A Role of Shirodhara in Posterior Canal Benign Paroxysmal Positional Vertigo (PC-BPPV) with special reference to Bhrama - A Case Report

Abstract

Introduction: This is a case report of 45 year old male who stepped into our OPD with complaints of dizziness during walking and heaviness of head since 7 months. The subject was not a known case of hypertension, diabetes mellitus, stroke or any cardiac problems. The Pure Tone Eudiometry results showed bilateral mild sensory neural hearing loss. But the subject had no symptoms of Tinnitus to be included in the vicinity of Meniere's disease. The Dix-Hallpike test was positive for left ear and confirmed the diagnosis as left posterior canal Benign Paroxysmal Positional Vertigo (PC-BPPV). Materials and Methods: The subject who approached Shalakya Tantra OPD of GAMC, with symptoms of dizziness, was systematically reviewed and intervention was planned for Doshic components involved in Bhrama. Results: The subject showed considerable improvement subjectively as shown by Dizziness Handicap Inventory (DHI) score. Discussion: The repositional maneuvers prescribed in the BPPV, though effective in most of the cases, recurrence is noted in one third of the patients. This study sheds light on holistic treatments like Shirodhara told in the Ayurveda classics that could be integrated with the maneuvers thereby improving the quality of life with no potential risk of side effects.