A prospective study of patients diagnosed with ‘single-canal' benign paroxysmal positional vertigo (BPPV) was performed. Demographic, etiological and prognostic differences between patients with posterior, horizontal and superior canal BPPV were studied. A total of 614 patients diagnosed in a period of 11 years and with a follow-up period of at least 1 year were included in the study. The posterior semicircular canal was affected in 543 casas (88.4%), the horizontal in 39 (6.4%) and the superior canal in 32 (5.2%). Final status at the end of the follow-up period was better in posterior canal BPPV (95% cure) than in horizontal or superior canal BPPV (87% cure in both cases). This may be explained by two facts: a poorer initial response to repositioning maneuvers in anterior canal BPPV than in BPPV involving the other two canals, and a poorer response to maneuvers in recurrences of horizontal canal BPPV.

1.
Bhattacharyya N, Baugh RF, Orvidas L, Barrs D, Bronston LJ, Cass S, Chalian AA, Desmond AL, Earll JM, Fife TD, Fuller DC, Judge JO, Mann NR, Rosenfeld RM, Schuring LT, Steiner RW, Whitney SL, Haidari J: Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2008;139:S47-S81.
2.
Brandt T, Daroff RB: Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol 1980;106:484-485.
3.
Casani AP, Vannucci G, Fattori B, Berrettini S: The treatment of horizontal canal positional vertigo: our experience in 66 cases. Laryngoscope 2002;112:172-178.
4.
Epley JM: The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1992;107:399-404.
5.
Escher A, Ruffieux C, Maire R: Efficacy of the barbecue manoeuvre in benign paroxysmal vertigo of the horizontal canal. Eur Arch Otorhinolaryngol 2007;264:1239-1241.
6.
Froehling DA, Silverstein MD, Mohr DN, Beatty CW, Offord KP, Ballard DJ: Benign positional vertigo: incidence and prognosis in a population-based study in Olmsted County, Minnesota. Mayo Clin Proc 1991;66:596-601.
7.
Ganança FF, Gazzola JM, Ganança CF, Caovilla HH, Ganança MM, Cruz OL: Elderly falls associated with benign paroxysmal positional vertigo. Braz J Otorhinolaryngol 2010;76:113-120.
8.
Herdman SJ: Vestibular rehabilitation. Curr Opin Neurol 2013;26:96-101.
9.
Hilton M, Pinder D: The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Rev 2004;2:CD003162.
10.
Honrubia V, Baloh RW, Harris MR, Jacobson KM: Paroxysmal positional vertigo syndrome. Am J Otol 1999;20:465-470.
11.
Hornibrook J: Benign paroxysmal positional vertigo (BPPV): history, pathophysiology, office treatment and future directions. Int J Otolaryngol 2011;2011:835671.
12.
Kim JS, Oh SY, Lee SH, Kang JH, Kim DU, Jeong SH, Choi KD, Moon IS, Kim BK, Kim HJ: Randomized clinical trial for geotropic horizontal canal benign paroxysmal positional vertigo. Neurology 2012;79:700-707.
13.
Kim YK, Shin JE, Chung JW: The effect of canalith repositioning for anterior semicircular canal canalithiasis. ORL J Otorhinolaryngol Relat Spec 2005;67:56-60.
14.
Korres S, Riga M, Sandris V, Danielides V, Sismanis A: Canalithiasis of the anterior semicircular canal (ASC): treatment options based on the possible underlying pathogenetic mechanisms. Int J Audiol 2010;49:606-612.
15.
Lee SH, Kim JS: Benign paroxysmal positional vertigo. J Clin Neurol 2010;6:51-63.
16.
Lempert T: Horizontal benign positional vertigo. Neurology 1994;44:2213-2214.
17.
Li J, Li H: New repositioning techniques for benign paroxysmal positional vertigo: the Li repositioning manoeuvres. J Laryngol Otol 2010;124:905-908.
18.
Lopez-Escamez JA, Gamiz MJ, Fernandez-Perez A, Gomez-Fiñana M: Long-term outcome and health-related quality of life in benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 2005;262:507-511.
19.
Lopez-Escamez JA, Molina MI, Gamiz MJ: Anterior semicircular canal benign paroxysmal positional vertigo and positional downbeating nystagmus. Am J Otolaryngol 2006;27:173-178.
20.
Nedzelski JM, Barber HO, McIlmoyl L: Diagnoses in a dizziness unit. J Otolaryngol 1986;15:101-104.
21.
Nunez RA, Cass SP, Furman JM: Short- and long-term outcomes of canalith repositioning for benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2000;122:647-652.
22.
Parnes LS, Agrawal SK, Atlas J: Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ 2003;169:681-693.
23.
Pérez P, Franco V, Cuesta P, Aldama P, Alvarez MJ, Méndez JC: Recurrence of benign paroxysmal positional vertigo. Otol Neurotol 2012;33:437-443.
24.
Prokopakis E, Vlastos IM, Tsagournisakis M, Christodoulou P, Kawauchi H, Velegrakis G: Canalith repositioning procedures among 965 patients with benign paroxysmal positional vertigo. Audiol Neurootol 2013;18:83-88.
25.
Sakaida M, Takeuchi K, Ishinaga H, Adachi M, Majima Y: Long-term outcome of benign paroxysmal positional vertigo. Neurology 2003;60:1532-1534.
26.
Semont A, Freyss G, Vitte E: Curing the BPPV with a liberatory maneuver. Adv Otorhinolaryngol 1988;42:290-293.
27.
Soto-Varela A, Bartual Magro J, Santos Pérez S, Vélez Regueiro M, Lechuga García R, Pérez-Carro Ríos A, Labella Caballero T: Benign paroxysmal vertigo: a comparative prospective study of the efficacy of Brandt and Daroff exercises, Semont and Epley maneuver. Rev Laryngol Otol Rhinol (Bord) 2001;122:179-183.
28.
Soto-Varela A, Rossi-Izquierdo M, Martínez-Capoccioni G, Labella-Caballero T, Santos-Pérez S: Benign paroxysmal positional vertigo of the posterior semicircular canal: efficacy of Santiago treatment protocol, long-term follow up and analysis of recurrence. J Laryngol Otol 2012;126:363-371.
29.
Steenerson R, Cronin G, Marbach P: Effectiveness of treatment techniques in 923 cases of benign paroxysmal positional vertigo. Laryngoscope 2005;115:226-231.
30.
Yacovino DA, Hain TC, Gualtieri F: New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo. J Neurol 2009;256:1851-1855.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.