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Abstract

ABSTRACT: BACKGROUND: Epley's manoeuver can give satisfactory and long lasting relief of symptoms in patients with typical history of benign paroxysmal positional vertigo without nystagmus in Dix-Hallpike positional test. OBJECTIVE: To evaluate the effectiveness of Epley's manoeuver in those patients with typical history of benign paroxysmal positional vertigo without nystagmus in Dix-Hallpike positional test. MATERIAL AND METHOD: Ninety six patients with benign paroxysmal positional vertigo(37 of them males and 59 females).With Dix-Hallpike positional test 58 patients had nystagmus(objective benign paroxysmal positional vertigo) and 38 patients had no nystagmus (subjective benign paroxysmal positional vertigo), was carried out comparism of Epley s manoeuver in both groups. RESULTS: There was significant improvement of symptoms (87%) by Epley's manoeuver in patients who had benign paroxysmal positional vertigo without nystagmus. CONCLUSION: Epley's manoeuver can give good result in relieving of vertigo in patients with typical history of benign paroxysmal positional vertigo even if no nystagmus can be detected in Dix-Hallpike test. ).

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