COMPARISON OF SEMONT MANEUVER AND VESTIBULAR SEDATIVE IN BENIGN PAROXYSMAL POSITIONAL VERTIGO (BPPV)

OBJECTIVE: To see and compare the effectiveness of Semont maneuver and vestibular sedative in the management of patients diagnosed as Benign Paroxysmal Positional Vertigo. STUDY DESIGN: A quasi experimental study st PLACE AND DURATION: ENT Department PAF Hospital Mushaf Base Sargodha from 1 February 2012 till 30th July 2012. METHODOLOGY: A total of sixty patients of Benign Paroxysmal Positional Vertigo having age range of 30 to 75 years, were divided in two equal groups by random sampling. All patients were diagnosed by detail history and examination. Group A patients were treated by vestibular sedatives and group B with Semont maneuver and results were compared over the criteria of freedom from vertigo on Dix Hallpike Test. RESULTS: A total of sixty cases were included in the study. 30 cases were treated by Semont maneuver and in this group 83.33 %( n=25) cases showed complete recovery after 30 days. The other 30 cases were managed by vestibular sedative and 26.66 % (n=8) cases were free from symptoms after 30 days in this group. All the patients were followed on day 3, 7 and 30 and were asked about the subjective improvement of vertigo, followed by confirmation with the objective test that is Dix Hallpike. CONCLUSION: Semont maneuver has more efficacy as compared to vestibular sedative in the management of BPPV.