Abstract

Ménière's disease, benign paroxysmal positional vertigo (BPPV), and acute peripheral vestibulopathy (vestibular neuritis and labyrinthitis) are the three most prevalent causes of vertigo. The study was done to assess the comparative effect on the recovery of a series of 28 patients suffering from vertigo, by performing epley’s maneuver in comparison with medical management only without maneuver. Material & Methods: A study was conducted on series of 31 patients who were admitted under physician in medicine department of a private medical facility at Noida, Uttar Pradesh, suffering from vertigo. Study period was extended from July 2022 to March 2023. Out of these 31 patients 03 were drop outs of study and among rest 28 patients 13 patients were treated conservatively with only medical therapy and other 15 patients received treatment along with epley’s maneuver. Results were compared using average length of stay (ALOS) in the hospital and its financial implications. Results: In study it was observed that all patients of vertigo admitted in medicine department should get an ENT reference done as in patients treated with epley's manoeuvre as compared to conservative management unnecessary higher and prolonged use of medication can be avoided to reduce financial burden to patients as well as average length of stay (ALOS) can be shortened. Conclusion: Benign paroxysmal positional vertigo [BPPV] being a common cause of vertigo, this manoeuvre should be first line of treatment in all such patients.

Description