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[Application of modified Dix-Hallpike maneuver in the diagnosis of posterior semicircular canal benign paroxysmal positional vertigo].

Identifieur interne : 000040 ( Main/Corpus ); précédent : 000039; suivant : 000041

[Application of modified Dix-Hallpike maneuver in the diagnosis of posterior semicircular canal benign paroxysmal positional vertigo].

Auteurs : Y F Zhou ; Z L Wang ; H Z Zheng ; H W Zhang ; X K Yang

Source :

RBID : pubmed:31163524

English descriptors

Abstract

Objective:To investigate the application of modified Dix-Hallpike maneuver in the diagnosis of posterior semicircular canal benign paroxysmal positional vertigo. Method:The modified Dix-Hallpike maneuver, supine roll maneuver and classical Dix-Hallpike maneuver were performed respectively. The sensitivity and specificity of modified and classical Dix-Hallpike maneuver in the diagnosis of posterior semicircular canal BPPV was compared. Result:Fifty-five posterior semicircular canal BPPV patients showed both modified and classical Dix-Hallpike maneuver positive result, including 12 cases of rotational nystagmus induced by ipsilateral supine roll maneuver. Conclusion:Modified Dix-Hallpike maneuver and classical Dix-Hallpike maneuver have the same effect on the diagnosis of posterior semicircular canal BPPV, but the former is easy to the operation, nystagmus observation and result judgment, and is conducive to the promotion of use..

