Practice parameter: therapies for benign paroxysmal positional vertigo

Practice parameter: therapies for benign paroxysmal positional vertigo

29 December 2009
American Academy of Neurology
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DISEASE/CONDITION(S)
Benign paroxysmal positional vertigo (BPPV)

GUIDELINE CATEGORY
Assessment of Therapeutic Effectiveness
Evaluation
Treatment

CLINICAL SPECIALTY
Family Practice
Neurological Surgery
Neurology
Otolaryngology
Pharmacology

INTENDED USERS
Physicians

GUIDELINE OBJECTIVE(S)
To perform an evidence-based review to answer the following questions concerning the treatment of benign paroxysmal positional vertigo (BPPV):
  • What maneuvers effectively treat posterior canal BPPV?
  • Which maneuvers are the most effective treatments for horizontal canal and anterior canal BPPV?
  • Are postmaneuver activity restrictions necessary after canalith repositioning procedure?
  • Is it necessary to include mastoid vibration with repositioning maneuvers?
  • What is the efficacy of Brandt–Daroff exercises, habituation exercises, or patient self-administered treatments for BPPV?
  • What is the efficacy of medication treatments for BPPV?
  • What are the safety and efficacy of surgical treatments for posterior canal BPPV?

Keywords:
American Academy of Neurology, Benign paroxysmal positional vertigo, pain management,

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