{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T06:49:39Z","timestamp":1694155779199},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,7,16]],"date-time":"2018-07-16T00:00:00Z","timestamp":1531699200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To compare the outcome of the Epley maneuver (EM) in benign paroxysmal positional vertigo of the posterior canal (CSP\u2010BPPV) depending on the definition used for recovery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Multicenter observational prospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Otoneurology Units of 5 tertiary reference hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>All patients presenting with unilateral CSP\u2010BPPV assisted for 1\u2010year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Exclusion criteria<\/jats:title><jats:p>Spontaneous nystagmus, positive McClure\u2010Pagnini maneuver, positive bilateral Dix\u2010Hallpike maneuver (DHM), positive DHM for vertigo but negative for nystagmus and atypical nystagmus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Response to EM was measured after 7\u00a0days in 3 different outcomes: disappearance of nystagmus during the DHM in the follow\u2010up visit, disappearance of vertigo during the DHM and general status (GS) during daily life activities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>264 patients were recruited (68 male\/166 female, mean age 62\u00a0years). After the EM, nystagmus disappeared in 67% of them, vertigo in 54% and 36% were asymptomatic in their daily life. These outcomes were strongly correlated, but they were not concordant in a clinically significant group of cases; only the 26% of patients met\u00a0all of them. The healing process follows the next sequence: negativization of positional nystagmus, then disappearance of positional vertigo and, finally, the improvement of GS during daily life activities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Nowadays, healing criteria for the resolution of an PSC\u2010BPPV episode have not been specifically defined yet. Provided that other otoneurological disorders have been ruled out, the next resolution criterion is proposed: absence of nystagmus and specifically during control DHM and disappearance of symptoms during daily life activities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13173","type":"journal-article","created":{"date-parts":[[2018,6,15]],"date-time":"2018-06-15T07:44:37Z","timestamp":1529048677000},"page":"219-226","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Healing criteria: How should an episode of benign paroxistic positional vertigo of posterior semicircular canal\u2032s resolution be defined? 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