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Comparative Study
. 2004 Jul 13;63(1):150-2.
doi: 10.1212/01.wnl.0000130250.62842.c9.

Self-treatment of Benign Paroxysmal Positional Vertigo: Semont Maneuver vs Epley Procedure

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Comparative Study

Self-treatment of Benign Paroxysmal Positional Vertigo: Semont Maneuver vs Epley Procedure

A Radtke et al. Neurology. .

Abstract

The authors compared the efficacy of a self-applied modified Semont maneuver (MSM) with self-treatment with a modified Epley procedure (MEP) in 70 patients with posterior canal benign paroxysmal positional vertigo. The response rate after 1 week, defined as absence of positional vertigo and torsional/upbeating nystagmus on positional testing, was 95% in the MEP group (n = 37) vs 58% in the MSM group (n = 33; p < 0.001). Treatment failure was related to incorrect performance of the maneuver in the MSM group, whereas treatment-related side effects did not differ significantly between the groups.

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