Migraine is a surprisingly common disorder. It occurs in up to 8% of men and over 25% of women, its occurence peaking in ages 30 to 50 years.
Migraine is a complex and interesting condition in which there are a number of possible symptoms sharing a common cause. The usual syndromes are as follows: Common Migraine: One-sided headache, usually throbbing, may be severe, with nausea, and sensitivity to light and sound. Officially, Migraine without Aura. Classic Migraine: Begins with visual symptoms of flashing lights or a sensation of watery movement that starts in one corner of vision and expands to cover half or more of vision, usually with part of the image missing, as in the illustrations. This “aura” phase lasts from 15 minutes to hours, followed by the headache phase as described above. Officially, Migraine with Aura. Ocular Migraine: Visual symptoms of aura, but not followed by headache. Officially, Typical Aura without Headache.
It is a non-surgical technique used to
treat benign paroxysmal positional vertigo (BPPV) of the
posterior or anterior canals. Free floating particles from the
affected semicircular canal are relocated, using gravity, back into
the utricle, where they can no longer stimulate the cupula, therefore
relieving the patient from vertigo.
What is Epley maneuver? How does it perform?
This maneuver was developed by Dr. John
Epley and first described in 1980. In Epley maneuver the patient is taken
through four moves, starting in the sitting position with the head turned at a
45-degree angle toward the affected side.
Epley Manuever
(1) The patient is
placed into the Dix-Hallpike position (supine with the affected ear down) until
the vertigo and nystagmus subside.
(3) The patient's
head is then turned to the opposite side, causing the affected ear to be up and
the unaffected ear to be down.
(4) The whole body
and head are then turned away from the affected side to a lateral decubitus
position, with the head in a face-down position.
(5) The last step
is to bring the patient back to a sitting position with the head turned toward
the unaffected shoulder.
Common Migraine: One-sided headache, usually throbbing, may be severe, with nausea, and sensitivity to light and sound. Officially, Migraine without Aura.
