scholarly journals Differential Diagnostic Reasoning Method for Benign Paroxysmal Positional Vertigo Based on Dynamic Uncertain Causality Graph

2020 ◽  
Vol 2020 ◽  
pp. 1-13
Author(s):  
Chunling Dong ◽  
Yanjun Wang ◽  
Jing Zhou ◽  
Qin Zhang ◽  
Ningyu Wang
Keyword(s):  
Differential Diagnosis ◽  
Benign Paroxysmal Positional Vertigo ◽  
Medical Information ◽  
Graphical Representation ◽  
Diagnostic Reasoning ◽  
Clinical Observations ◽  
Positional Vertigo ◽  
Sample Data ◽  
Dynamic Uncertain Causality Graph ◽  
Paroxysmal Positional Vertigo

The accurate differentiation of the subtypes of benign paroxysmal positional vertigo (BPPV) can significantly improve the efficacy of repositioning maneuver in its treatment and thus reduce unnecessary clinical tests and inappropriate medications. In this study, attempts have been made towards developing approaches of causality modeling and diagnostic reasoning about the uncertainties that can arise from medical information. A dynamic uncertain causality graph-based differential diagnosis model for BPPV including 354 variables and 885 causality arcs is constructed. New algorithms are also proposed for differential diagnosis through logical and probabilistic inference, with an emphasis on solving the problems of intricate and confounding disease factors, incomplete clinical observations, and insufficient sample data. This study further uses vertigo cases to test the performance of the proposed method in clinical practice. The results point to high accuracy, a satisfactory discriminatory ability for BPPV, and favorable robustness regarding incomplete medical information. The underlying pathological mechanisms and causality semantics are verified using compact graphical representation and reasoning process, which enhance the interpretability of the diagnosis conclusions.

scholarly journals Benign Paroxysmal Positional Vertigo and Positional Vertigo Variants

2012 ◽  
Vol 4 (1) ◽  
pp. 25-40 ◽  
Author(s):  
Giacinto Asprella Libonati
Keyword(s):  
Differential Diagnosis ◽  
Semicircular Canal ◽  
Benign Paroxysmal Positional Vertigo ◽  
Positional Nystagmus ◽  
Posterior Semicircular Canal ◽  
Diagnosis And Therapy ◽  
Positional Vertigo ◽  
Peripheral Origin ◽  
Paroxysmal Positional Vertigo

ABSTRACT This article reviews the causes of positional vertigo and positional nystagmus of peripheral origin. Benign paroxysmal positional vertigo is described in all its variants, its diagnosis and therapy are highlighted. In addition, nonparoxysmal positional vertigo and nystagmus due to light/heavy cupula of lateral and posterior semicircular canal is focused on. The differential diagnosis between positional vertigo due to otolithic and nonotolithic causes is discussed. How to cite this article Asprella Libonati G. Benign Paroxysmal Positional Vertigo and Positional Vertigo Variants. Int J Otorhinolaryngol Clin 2012;4(1):25-40.

Benign paroxysmal positional vertigo Clinical observations by vestibular habituation training and by posturography

1987 ◽  
Vol 101 (5) ◽  
pp. 443-447 ◽  
Author(s):  
M. E. Norré ◽  
G. Forrez ◽  
A. Beckers
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Horizontal Canal ◽  
Peripheral Lesion ◽  
Clinical Observations ◽  
Positional Vertigo ◽  
Habituation Training ◽  
Adaptive Mechanisms ◽  
Vestibulospinal Reflex ◽  
Paroxysmal Positional Vertigo ◽  
Stimulation Of

