scholarly journals Why Treat Apogeotropic BPPVs of the Horizontal Canal? About 30 Observations

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Philippe Lorin ◽  
Francois Foubert ◽  
Marie Debaty
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Rapid Recovery ◽  
Therapeutic Treatment ◽  
Short Term ◽  
Horizontal Canal ◽  
Posterior Canal ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV), of the horizontal canal, in the apogeotropic form (AHBPPV) was described in 1995. Based on 30 observations of typical AHBPPVs of the horizontal canal, we endeavor to discuss the relevance of physiotherapy.Material and Method.Thirty observations of typical apogeotropic BPPVs of the horizontal canal treated with a 360°barbeque rotation on the BPPV side, reviewed in consultation at 1 and 3 weeks and reevaluated the following year.Results.Our cohort of 30 patients had an average age of 58.6 years. The apogeotropic BPPVs of the horizontal canal, which can be transformed into BPPVs of the posterior canal or into geotropic-type BPPVs of the horizontal canal do not recover more quickly. Patients who follow the positional advice do not recover more quickly than those who do not (P  =  0.152). The 15 patients treated on average 13.73 days after the onset of the disease did not recover more quickly after the start of therapeutic treatment than those treated later (P  =  0.032).Conclusion.Here, we demonstrate that the direction of rotation during the maneuvers is of no importance for the results. We show that transformability is not a guarantee of rapid recovery and that the therapist’s effectiveness is limited when it comes to the short-term results.

Double-blind randomized trial on short-term efficacy of the Semont maneuver for the treatment of posterior canal benign paroxysmal positional vertigo

2011 ◽  
Vol 259 (5) ◽  
pp. 882-885 ◽  
Author(s):  
Marco Mandalà ◽  
Giovanni Paolo Santoro ◽  
Giacinto Asprella Libonati ◽  
Augusto Pietro Casani ◽  
Mario Faralli ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Benign Paroxysmal Positional Vertigo ◽  
Short Term ◽  
Double Blind ◽  
Posterior Canal ◽  
Term Efficacy ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Combined Horizontal and Posterior Canal Benign Paroxysmal Positional Vertigo in Three Patients with Head Trauma

2005 ◽  
Vol 114 (2) ◽  
pp. 105-110 ◽  
Author(s):  
Pierre Bertholon ◽  
Larbi Chelikh ◽  
Andrei P. Timoshenko ◽  
Stéphane Tringali ◽  
Christian Martin
Keyword(s):  
Head Trauma ◽  
Benign Paroxysmal Positional Vertigo ◽  
Trauma Patients ◽  
Postconcussion Syndrome ◽  
Horizontal Canal ◽  
Posterior Canal ◽  
Positional Vertigo ◽  
Epley Maneuver ◽  
Lateral Head ◽  
Paroxysmal Positional Vertigo

We report 3 patients who complained of positional vertigo shortly after head trauma. Positional maneuvers performed in the plane of the posterior canal (PC; Dix-Hallpike maneuver) and the horizontal canal (HC; patients were rolled to either side in a supine position with the head raised 30°) revealed a complex positional nystagmus that could only be interpreted as the result of combined PC and HC benign paroxysmal positional vertigo (BPPV). Two patients had a right PC BPPV and an ageotropic HC BPPV, and 1 patient had a bilateral PC BPPV and a left geotropic HC BPPV. All 3 patients were rapidly free of vertigo after the PC BPPV was cured by the Epley maneuver and the geotropic HC BPPV was cured by the Vannucchi method. The ageotropic HC BPPV resolved spontaneously. Neuroimaging (brain computed tomography and/or magnetic resonance imaging scans) findings were normal in all 3 patients. From a physiopathological viewpoint, it is easy to conceive that head trauma could throw otoconial debris into different canals of each labyrinth and be responsible for these combined forms of BPPV. Consequently, in trauma patients with vertigo, it is mandatory to perform the Dix-Hallpike maneuver, as well as supine lateral head turns, in order to diagnose PC BPPV, HC BPPV, or the association of both. Early diagnosis and treatment of BPPV may help to reduce the postconcussion syndrome.

Vestibular evoked myogenic potentials in idiopathic posterior canal benign paroxysmal positional vertigo

2013 ◽  
Vol 11 (4) ◽  
pp. 176-181 ◽  
Author(s):  
Hossam Sanyelbhaa Talaat ◽  
Mohamed Akram Metwaly ◽  
Ahmed Hafez Khafagy ◽  
Hatem Ragaa Abdelraouf ◽  
Hoda Abu Moussa Isak
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Vestibular Evoked Myogenic Potentials ◽  
Posterior Canal ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

scholarly journals Treatment of Horizontal Canal Benign Paroxysmal Positional Vertigo: A New Rehabilitation Technique

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
D. Testa ◽  
G. Castaldo ◽  
C. De Santis ◽  
A. Trusio ◽  
G. Motta
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Treatment Session ◽  
Horizontal Canal ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

The aim of this study was to evaluate the effectiveness of a new technical variant applied to the Gufoni's manoeuvre, in the treatment of horizontal canal benign paroxysmal positional vertigo (HSC-BPPV). 87 patients with BPPV of HSC (55 women and 32 men), aged between 21 and 80 years, were randomized either to modified Gufoni's manoeuvre or to the Gufoni's manoeuvre. 93% of patients treated with modified Gufoni's manoeuvre was cured after the first treatment session, of which only 2% had a conversion into PSC-BPPV, while the Gufoni's manoeuvre led to a symptoms resolution in 88% of cases, of which 16% had a conversion into PSC-BPPV. Therefore, the modified Gufoni's manoeuvre shows the same effectiveness in the resolution of symptoms of Gufoni's manoeuvre, but it appears more effective than the latter to reduce the percentage of conversion of the HSC-BPPV into PSC-BPPV (χ2=6.13,P=0.047).

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