کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4106152 1605368 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Is it important to repeat the positioning maneuver after the treatment for benign paroxysmal positional vertigo?
ترجمه فارسی عنوان
آیا مهم است که مانور موقعیتی را پس از درمان برای سرگیجه موضعی خوشخیم پراکسیاسمی موضعی تکرار کنید؟ یک ؟؟ یک ؟؟
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
چکیده انگلیسی

IntroductionBenign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vestibular dysfunction.ObjectiveTo assess whether the performance of the Dix–Hallpike maneuver after the Epley positioning maneuver has prognostic value in the evolution of unilateral ductolithiasis of posterior semicircular canal.MethodsA prospective cohort study in monitored patients at otoneurology ambulatory with a diagnosis of BPPV; they were submitted to the therapeutic maneuver and then to a retest in order to evaluate the treatment effectiveness; all cases were reassessed one week later and the retest prognostic value was evaluated.ResultsA sample of 64 patients which 47 belonging to negative retest group and 17 belonging to positive retest. Performed the maneuver in all patients, the retest presented 51.85% sensitivity, 91.89% specificity, 82.35% positive predictive value and 72.34% negative predictive value.ConclusionThe study shows that doing the retest after repositioning maneuver of particles in BPPV is effectual, since it has high specificity.

ResumoIntroduçãoA vertigem posicional paroxística benigna (VPPB) é a causa mais comum de disfunção vestibular periférica.ObjetivoAvaliar se a realização do reteste de Dix-Hallpike após a manobra de posicionamento de Epley tem valor prognóstico na evolução da vertigem posicional da ductolitíase paroxística benigna de canal semicircular posterior unilateral.MétodoEstudo prospectivo do tipo coorte de pacientes em acompanhamento no ambulatório de otoneurologia com diagnóstico de VPPB; foram submetidos a manobra terapêutica e posteriormente ao reteste para avaliar a eficácia do tratamento; todos os casos foram reavaliados em uma semana e analisado o valor prognostico do reteste.ResultadosAmostra de 64 pacientes, 47 do grupo reteste negativo e 17 do reteste positivo; realizada manobra de Epley em todos os pacientes. O reteste apresentou sensibilidade de 51,85%; especificidade de 91,89%; valor preditivo positivo de 82,35% e valor preditivo negativo de 72,34%.ConclusãoO estudo mostra que é válido realizar o reteste após a manobra de reposicionamento de partículas na VPPB, visto que possui alta especificidade.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Brazilian Journal of Otorhinolaryngology - Volume 81, Issue 2, March–April 2015, Pages 197–201
نویسندگان
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