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In this paper of Saniasiaya et al, the literature review is conducted in accordance to the PRISMA consensus, aiming to investigate the outcomes of canalith repositioning manoeuvres (CRM) to treat benign paroxysmal positional vertigo (BPPV) in a paediatric and young adult population. The main outcome measured was resolution of symptoms and of positional nystagmus, while the secondary outcomes were any number of recurrences and the number of attempts of CRM. Amongst the selected articles, the vast majority of patients were subjected to CRM with complete resolution of symptoms in eight out of 10. Only one tenth of the patients had a recurrence and no patient had any significant complications from the manoeuvres. Saniasiaya et al highlight that BPPV is a common cause for dizziness in children, accounting for almost one twentieth of the paediatric dizziness patients. Based on the results of this systematic review, CRM is a safe and efficient treatment for BPPV in that cohort of patients, recommended as a first-line treatment. Although no major complications have been reported, we currently have limited data on long-term outcomes and the corresponding effectiveness of CRM in children. The authors recommend that randomised controlled studies and studies with long-term follow-up should be the appropriate next step for assessing the CRM efficiency in children.

Outcome of canalith repositioning manoeuvre in benign paroxysmal positional vertigo in children and adolescents: a systematic review.
Saniasiaya J, Kulasegarah J, Narayanan P.
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Dimitrios Spinos

NHS West Midlands, UK.

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