Analysis of Benign Paroxysmal Positional Vertigo Cases in the Posterior Canal at a Tertiary Care Facility

A BSTRACT Aim: The present study aims to evaluate the prevalence of posterior canal benign paroxysmal positional vertigo (BPPV) among all vertigo cases in a tertiary care hospital in India and assess the treatment outcomes of the Epley maneuver combined with Betahistine. Material and Methods: A total of 60 patients diagnosed with posterior canal BPPV were included in the study, with confirmation achieved via the Dix-Hallpike maneuver. All patients underwent Epley’s maneuver and received Betahistine for symptom management. Treatment success was evaluated by assessing symptom resolution at 1-week and 1-month follow-ups. Results: This prospective study of 60 patients found the majority in the 41–60 age group, with idiopathic causes being predominant. The Epley maneuver combined with Betahistine had a success rate of 78.33%, consistent with other studies. The gender distribution was balanced, and trauma-related BPPV was observed in a few cases. Conclusion: The findings bolster the effectiveness of the Epley maneuver as a primary treatment and highlight the need for further research into combined treatments and long-term outcomes, including vestibular rehabilitation for refractory cases.