Đerić, Dragoslava

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Why do Treatment Failure and Recurrences of Benign Paroxysmal Positional Vertigo Occur?

Babac, Snežana; Đerić, Dragoslava; Petrović-Lazić, Mirjana; Arsović, Nenad; Mikić, Aleksandar

(Lippincott Williams & Wilkins, Philadelphia, 2014)

TY  - JOUR
AU  - Babac, Snežana
AU  - Đerić, Dragoslava
AU  - Petrović-Lazić, Mirjana
AU  - Arsović, Nenad
AU  - Mikić, Aleksandar
PY  - 2014
UR  - http://rfasper.fasper.bg.ac.rs/handle/123456789/861
AB  - Objective: To investigate the potential risk factors associated to the treatment failure and recurrence of benign paroxysmal positional vertigo (BPPV). Study Design: Prospective cohort study. Setting: Tertiary referral center. Patients: Four hundred patients with benign paroxysmal positional vertigo, 119 men and 281 women, aged 27 to 88 years. Intervention: Patients were treated once a week, with only one, appropriate, depending on the affected canal, repositioning maneuver (modified Epley, Semont, barbecue/inverted Gufoni, Kim). The control Dix-Hallpike test and the roll test were performed on 7 days. Main Outcome Measures: The treatment outcome and recurrence were evaluated with regard to sex, age, duration of symptoms, etiologic factors, migraines, osteoporosis, vascular risk factors, endocrine diseases, localization of otoconia, and simultaneous involvement of multiple canals. Results: The results indicate that treatment was negatively affected by patients' age, osteoporosis, and head trauma, without them causing recurrent symptoms. The highest number of uncured patients was observed in the 73- to 88-year-old age group (14.8%). The application of more than one maneuver was necessary in 27.5% of cases with primary BPPV and 88.9% with secondary BPPV. The highest treatment success was achieved in the group with BPPV of the posterior semicircular canal (F = 3.668, p = 0.026). The recurrence rate was 15.5%. Conclusion: Potential risk factors associated to the treatment failure were as follows: the age older than 50, secondary BPPV, head trauma, the occurrence of osteoporosis, and localization of otoconia in the anterior semicircular canal. The analyzed factors did not have impact on the recurrence.
PB  - Lippincott Williams & Wilkins, Philadelphia
T2  - Otology & Neurotology
T1  - Why do Treatment Failure and Recurrences of Benign Paroxysmal Positional Vertigo Occur?
EP  - 1110
IS  - 6
SP  - 1105
VL  - 35
UR  - https://hdl.handle.net/21.15107/rcub_rfasper_861
ER  - 
@article{
author = "Babac, Snežana and Đerić, Dragoslava and Petrović-Lazić, Mirjana and Arsović, Nenad and Mikić, Aleksandar",
year = "2014",
abstract = "Objective: To investigate the potential risk factors associated to the treatment failure and recurrence of benign paroxysmal positional vertigo (BPPV). Study Design: Prospective cohort study. Setting: Tertiary referral center. Patients: Four hundred patients with benign paroxysmal positional vertigo, 119 men and 281 women, aged 27 to 88 years. Intervention: Patients were treated once a week, with only one, appropriate, depending on the affected canal, repositioning maneuver (modified Epley, Semont, barbecue/inverted Gufoni, Kim). The control Dix-Hallpike test and the roll test were performed on 7 days. Main Outcome Measures: The treatment outcome and recurrence were evaluated with regard to sex, age, duration of symptoms, etiologic factors, migraines, osteoporosis, vascular risk factors, endocrine diseases, localization of otoconia, and simultaneous involvement of multiple canals. Results: The results indicate that treatment was negatively affected by patients' age, osteoporosis, and head trauma, without them causing recurrent symptoms. The highest number of uncured patients was observed in the 73- to 88-year-old age group (14.8%). The application of more than one maneuver was necessary in 27.5% of cases with primary BPPV and 88.9% with secondary BPPV. The highest treatment success was achieved in the group with BPPV of the posterior semicircular canal (F = 3.668, p = 0.026). The recurrence rate was 15.5%. Conclusion: Potential risk factors associated to the treatment failure were as follows: the age older than 50, secondary BPPV, head trauma, the occurrence of osteoporosis, and localization of otoconia in the anterior semicircular canal. The analyzed factors did not have impact on the recurrence.",
publisher = "Lippincott Williams & Wilkins, Philadelphia",
journal = "Otology & Neurotology",
title = "Why do Treatment Failure and Recurrences of Benign Paroxysmal Positional Vertigo Occur?",
pages = "1110-1105",
number = "6",
volume = "35",
url = "https://hdl.handle.net/21.15107/rcub_rfasper_861"
}
Babac, S., Đerić, D., Petrović-Lazić, M., Arsović, N.,& Mikić, A.. (2014). Why do Treatment Failure and Recurrences of Benign Paroxysmal Positional Vertigo Occur?. in Otology & Neurotology
Lippincott Williams & Wilkins, Philadelphia., 35(6), 1105-1110.
https://hdl.handle.net/21.15107/rcub_rfasper_861
Babac S, Đerić D, Petrović-Lazić M, Arsović N, Mikić A. Why do Treatment Failure and Recurrences of Benign Paroxysmal Positional Vertigo Occur?. in Otology & Neurotology. 2014;35(6):1105-1110.
https://hdl.handle.net/21.15107/rcub_rfasper_861 .
Babac, Snežana, Đerić, Dragoslava, Petrović-Lazić, Mirjana, Arsović, Nenad, Mikić, Aleksandar, "Why do Treatment Failure and Recurrences of Benign Paroxysmal Positional Vertigo Occur?" in Otology & Neurotology, 35, no. 6 (2014):1105-1110,
https://hdl.handle.net/21.15107/rcub_rfasper_861 .
41

