Reviews
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Treatment of Neurogenic Orthostatic Hypotension
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Jung-Ick Byun, Sang Beom Kim
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Res Vestib Sci. 2017;16(3):73-79. Published online September 15, 2017
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DOI: https://doi.org/10.21790/rvs.2017.16.3.73
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Abstract
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- Orthostatic hypotension (OH) is a common feature of sympathetic autonomic dysfunction and can lead to lightheadedness, weakness, dizziness, and syncope. It is defined as decrease in systolic blood pressure of at least 20 mm Hg or diastolic blood pressure of at least 10 mm Hg within 3 minutes of standing. OH is associated with an increased incidence of cerebrovascular disease, myocardial infarction, and mortality. Non-pharmacological treatments may alleviate OH-related symptoms; however, are not sufficient when used alone. Pharmacological treatment is essential in managing OH. In this review, we aimed to discuss non-pharmacological and pharmacological treatment options for OH.
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Citations
Citations to this article as recorded by
- Classification of Chronic Dizziness in Elderly People and Relation with Falls
Dong-Suk Yang, Da-Young Lee, Sun-Young Oh, Ji-Yun Park
Research in Vestibular Science.2018; 17(1): 13. CrossRef
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Vestibular Rehabilitation for Patients with Unilateral Peripheral
Vestibular Deficit
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Chang Geun Song, Sung Kwang Hong
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Res Vestib Sci. 2015;14(3):61-66.
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Abstract
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- Unilateral peripheral vestibular deficit can occur from a different etiology
including viral infection, trauma, ear surgery or idiopathic. Patients with sudden
unilateral vestibular deficit usually complain of whirling vertigo, postural
imbalance and ipsilesional lateropulsion, which gradually recover over a few
weeks by vestibular compensation mechanism. Vestibular rehabilitation therapy
has been accepted as helpful exercise based training program with strong evidence
for acceleration of vestibular compensation in unilateral vestibular deficit. Here
the authors described the current issue regarding vestibular rehabilitation in
unilateral vestibular hypofunction from the informative literature review.
Randomized Controlled Trial
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Treatment outcome of two different methods of canalith repositioning maneuver
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Byung-Kun Kim, M.D.
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J Korean Bal Soc. 2002;1(1):97-102.
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Abstract
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- Background
and Objectives: Canalith repositioning procedure described by Epley is an effective treatment of benign paroxysmal positional vertigo (BPPV) based on the theory of canalithiasis. Although there are many modifications of Epley's maneuver, they have much similarity and are usually composed of 4 steps. However there is considerable variation of pause at each position from 6 seconds to 4 minutes. The purpose of this study is to determine treatment outcome of short and long pause at each position.
Materials and Methods: This is a randomized prospective study of patients with posterior canal type BPPV. One hundred patients were randomized to one of two groups at their first clinic visit between March 1999 and September 2000. The diagnosis was based on typical findings of vertigo and nystagmus by Dix-Hallpike maneuver and head turning in supine position. The authors treated patients with two different methods of the canalith repositioning procedure. One group maintained each position until the nystagmus stopped. If no nystagmus was observed, the position was maintained for 5 to 10 seconds. The other group maintained each position for 3 minutes. We assessed treatment outcomes of two methods.
Results
We can not find the difference of a success rate between two groups.
Conclusion
It takes less than one minute with rapid head position changing method, so this method is more feasible in out-patients clinics.