scholarly journals Horizontal canal benign paroxysmal positional vertigo: diagnosis and treatment of 37 patients

2015 ◽  
Vol 73 (6) ◽  
pp. 487-492 ◽  
Author(s):  
Eliana Teixeira Maranhão ◽  
Péricles Maranhão Filho
Keyword(s):  
Complete Resolution ◽  
Elderly Population ◽  
Benign Paroxysmal Positional Vertigo ◽  
The Elderly ◽  
Diagnosis And Treatment ◽  
High Morbidity ◽  
Posterior Semicircular Canal ◽  
Horizontal Canal ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV), the most frequent cause of vertigo is associated with high morbidity in the elderly population. The most common form is linked to debris in the posterior semicircular canal. However, there has been an increasing number of reported BPPV cases involving the horizontal canals. The purpose of this article is to highlight the clinical features, diagnosis, and treatment in 37 patients with horizontal canal BPPV; twenty-six with geotropic nystagmus, and eleven with the apogeotropic form. Treatment consisted of the Gufoni manoeuver in eighteen patients (48.6%), the barbecue 360° maneuver in twelve patients (32.4%), both manoeuvers in four patients (10.8%), both manoeuvers plus head shaking in one patient (2.7%), and the Gufoni maneuver plus head shaking in two patients. Cupulolithiasis patients were asked to sleep in a forced prolonged position. We obtained a complete resolution of vertigo and nystagmus in 30 patients (81.0%) on the initial visit.

Sleep position and laterality of benign paroxysmal positional vertigo

2008 ◽  
Vol 122 (12) ◽  
pp. 1295-1298 ◽  
Author(s):  
S G Korres ◽  
C E Papadakis ◽  
M G Riga ◽  
D G Balatsouras ◽  
D G Dikeos ◽  
...  
Keyword(s):  
Semicircular Canal ◽  
Benign Paroxysmal Positional Vertigo ◽  
Sleep Onset ◽  
The Elderly ◽  
Posterior Semicircular Canal ◽  
Positional Vertigo ◽  
Subjective Preference ◽  
The Right ◽  
A Prospective Study ◽  
Paroxysmal Positional Vertigo

AbstractObjective:The aim of this study was to investigate the frequency of posterior semicircular canal benign paroxysmal positional vertigo in each ear, and to assess the association between the ear affected by benign paroxysmal positional vertigo and the head-lying side during sleep onset. Based on a previous study which used objective methods to prove the preference of the elderly for the right head-lying side during sleep, we hypothesised that a predominance of the same head-lying side in benign paroxysmal positional vertigo patients may affect the pathophysiology of otoconia displacement.Study design:We conducted a prospective study of out-patients with posterior semicircular canal benign paroxysmal positional vertigo, confirmed by a positive Dix–Hallpike test.Methods:One hundred and forty-two patients with posterior semicircular canal benign paroxysmal positional vertigo were interviewed about their past medical history, focusing on factors predisposing to benign paroxysmal positional vertigo. All patients included in the study were able to define a predominant, favourite head-lying side, right or left, during sleep onset.Results:The Dix–Hallpike test was found to be positive on the right side in 82 patients and positive on the left side in 54; six patients were found to be positive bilaterally. During sleep onset, 97 patients habitually laid their head on the right side and the remaining 45 laid their head on the left. The association between the affected ear and the head-lying side during sleep onset was statistically significant (p < 0.001).Conclusions:Our study found a predominance of right-sided benign paroxysmal positional vertigo, a subjective preference amongst patients for a right head-lying position during sleep onset, and an association between the ear affected by benign paroxysmal positional vertigo and the preferred head-lying side during sleep onset. The clinical and therapeutical implications of this observation are discussed.

scholarly journals Horizontal canal benign paroxysmal positional vertigo in a fighter pilot

2011 ◽  
Vol 02 (01) ◽  
pp. 080-083
Author(s):  
Su-Jiang Xie ◽  
Jiang-Chang Wang ◽  
Li Ding ◽  
Sun Xi-Qing
Keyword(s):  
Vestibular System ◽  
Semicircular Canal ◽  
Benign Paroxysmal Positional Vertigo ◽  
Posterior Semicircular Canal ◽  
Horizontal Canal ◽  
Common Disorder ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

ABSTRACTBenign paroxysmal positional vertigo (BPPV) is the most common disorder of the peripheral vestibular system, characterized by intense, positional provoked vertigo. BPPV is thought to occur due to canalithiasis of the posterior semicircular canal. Recently, a new entity of BPPV, known as horizontal canal (HC)-BPPV, has been recognized. Although only 3 to 8% of BPPV is due to horizontal canal involvement, HC-BPPV is not rare. We present a case of a naval fi ghter pilot who had an incident of HC-BPPV on the ground. The pilot aeromedical evaluation and considerations are discussed.

scholarly journals Prevalence of Age Induced Benign Paroxysmal Positional Vertigo among Various Categories of Elderly Population

