treatment. In 44 cases of other types of semicircular canal BPPV, there were 24 cured cases  (54.54%), 13 improved cases (29.55%), and 7 ineffective cases(15.91%). The patient of Arnold-Chiari malformation was cured by neurosurgery. The atlantoaxial dislocation case was treated with neck traction and the patients with multiple-sclerosis lesions and cerebellar lacunar infarct or haemorrhage were improved by neurological treatment. Conclusions    Proper diagnosis and treatment is the key to treat positional vertigo.

Key words: Vertigo, Benign paroxysmal positional vertigo, Therapy