RT Journal Article T1 A Pilot Study Using Intratympanic Methylprednisolone for Treatment of Persistent Posterior Canal Benign Paroxysmal Positional Vertigo. A1 Perez, Paz A1 Franco, Virginia A1 Oliva, Manuel A1 Lopez Escamez, Jose A K1 Benign paroxysmal positional vertigo K1 intratympanic injection K1 methylprednisolone AB To assess the effect of intratympanic methylprednisolone (ITMP) in posterior canal benign paroxysmal positional vertigo (BPPV) that fails treatment involving repositioning maneuver in a case series. Nine patients with persistent posterior canal BPPV after 6 or more repositioning maneuvers were treated by ITMP (two weekly doses of 0.3-0.4 mL at 40 mg/mL) before repeating the repositioning procedures. Following ITMP treatment, 7 out of 9 patients were relieved of their symptoms and did not exhibit positional nystagmus after 1 or 2 repositioning maneuvers. The number of positional maneuvers performed before and after ITMP treatment in these 7 patients showed a statistically significant (p=0.016) reduction in the amount of repositioning treatments required. None of the 7 respondent patients showed any relapses during the follow-up period (follow-up range: 11-95 months). Administering ITMP before resuming repositioning procedures can be a useful treatment for persistent BPPV of the posterior canal. PB Mediterranean Society of Otology and Neuro-Otology SN 1308-7649 YR 2019 FD 2019-09-03 LK http://hdl.handle.net/10668/10650 UL http://hdl.handle.net/10668/10650 LA en NO Pérez P, Franco V, Oliva M, López Escámez JA. A Pilot Study Using Intratympanic Methylprednisolone for Treatment of Persistent Posterior Canal Benign Paroxysmal Positional Vertigo. J Int Adv Otol. 2016 Dec;12(3):321-325. DS RISalud RD Apr 19, 2025