Abstract:

Objective     To assess the therapeutic effect of positional maneuver in the treatment of benign paroxysmal positional vertigo (BPPV). Methods     Thirty-six  BPPV cases  diagnosed on the basis of the Dix Hallpike test and roll-rock test were reviewed. All of the patients were treated with the Epley (canalith repositioning) maneuver, Semont (liberatory) maneuver or Barbecue maneuver.  The therapeutic effects were evaluated. Results    Thirty-three BPPV cases  caused by lesion of the posterior semicicular canal were treated with the Epley or Semont  maneuver. The effective rate in this subgroup was 93.9%. The other 3 cases caused by lesion of horizontal semicircular canal were treated with the Barbecue maneuver and symptoms improved after the treatment. Conclusions     Positional maneuver is a simple, safe and effective way to treat benign paroxysmal positional vertigo. The procedures should be recommended.

Key words:  Benign paroxysmal positional vertigo; Treatment; Positional maneuver