Hemorrhagic stroke after Epley maneuver: a case report
Abstract Background This is the first case to our knowledge of a serious adverse event following the Epley maneuver, which is the treatment of choice for benign paroxysmal positional vertigo (BPPV), the most common vestibular disorder in adults. Case presentation A 77 year old female presented for o...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2018-04-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s40463-018-0268-9 |
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| author | Paige Moore Trung Le Brian Blakley Jason Beiko Eric Meen |
| author_facet | Paige Moore Trung Le Brian Blakley Jason Beiko Eric Meen |
| author_sort | Paige Moore |
| collection | DOAJ |
| description | Abstract Background This is the first case to our knowledge of a serious adverse event following the Epley maneuver, which is the treatment of choice for benign paroxysmal positional vertigo (BPPV), the most common vestibular disorder in adults. Case presentation A 77 year old female presented for outpatient evaluation of vertigo at a tertiary otolaryngology clinic. She was found to have BPPV clinically, and elected to have a particle repositioning maneuver (Epley maneuver) performed in clinic. Immediately following Epley maneuver, she had severe nausea and vomiting, with evolving visual changes. A CT angiogram of the brain was performed urgently through the emergency department and demonstrated an acute intraparenchymal hemorrhage in the occipital lobe. After medical stabilization and rehabilitation, the patient continues to have a permanent visual field deficit. Conclusion The Epley maneuver is safe and effective, and there are no prior reports of serious adverse events associated with its use. This case, in which a patient experienced a hemorrhagic stroke after undergoing the Epley maneuver, is the first and sole case in the medical literature of an Epley-associated serious adverse event. The indirect causation and extreme rarity of this event do not warrant any change to patterns of practice. |
| format | Article |
| id | doaj-art-345c553bb7d6454ab9896c5a468b72cc |
| institution | Kabale University |
| issn | 1916-0216 |
| language | English |
| publishDate | 2018-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-345c553bb7d6454ab9896c5a468b72cc2025-02-03T00:22:57ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162018-04-014711410.1186/s40463-018-0268-9Hemorrhagic stroke after Epley maneuver: a case reportPaige Moore0Trung Le1Brian Blakley2Jason Beiko3Eric Meen4Department of Otolaryngology - Head & Neck Surgery, University of ManitobaDepartment of Otolaryngology - Head & Neck Surgery, Sunnybrook Health Sciences CentreDepartment of Otolaryngology - Head & Neck Surgery, University of ManitobaDepartment of Neurosurgery, University of ManitobaDepartment of Otolaryngology - Head & Neck Surgery, University of ManitobaAbstract Background This is the first case to our knowledge of a serious adverse event following the Epley maneuver, which is the treatment of choice for benign paroxysmal positional vertigo (BPPV), the most common vestibular disorder in adults. Case presentation A 77 year old female presented for outpatient evaluation of vertigo at a tertiary otolaryngology clinic. She was found to have BPPV clinically, and elected to have a particle repositioning maneuver (Epley maneuver) performed in clinic. Immediately following Epley maneuver, she had severe nausea and vomiting, with evolving visual changes. A CT angiogram of the brain was performed urgently through the emergency department and demonstrated an acute intraparenchymal hemorrhage in the occipital lobe. After medical stabilization and rehabilitation, the patient continues to have a permanent visual field deficit. Conclusion The Epley maneuver is safe and effective, and there are no prior reports of serious adverse events associated with its use. This case, in which a patient experienced a hemorrhagic stroke after undergoing the Epley maneuver, is the first and sole case in the medical literature of an Epley-associated serious adverse event. The indirect causation and extreme rarity of this event do not warrant any change to patterns of practice.http://link.springer.com/article/10.1186/s40463-018-0268-9Benign paroxysmal positional vertigoBPPVStrokeHemorrhageAdverse outcomeRisk |
| spellingShingle | Paige Moore Trung Le Brian Blakley Jason Beiko Eric Meen Hemorrhagic stroke after Epley maneuver: a case report Journal of Otolaryngology - Head and Neck Surgery Benign paroxysmal positional vertigo BPPV Stroke Hemorrhage Adverse outcome Risk |
| title | Hemorrhagic stroke after Epley maneuver: a case report |
| title_full | Hemorrhagic stroke after Epley maneuver: a case report |
| title_fullStr | Hemorrhagic stroke after Epley maneuver: a case report |
| title_full_unstemmed | Hemorrhagic stroke after Epley maneuver: a case report |
| title_short | Hemorrhagic stroke after Epley maneuver: a case report |
| title_sort | hemorrhagic stroke after epley maneuver a case report |
| topic | Benign paroxysmal positional vertigo BPPV Stroke Hemorrhage Adverse outcome Risk |
| url | http://link.springer.com/article/10.1186/s40463-018-0268-9 |
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