AbstractVestibular Habituation Training (VHT) is the treatment of choice for paroxysmal positional vertigo (ppv). The origin of the disturbance is peripheral and the data observed in the cases treated confirm that it is not located in horizontal canal function. However, canal dysfunction can be present together with ppv. Usually a separate course is observed for the phenomena attributed to horizontal dysfunction and those to the ppv lesion.The specificity of the Dix-Hallpike manoeuvres linked to the typical ppv is also confirmed by the data obtained by testing for VHT (VHT-test-battery).Ppv can have a repercussion upon the vestibulospinal reflex. That the same ppv disturbance can coincide with normal as well as with abnormal posturographic data, pleads for the intervention of central adaptive mechanisms. The effect of VHT is due to stimulation of these central adaptive mechanisms and not to any impact upon the peripheral lesion.

scholarly journals BENIGN PAROXYSMAL POSITIONAL VERTIGO IN THE PRACTICE OF AMBULANCE DOCTOR

2019 ◽  
Vol 19 (4) ◽  
pp. 38-42
Author(s):  
V. A. Voronov ◽  
D. Yu. Demidenko ◽  
E. A. Levina ◽  
E. A. Moiseeva ◽  
Yu. A. Rudneva ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Benign Paroxysmal Positional Vertigo ◽  
Clinical Manifestations ◽  
Diagnosis And Treatment ◽  
Positional Vertigo ◽  
Common Causes ◽  
Paroxysmal Positional Vertigo

The article contains information on benign paroxysmal positional vertigo, which is one of the most common causes of dizziness. Data on etiology, epidemiology, clinical manifestations, diagnosis, differential diagnosis and treatment of this disease are presented.

scholarly journals MANIFESTASI KLINIS DAN DIAGNOSIS MIGREN VESTIBULAR

2018 ◽  
Vol 35 (2) ◽  
Author(s):  
Freddy Sitorus ◽  
Ni Nengah Rida Ariarini ◽  
Dyah Tunjungsari
Keyword(s):  
Differential Diagnosis ◽  
Clinical Manifestation ◽  
Benign Paroxysmal Positional Vertigo ◽  
International Headache Society ◽  
Visual Disturbance ◽  
Migraine Treatment ◽  
Common Cause ◽  
Positional Vertigo ◽  
Ischemic Attack ◽  
Paroxysmal Positional Vertigo

CLINICAL MANIFESTATION AND DIAGNOSIS OF VESTIBULAR MIGRAINEABSTRACTVestibular migraine (VM) is the most common cause of recurrent spontaneous vertigo on outpatient dizziness clinics. Clinical manifestation of VM is highly variable. Patient may present symptoms like vertigo, dizziness, tinnitus, visual disturbance, phonophobia, photophobia, aural fullness, paresthesia, nausea, and vomiting. Most VM patients have normal physical examination between attacks. Diagnostic criteria of this disease based on joint consensus of the International Headache Society (IHS) together the Barany Society published in 2012. The Differential diagnosis of this disease are benign paroxysmal positional vertigo (BPPV), Meniere’s disease, and acute ischemic attack. Moreover, vestibular migraine treatment is almost the same as for migraine.Keywords: Clinical manifestation, diagnosis, vestibular migraineABSTRAKMigren vestibular (MV) merupakan penyebab tersering vertigo spontan berulang pada pasien di poliklinik spesialis yang menangani rasa goyang. Manifestasi klinis dari migren vestibular sangat bervariasi. Pasien dapat mengeluhkan gejala seperti vertigo, pusing, tinitus, gangguan penglihatan, fonofobia, fotofobia, aural fullness, parestesi, mual, dan muntah. Pemeriksaan fisik pada pasien MV biasanya normal di antara serangan. Penegakan diagnosis penyakit ini berdasarkan konsensus bersama antara International Headache Society (IHS) dan Barany Society pada tahun 2012. Diagnosis diferensial penyakit ini adalah benign paroxysmal positional vertigo (BPPV), penyakit Meniere, dan serangan iskemik akut. Sampai saat ini, terapi untuk migren vestibular hampir sama dengan terapi migren pada umumnya.Kata kunci: Diagnosis, manifestasi klinis, migren vestibular

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