Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo

@article{Bhattacharyya2008ClinicalPG,
  title={Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo},
  author={Neil Bhattacharyya and Reginald F Baugh and Laura J. Orvidas and David M. Barrs and Leo J Bronston and Stephen P. Cass and Ara A. Chalian and Alan L. Desmond and Jerry M. Earll and Terry d. Fife and Drew C Fuller and James Oat Judge and Nancy R. Mann and Richard M. Rosenfeld and Linda T. Schuring and Robert W Steiner and Susan L. Whitney and Jenissa Haidari},
  journal={Otolaryngology—Head and Neck Surgery},
  year={2008},
  volume={139},
  pages={47 - 81}
}
Objectives: This guideline provides evidence-based recommendations on managing benign paroxysmal positional vertigo (BPPV), which is the most common vestibular disorder in adults, with a lifetime prevalence of 2.4 percent. The guideline targets patients aged 18 years or older with a potential diagnosis of BPPV, evaluated in any setting in which an adult with BPPV would be identified, monitored, or managed. This guideline is intended for all clinicians who are likely to diagnose and manage… Expand

Paper Mentions

Interventional Clinical Trial
Unilateral posterior canal benign paroxysmal positional vertigo (BPPV) cases will be randomized to treat with single or multiple cycles of canalith repositioning procedure.The… Expand
ConditionsBenign Paroxysmal Positional Vertigo (BPPV)
InterventionProcedure
Article Commentary: Response to commentary: Benign paroxysmal position vertigo
TLDR
A multidisciplinary clinical practice guideline on the diagnosis and treatment of benign paroxysmal positional vertigo recommends that clinicians should not routinely obtain radiographic imaging or vestibular testing when the diagnosis of BPPV is made based on history and physical examination. Expand
Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)
TLDR
This update of a 2008 guideline from the American Academy of Otolaryngology—Head and Neck Surgery Foundation provides evidence-based recommendations to benign paroxysmal positional vertigo by improving the accurate and efficient diagnosis of BPPV, reducing the inappropriate use of vestibular suppressant medications, decreasing the inappropriate Use of ancillary testing such as radiographic imaging, and increasing the use of appropriate therapeutic repositioning maneuvers. Expand
Benign Paroxysmal Positional Vertigo in the Acute Hospital Setting: Review of a Novel Means for Examination and Intervention
TLDR
This case study found that evidence-based practice guidelines as well as application of a biophysical scientific knowledge base can be applied into the acute care vestibular rehabilitation examination using primarily different configurations of a hospital bed only. Expand
Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update) Executive Summary
TLDR
This article summarizes the rationale, purpose, and key action statements of the updated Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update), and 14 recommendations developed emphasize diagnostic accuracy and efficiency. Expand
[Diagnosis and treatment of benign paroxysmal positional vertigo in common clinical practice].
TLDR
Lack of effective and timely diagnosis of BPPV reflects physicians' poor awareness that this condition is the most common cause of vestibular vertigo and it is necessary to raise awareness of B PPV among of physicians and to set up specialized centers for the management of patients with dizziness. Expand
Continuing lack of the diagnosis of benign paroxysmal positional vertigo in a tertiary care emergency department
TLDR
This study showed that despite guidelines recommending the use of bedside manoeuvres for the diagnosis and the treatment of BPPV, very few patients get recommended assessment and treatment. Expand
Management of benign paroxysmal positional vertigo (BPPV) in the emergency department
TLDR
Diagnostic strategies and physical manoeuvres are described in this narrative review of BPPV, which has been proven to be effective in randomised controlled trials and carries minimal risks. Expand
Benign Paroxysmal Positional Vertigo: comparison of two recent international guidelines.
TLDR
This study reviews two recent guidelines regarding the evaluation and treatment of BPPV and concludes that only the AAO-HNS's guidelines were more comprehensive and of better quality. Expand
Delayed diagnosis and treatment of benign paroxysmal positional vertigo associated with current practice
TLDR
It is demonstrated that despite the significant prevalence of BPPV, delays in diagnosis and treatment frequently occur, which have both cost and quality-of-life impacts on both patients and their caregivers. Expand
Benign paroxysmal positional vertigo in the elderly: current insights
Balance disorders, unsteadiness, dizziness and vertigo in the elderly are a significant health problem, needing appropriate treatment. One third of elderly patients with vertigo were diagnosed withExpand
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References

SHOWING 1-10 OF 291 REFERENCES
[Benign paroxysmal positional vertigo: who can diagnose it, how should it be treated and where?].
TLDR
The authors recommend that patients with suspected horizontal or anterior canal BPPV should be immediately examined by a neurologist and if no other neurological abnormality is found a referral to a specialized dizziness clinic should follow. Expand
Benign Paroxysmal Positional Vertigo
TLDR
A retrospective analysis of patients tested at the Johns Hopkins Otological Vestibular Laboratory found coexisting or associated disorders which included Meniere's disease, head trauma, prior ear surgery, audiograms, questionnaires, and hospital charts was performed. Expand
Benign paroxysmal positioning vertigo in multiple sclerosis: diagnosis, pathophysiology and therapeutic techniques
TLDR
Empiric treatments with corticosteroids and/or vestibular suppressants should not be employed until all MS patients undergo a careful bedside examination, which includes diagnostic positional and, if indicated, particle repositioning maneuvers. Expand
Maneuvers for the treatment of benign positional paroxysmal vertigo: a systematic review.
TLDR
There is scientific evidence showing good efficacy of Epley's maneuver in the treatment of Benign Paroxysmal Positional Vertigo. Expand
Benign Paroxysmal Positional Vertigo: Current Status of Medical Management
TLDR
Patients w PPV of the posterior canal were evalua etrospectively with regard to the past med istory and disease-related diagnostic and t peutic procedures to know whether this diagnosis and treatment of BPPV has b stablished in medical practice. Expand
Benign Paroxysmal Positional Vertigo among Elderly Patients in Primary Health Care
TLDR
Two of 5 of the patients with ICD-10 diagnosis R42 (dizziness and giddiness) had BPPV, which is probably an underestimated cause of dizziness/vertigo among elderly patients in primary health care. Expand
Is posttraumatic benign paroxysmal positional vertigo different from the idiopathic form?
TLDR
The nature and severity of the traumas causing t-BPPV are diverse, ranging from minor head injuries to more severe head and neck trauma with brief loss of consciousness, and it appears that t- BPPV is more difficult to treat than i-BBPV, and also has a greater tendency to recur. Expand
Diagnostic problems in patients with benign paroxysmal positional vertigo
TLDR
Analysis of the reviewed data in 95 patients showed that one third of the patients described the vertigo in a rather atypical way, while the further testing revealed a typical BPPV, so that in some patients more than one examination was necessary to come to a reliable diagnosis. Expand
Diagnostic problems in patients with benign paroxysmal positional vertigo.
TLDR
Analysis of the reviewed data in 95 patients showed that one third of the patients described the vertigo in a rather atypical way, while the further testing revealed a typical BPPV, so that in some patients more than one examination was necessary to come to a reliable diagnosis. Expand
Benign paroxysmal positional vertigo: clinical characteristics of dizzy patients referred to a Falls and Syncope Unit.
TLDR
Benign paroxysmal positional vertigo is a potentially curable cause for dizziness in older people and is frequently referred directly to Falls units, who will be seeing increasing numbers of patients with dizziness. Expand
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