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10 12 05 Willis Dizziness in An Older Adult
10 12 05 Willis Dizziness in An Older Adult
10 12 05 Willis Dizziness in An Older Adult
10/12/05
Time course
Provoking factors
Associated symptoms
Nystagmus elicited
Vertigo elicited-lasted for few
seconds
Symptoms absent after sitting
upright
ISSUES
Epley maneuver:
– Relocate the debris from the posterior
semicircular canal to the vestibule
– 80% success rate after one treatment and
100% after >1 (Epley)
– 89% success rate after one treatment
compared to 23% in untreated group (Lynn)
– Recurrence rate of 30% in 30 month F/u
period; 15% over 4 years (Epley)
Lynn(1995)
CANALITH REPOSITIONING