Studio pilota sull'uso del metilprednisolone intratimpanico nel trattamento della VPP persitente

Abstract

OBJECTIVE:

To assess the effect of intratympanic methylprednisolone (ITMP) in posterior canal benign paroxysmal positional vertigo (BPPV) that fails treatment involving repositioning maneuver in a case series.

MATERIALS AND METHODS:

Nine patients with persistent posterior canal BPPV after 6 or more repositioning maneuvers were treated by ITMP (two weekly doses of 0.3-0.4 mL at 40 mg/mL) before repeating the repositioning procedures.

RESULTS:

Following ITMP treatment, 7 out of 9 patients were relieved of their symptoms and did not exhibit positional nystagmus after 1 or 2 repositioning maneuvers. The number of positional maneuvers performed before and after ITMP treatment in these 7 patients showed a statistically significant (p=0.016) reduction in the amount of repositioning treatments required. None of the 7 respondent patients showed any relapses during the follow-up period (follow-up range: 11-95 months).

CONCLUSION:

Administering ITMP before resuming repositioning procedures can be a useful treatment for persistent BPPV of the posterior canal.

PMID:

27897129

DOI:

10.5152/iao.2016.3014

[PubMed - as supplied by publisher]