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Treatment of Geotropic Horizontal Canal Benign Paroxysmal Positional Vertigo

Phase 3
Completed
Conditions
Benign Paroxysmal Positional Vertigo
Interventions
Procedure: Gufoni
Procedure: Sham
Procedure: Barbecue
Registration Number
NCT01366430
Lead Sponsor
Chonbuk National University
Brief Summary

The purpose of this study was to compare the immediate efficacies of each treatment maneuvers in treatment of geotorpic horizontal canal benign paroxysmal positional vertigo (HC-BPPV).

Detailed Description

A randomized prospective study of patients with HC-BPPV. Patients with geotropic type of HC-BPPV were randomized to one of each three treatment groups at their first clinic visit. These groups included the barbecue maneuver, Gufoni's maneuver, and sham group in geotropic HC-BPPV. Responsiveness of treatment maneuver was determined by positioning maneuver immediately after each treatment method based on resolves of vertigo and positional nystagmus.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
170
Inclusion Criteria
  • a history of brief episodes of positional vertigo, direction-changing horizontal nystagmus beating toward the uppermost (apogeotropic nystagmus) ear in both the lateral head turning positions,
  • no spontaneous nystagmus during upright sitting position
  • absence of identifiable central nervous system disorders that could explain the positional vertigo and nystagmus
Exclusion Criteria
  • central positional nystagmus with identifiable CNS lesions that could explain the positional nystagmus

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Gefoni manenuverGufoniGefoni manenuver for Geotropic HC-BPPV
sham maneuverShamsham maneuver for geotropic HC-BPPV
barbecue maneuverBarbecuebarbecue maneuver for geotropic HC-BPPV
Primary Outcome Measures
NameTimeMethod
Immediate therapeutic effects for the treatment of geotropic HC-BPPVone hour

The immediate treatment response was determined by participating neurologists in each clinic without knowing the maneuver applied to each patient from 30 minutes to one hour after initial maneuver. The absence of both vertigo and nystagmus was required to determine a resolution. When the patient still showed positioning nystagmus or vertigo, the patient received the previously applied maneuver again.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (3)

Chonnam National University Hospital

🇰🇷

Kwangju, Cholanam-do, Korea, Republic of

Chonbuk National University Hospital

🇰🇷

Jeonju, Cholabuk-do, Korea, Republic of

Seoul National University Bundang Hospital

🇰🇷

Seongnam, Kyungki-do, Korea, Republic of

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