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Efficacy of mastoid oscillation and the Gufoni maneuver for treating apogeotropic horizontal benign positional vertigo: a randomized controlled study

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Author(s)
Hyung LeeHyun Ah KimSang-Won ParkJungil KimBong-Gu KangJun LeeByung In HanJung Im SeokEun-Ji ChungJaeyoung Kim
Alternative Author(s)
Kim, Jae YoungKim, Hyun AhLee, Hyung
Department
Dept. of Neurology (신경과학)
Dept. of Preventive Medicine (예방의학)
Journal Title
Journal of Neurology
Issued Date
2017
Volume
264
Number
5
Keyword
Randomized controlled trialVibrationBenign paroxysmal positional vertigoTreatment outcome
Abstract
To determine the immediate and short-term efficacies of mastoid oscillation vs. Gufoni maneuver in treating the apogeotropic type of horizontal canal benign paroxysmal positional vertigo (HC-BPPV), we designed a randomized, prospective, sham-controlled study. In eight dizziness clinics in Korea, 209 consecutive patients with apogeotropic HC-BPPV were enrolled. The patients were randomly assigned to receive a single application of Gufoni (n = 70), mastoid oscillation (n = 67), or sham maneuver (n = 72). Immediate and second-day responses were determined based on the results within 1 h after a single trial of each maneuver and the following day, respectively. Second-day response was assessed in patients who were non-responders on the first day. The short-term response was determined based on the cumulative response for 2 days. Successful treatment was defined as a resolution of positional nystagmus or as a transition into geotropic horizontal nystagmus (not requires vertigo symptom resolution). The immediate responses of the Gufoni maneuver (33/70, 47.1%) and mastoid oscillation (32/67, 47.8%) were better than the sham maneuver (14/72, 19.4%) (p = 0.00). The second-day results did not differ among the three groups (p = 0.76). The short-term responses showed better efficacies with the Gufoni maneuver (51/70, 76.1%) and mastoid oscillation (46/67, 71.9%) than with the sham maneuver (38/72, 53.5%) (p = 0.02). Therapeutic efficacies did not differ between the Gufoni and mastoid oscillation groups in terms of both immediate and short-term outcomes (p = 0.94, 0.57). Both the Gufoni maneuver and mastoid oscillation are valid methods for treating apogeotropic HC-BPPV, with a success rate of approximately 70% for a single maneuver during the short-term follow-up.
Affiliated Author(s)
김현아
이형
김재영
Publisher
School of Medicine
Citation
Hyung Lee et al. (2017). Efficacy of mastoid oscillation and the Gufoni maneuver for treating apogeotropic horizontal benign positional vertigo: a randomized controlled study. Journal of Neurology, 264(5), 848–855. doi: 10.1007/s00415-017-8422-2
Type
Article
ISSN
0340-5354
Fulltext
https://link.springer.com/article/10.1007%2Fs00415-017-8422-2
DOI
10.1007/s00415-017-8422-2
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32797
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
1. School of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학)
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