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
A. Yadav Dhanashri ◽  
A Dr. Kadam Namrata
Keyword(s):  
Old Age ◽  
Elderly Population ◽  
Benign Paroxysmal Positional Vertigo ◽  
Demographic Data ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Age Group ◽  
Vestibular Disorder ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Benign Paroxysmal Positional Vertigo (BPPV) is the most common and treatable vestibular disorder. It is commonly seen in the elderly population. BPPV is a type of vertigo that is brought on by change in position of the head with respect to gravity. The objective of this study was to find out the prevalence of appropriate age group of the individuals suffering from BPPV in elderly population. The study was an observational study. A total of 64 people were recruited for the study aged between 60-70 and 71-80yrs that were selected from Krishna hospital Karad through a simple random sampling method. Inclusion and exclusion criteria were used to select the individuals for the study. Individuals of age group between 60-80 years of both the sex were also considered for the study. The individuals who were not included in the study were those not willing to participate, individuals’ history of acute trauma. Demographic data, assent and consent were taken from the individuals and the explanation of the study was given. The special tests like Dix-Hallpike positioning test, Horizontal roll test and Head pitch test were performed over the individuals. In this study the overall prevalence of age induced BPPV was evaluated according to Dix-Hallpike test it was found that out of 64 individuals 61% were positive for Dix-Hallpike test. Out of 45 males 26 were positive and 13 females from total 19 were indicated Dix-Hallpike test as positive. Thus, this result shows that females are more prone to develop BPPV. This study concluded that BPPV was common among the age group of 71-80 years than the age group of 60-70 years. The study revealed that the individuals in middle old age group are getting more affected by BPPV than the individuals in young old age group. Thus the societal impact which affects the individuals with BPPV can be reduced by making preventive strategies to improve the quality of life and to decrease the disability adjusted years

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).

scholarly journals Behavior of the posterior semicircular canal after Dix-Hallpike maneuver

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Francisco Carlos Zuma e Maia ◽  
Pedro Luiz Mangabeira Albernaz ◽  
Renato Valério Cal
Keyword(s):  
Semicircular Canal ◽  
Benign Paroxysmal Positional Vertigo ◽  
Biomechanical Model ◽  
Posterior Semicircular Canal ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

The objective of the present study is to analyze the quantitative vestibulo-ocular responses in a group of patients with benign paroxysmal positional vertigo (BPPV) canalolithiasis and compare these data with the data of the tridimensional biomechanical model. This study was conducted on 70 patients that presented idiopathic posterior semicircular canal canalolithiasis. The diagnosis was obtained by Dix- Hallpike maneuvers recorded by videonystagmograph. The present study demonstrates that there is a significant correlation between the intensity of the nystagmus and its latency in cases of BPPV-idiopathic posterior semicircular canal canalolithiasis type. These findings are in agreement with those obtained in a tridimensional biomechanical model and are not related to the patients’ age.

Diagnosis and treatment of anterior canal benign paroxysmal positional vertigo

2018 ◽  
Vol 57 (9) ◽  
pp. 673-680 ◽  
Author(s):  
Xia Ling ◽  
Kang-Zhi Li ◽  
Bo Shen ◽  
Li-Hong Si ◽  
Yuan Hong ◽  
...  
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Diagnosis And Treatment ◽  
Positional Vertigo ◽  
Anterior Canal ◽  
Paroxysmal Positional Vertigo

scholarly journals The efficacy of Epley and Semont maneuvers in posterior semicircular canal benign paroxysmal positional vertigo treatment: A short-term comparative study

2021 ◽  
Vol 9 (3) ◽  
pp. 75-80
Author(s):  
Mustafa Caner Kesimli
Keyword(s):  
Comparative Study ◽  
Semicircular Canal ◽  
Benign Paroxysmal Positional Vertigo ◽  
Posterior Semicircular Canal ◽  
Short Term ◽  
Positional Vertigo ◽  
Epley Maneuver ◽  
The One ◽  
Paroxysmal Positional Vertigo

OBJECTIVE: This study aimed to compare the effectiveness of the Epley maneuver with the Semont maneuver in the treatment of posterior semicircular canal benign paroxysmal positional vertigo and observe differences in the resolution time of symptoms in the short-term follow-up. METHODS: Sixty patients with posterior semicircular canal benign paroxysmal positional vertigo (23 males, 37 females; median age: 44.9 years; range, 14 to 80 years) were included in the prospective randomized comparative study conducted in our clinic between April 2019 and October 2019. Diagnosis and treatment maneuvers were performed under videonystagmography examination. Participants were randomly selected after the diagnostic tests for the Epley maneuver and the Semont maneuver treatment groups. RESULTS: In the evaluation of vertigo with videonystagmography, 25 (83.3%) patients in the Epley maneuver group and 20 (66.6%) patients in the Semont maneuver group recovered in the one-week follow-up, and 28 (93.3%) patients in the Epley maneuver group and 24 (80%) patients in the Semont maneuver group recovered in the two-week follow-up. All patients in the Epley maneuver group recovered at the end of one month; four patients in the Semont maneuver group still had vertiginous symptoms (100% vs. 86.6%, p=0.04). There was a statistically significant difference between the Epley and Semont groups regarding visual analog scores at the one-week, two-week, and one-month follow-ups (p=0.002, p<0.001, p=0.001, respectively). CONCLUSION: The Epley maneuver was significantly more effective than the Semont maneuver in resolving vertigo in the short-term treatment of posterior semicircular canal benign paroxysmal positional vertigo.

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