scholarly journals Otolith repositioning maneuver for apogeotropic direction-changing positional nystagmus

2021 ◽  
Vol 80 (3) ◽  
pp. 252-254
Author(s):  
Kohichiro Shigeno

Author(s):  
Bernardo Faria Ramos ◽  
Renato Cal ◽  
Camila Martins Brock ◽  
Pedro Luiz Mangabeira Albernaz ◽  
Francisco Zuma e Maia

Abstract Introduction Benign Paroxysmal Positional Vertigo (BPPV) is the most common vestibular disorder, resulting from detached otoliths that migrate to one of the semicircular canals – canalolithiasis – or one of the cupulas – cupulolithiasis. The present study is related to lateral canal BPPVs, which may be either geotropic or apogeotropic. The geotropic variant of lateral semicircular canal benign paroxysmal positional vertigo (LC-BPPV) is attributed to free floating particles in the posterior arm of the lateral semicircular canal. Objectives To verify the possibility of employing the Zuma repositioning maneuver, with a brief modification, as an alternative treatment for geotropic LC-BPPV. Methods Seven patients with geotropic LC-BPPV were enrolled and treated with the Zuma modified maneuver. Patients were reevaluated 1 hour after a single maneuver, to confirm the resolution of vertigo and positional nystagmus. Results All seven patients achieved immediate resolution of vertigo and positional nystagmus as measured 1 hour after the application of the maneuver. Conclusion The Zuma modified maneuver was effective for geotropic LC-BPPV after a single application. The use of the Zuma maneuver for both apogeotropic and geotropic LC-BPPV may simplify the treatment of these patients.



1985 ◽  
Vol 100 (3-4) ◽  
pp. 172-179 ◽  
Author(s):  
Mark J. M. Koolen ◽  
Patrick L. M. Huygen ◽  
Jero Calafat ◽  
Bernard A. M. Van Der Zeijst
Keyword(s):  


2016 ◽  
Vol 368 ◽  
pp. 249-253 ◽  
Author(s):  
Kazumitsu Amari ◽  
Yosuke Kudo ◽  
Kosuke Watanabe ◽  
Masahiro Yamamoto ◽  
Koji Takahashi ◽  
...  


2000 ◽  
Vol 257 (3) ◽  
pp. 133-136 ◽  
Author(s):  
T. Dal ◽  
L. N. Özlüoğlu ◽  
N. T. Ergin






1955 ◽  
Vol 58 (8) ◽  
pp. 811-821
Author(s):  
K. NISHIDA


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