The treatment of horizontal canal benign paroxysmal positional vertigo

Babac, Snežana; Đerić, Dragoslava; Petrović-Lazić, Mirjana; Ivanković, Zoran; Kosanović, Rade; Mikić, Aleksandar

(Srpsko biološko društvo, Beograd, i dr., 2013)

TY  - JOUR
AU  - Babac, Snežana
AU  - Đerić, Dragoslava
AU  - Petrović-Lazić, Mirjana
AU  - Ivanković, Zoran
AU  - Kosanović, Rade
AU  - Mikić, Aleksandar
PY  - 2013
UR  - http://rfasper.fasper.bg.ac.rs/handle/123456789/691
AB  - The aim of our study was to assess the outcome of treatment of horizontal canal benign paroxysmal positional vertigo and to analyze the influence of the different prognostic factors on treatment failure. Fifty-nine patients with horizontal canal benign paroxysmal positional vertigo were included in the study. They were divided into two groups according to the treatment protocol, randomly. The first group, after treatment with the barbecue maneuver or inverted Gufoni, depending on the nystagmus form, was instructed to sleep on the side with weaker nystagmus, and the second group did not. In the first group, 88.9% of patients were cured and 91.3% in the second one. There was no significant difference between the two groups. Migraine and the apogeotropic form of nystagmus had a significant effect on treatment outcome, while other variables had no effect.
PB  - Srpsko biološko društvo, Beograd, i dr.
T2  - Archives of Biological Sciences
T1  - The treatment of horizontal canal benign paroxysmal positional vertigo
EP  - 427
IS  - 2
SP  - 421
VL  - 65
DO  - 10.2298/ABS1302421B
ER  - 
@article{
author = "Babac, Snežana and Đerić, Dragoslava and Petrović-Lazić, Mirjana and Ivanković, Zoran and Kosanović, Rade and Mikić, Aleksandar",
year = "2013",
abstract = "The aim of our study was to assess the outcome of treatment of horizontal canal benign paroxysmal positional vertigo and to analyze the influence of the different prognostic factors on treatment failure. Fifty-nine patients with horizontal canal benign paroxysmal positional vertigo were included in the study. They were divided into two groups according to the treatment protocol, randomly. The first group, after treatment with the barbecue maneuver or inverted Gufoni, depending on the nystagmus form, was instructed to sleep on the side with weaker nystagmus, and the second group did not. In the first group, 88.9% of patients were cured and 91.3% in the second one. There was no significant difference between the two groups. Migraine and the apogeotropic form of nystagmus had a significant effect on treatment outcome, while other variables had no effect.",
publisher = "Srpsko biološko društvo, Beograd, i dr.",
journal = "Archives of Biological Sciences",
title = "The treatment of horizontal canal benign paroxysmal positional vertigo",
pages = "427-421",
number = "2",
volume = "65",
doi = "10.2298/ABS1302421B"
}
Babac, S., Đerić, D., Petrović-Lazić, M., Ivanković, Z., Kosanović, R.,& Mikić, A.. (2013). The treatment of horizontal canal benign paroxysmal positional vertigo. in Archives of Biological Sciences
Srpsko biološko društvo, Beograd, i dr.., 65(2), 421-427.
https://doi.org/10.2298/ABS1302421B
Babac S, Đerić D, Petrović-Lazić M, Ivanković Z, Kosanović R, Mikić A. The treatment of horizontal canal benign paroxysmal positional vertigo. in Archives of Biological Sciences. 2013;65(2):421-427.
doi:10.2298/ABS1302421B .
Babac, Snežana, Đerić, Dragoslava, Petrović-Lazić, Mirjana, Ivanković, Zoran, Kosanović, Rade, Mikić, Aleksandar, "The treatment of horizontal canal benign paroxysmal positional vertigo" in Archives of Biological Sciences, 65, no. 2 (2013):421-427,
https://doi.org/10.2298/ABS1302421B . .
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