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NEUROLOGY 2004;63:150-152
© 2004 American Academy of Neurology
Brief Communications

Self-treatment of benign paroxysmal positional vertigo

Semont maneuver vs Epley procedure

A. Radtke, MD, M. von Brevern, MD, K. Tiel-Wilck, MD, A. Mainz-Perchalla, MD, H. Neuhauser, MD MPH and T. Lempert, MD

From the Neurologische Klinik der Charité, Campus Virchow Klinikum, Berlin, Germany.

Address correspondence and reprint requests to Dr. Andrea Radtke, Neurologische Klinik der Charité, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany; e-mail: andrea.radtke{at}charite.de

The authors compared the efficacy of a self-applied modified Semont maneuver (MSM) with self-treatment with a modified Epley procedure (MEP) in 70 patients with posterior canal benign paroxysmal positional vertigo. The response rate after 1 week, defined as absence of positional vertigo and torsional/upbeating nystagmus on positional testing, was 95% in the MEP group (n = 37) vs 58% in the MSM group (n = 33; p < 0.001). Treatment failure was related to incorrect performance of the maneuver in the MSM group, whereas treatment-related side effects did not differ significantly between the groups.

Received August 25, 2003. Accepted in final form February 17, 2004.

Additional material related to this article can be found on the Neurology Web site. Go to www.neurology.org and scroll down the Table of Contents for the July 13 issue to find the title link for this article.

See also page 8




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Correspondence:

Read all Correspondence

Self-treatment of benign paroxysmal positional vertigo: Semont maneuver vs Epley procedure
Vicente Honrubia, M.D., D.M.Sc.
Neurology Online, 14 Sep 2004 [Full text]
Reply to Honrubia
Andrea Radtke, et al.
Neurology Online, 14 Sep 2004 [Full text]

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