DOI: 10.13201/j.issn.1001-1781.2019.06.009
PubMed: 31163524

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pubmed:31163524

Le document en format XML

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<title xml:lang="en">[Application of modified Dix-Hallpike maneuver in the diagnosis of posterior semicircular canal benign paroxysmal positional vertigo].</title>
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<name sortKey="Zhou, Y F" sort="Zhou, Y F" uniqKey="Zhou Y" first="Y F" last="Zhou">Y F Zhou</name>
<affiliation>
<nlm:affiliation>Department of Otolaryngology, Wenzhou Third Clinical Institute of Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, 325000, China.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Wang, Z L" sort="Wang, Z L" uniqKey="Wang Z" first="Z L" last="Wang">Z L Wang</name>
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<nlm:affiliation>Department of Otolaryngology, Wenzhou Third Clinical Institute of Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, 325000, China.</nlm:affiliation>
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<name sortKey="Zheng, H Z" sort="Zheng, H Z" uniqKey="Zheng H" first="H Z" last="Zheng">H Z Zheng</name>
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<nlm:affiliation>Department of Otolaryngology, Wenzhou Third Clinical Institute of Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, 325000, China.</nlm:affiliation>
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<name sortKey="Zhang, H W" sort="Zhang, H W" uniqKey="Zhang H" first="H W" last="Zhang">H W Zhang</name>
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<nlm:affiliation>Department of Otolaryngology, Wenzhou Third Clinical Institute of Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, 325000, China.</nlm:affiliation>
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<name sortKey="Yang, X K" sort="Yang, X K" uniqKey="Yang X" first="X K" last="Yang">X K Yang</name>
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<nlm:affiliation>Department of Neurology, Wenzhou Third Clinical Institute of Wenzhou Medical University, Wenzhou People's Hospital.</nlm:affiliation>
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<title xml:lang="en">[Application of modified Dix-Hallpike maneuver in the diagnosis of posterior semicircular canal benign paroxysmal positional vertigo].</title>
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<name sortKey="Zhou, Y F" sort="Zhou, Y F" uniqKey="Zhou Y" first="Y F" last="Zhou">Y F Zhou</name>
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<nlm:affiliation>Department of Otolaryngology, Wenzhou Third Clinical Institute of Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, 325000, China.</nlm:affiliation>
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<name sortKey="Wang, Z L" sort="Wang, Z L" uniqKey="Wang Z" first="Z L" last="Wang">Z L Wang</name>
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<name sortKey="Zheng, H Z" sort="Zheng, H Z" uniqKey="Zheng H" first="H Z" last="Zheng">H Z Zheng</name>
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<name sortKey="Zhang, H W" sort="Zhang, H W" uniqKey="Zhang H" first="H W" last="Zhang">H W Zhang</name>
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<nlm:affiliation>Department of Otolaryngology, Wenzhou Third Clinical Institute of Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, 325000, China.</nlm:affiliation>
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<author>
<name sortKey="Yang, X K" sort="Yang, X K" uniqKey="Yang X" first="X K" last="Yang">X K Yang</name>
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<nlm:affiliation>Department of Neurology, Wenzhou Third Clinical Institute of Wenzhou Medical University, Wenzhou People's Hospital.</nlm:affiliation>
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<series>
<title level="j">Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery</title>
<idno type="ISSN">2096-7993</idno>
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<date when="2019" type="published">2019</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Benign Paroxysmal Positional Vertigo (diagnosis)</term>
<term>Humans (MeSH)</term>
<term>Nystagmus, Pathologic (MeSH)</term>
<term>Semicircular Canals (MeSH)</term>
<term>Sensitivity and Specificity (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Benign Paroxysmal Positional Vertigo</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Humans</term>
<term>Nystagmus, Pathologic</term>
<term>Semicircular Canals</term>
<term>Sensitivity and Specificity</term>
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<front>
<div type="abstract" xml:lang="en">
<b>Objective:</b>
To investigate the application of modified Dix-Hallpike maneuver in the diagnosis of posterior semicircular canal benign paroxysmal positional vertigo.
<b>Method:</b>
The modified Dix-Hallpike maneuver, supine roll maneuver and classical Dix-Hallpike maneuver were performed respectively. The sensitivity and specificity of modified and classical Dix-Hallpike maneuver in the diagnosis of posterior semicircular canal BPPV was compared.
<b>Result:</b>
Fifty-five posterior semicircular canal BPPV patients showed both modified and classical Dix-Hallpike maneuver positive result, including 12 cases of rotational nystagmus induced by ipsilateral supine roll maneuver.
<b>Conclusion:</b>
Modified Dix-Hallpike maneuver and classical Dix-Hallpike maneuver have the same effect on the diagnosis of posterior semicircular canal BPPV, but the former is easy to the operation, nystagmus observation and result judgment, and is conducive to the promotion of use..</div>
</front>
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<pubmed>
<MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM">
<PMID Version="1">31163524</PMID>
<DateCompleted>
<Year>2019</Year>
<Month>08</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised>
<Year>2019</Year>
<Month>08</Month>
<Day>29</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">2096-7993</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>33</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2019</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery</Title>
<ISOAbbreviation>Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi</ISOAbbreviation>
</Journal>
<ArticleTitle>[Application of modified Dix-Hallpike maneuver in the diagnosis of posterior semicircular canal benign paroxysmal positional vertigo].</ArticleTitle>
<Pagination>
<MedlinePgn>512-514</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.13201/j.issn.1001-1781.2019.06.009</ELocationID>
<Abstract>
<AbstractText>
<b>Objective:</b>
To investigate the application of modified Dix-Hallpike maneuver in the diagnosis of posterior semicircular canal benign paroxysmal positional vertigo.
<b>Method:</b>
The modified Dix-Hallpike maneuver, supine roll maneuver and classical Dix-Hallpike maneuver were performed respectively. The sensitivity and specificity of modified and classical Dix-Hallpike maneuver in the diagnosis of posterior semicircular canal BPPV was compared.
<b>Result:</b>
Fifty-five posterior semicircular canal BPPV patients showed both modified and classical Dix-Hallpike maneuver positive result, including 12 cases of rotational nystagmus induced by ipsilateral supine roll maneuver.
<b>Conclusion:</b>
Modified Dix-Hallpike maneuver and classical Dix-Hallpike maneuver have the same effect on the diagnosis of posterior semicircular canal BPPV, but the former is easy to the operation, nystagmus observation and result judgment, and is conducive to the promotion of use..</AbstractText>
<CopyrightInformation>Copyright© by the Editorial Department of Journal of Clinical Otorhinolaryngology Head and Neck Surgery.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Zhou</LastName>
<ForeName>Y F</ForeName>
<Initials>YF</Initials>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology, Wenzhou Third Clinical Institute of Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, 325000, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Wang</LastName>
<ForeName>Z L</ForeName>
<Initials>ZL</Initials>
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<Affiliation>Department of Otolaryngology, Wenzhou Third Clinical Institute of Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, 325000, China.</Affiliation>
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<Author ValidYN="Y">
<LastName>Zheng</LastName>
<ForeName>H Z</ForeName>
<Initials>HZ</Initials>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology, Wenzhou Third Clinical Institute of Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, 325000, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Zhang</LastName>
<ForeName>H W</ForeName>
<Initials>HW</Initials>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology, Wenzhou Third Clinical Institute of Wenzhou Medical University, Wenzhou People's Hospital, Wenzhou, 325000, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Yang</LastName>
<ForeName>X K</ForeName>
<Initials>XK</Initials>
<AffiliationInfo>
<Affiliation>Department of Neurology, Wenzhou Third Clinical Institute of Wenzhou Medical University, Wenzhou People's Hospital.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>chi</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
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<MedlineJournalInfo>
<Country>China</Country>
<MedlineTA>Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi</MedlineTA>
<NlmUniqueID>101303164</NlmUniqueID>
<ISSNLinking>2096-7993</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D065635" MajorTopicYN="Y">Benign Paroxysmal Positional Vertigo</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009759" MajorTopicYN="Y">Nystagmus, Pathologic</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012680" MajorTopicYN="N">Sensitivity and Specificity</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<OtherAbstract Type="Publisher" Language="chi">
<AbstractText>
<b>目的:</b>
探讨改良Dix-Hallpike试验对后半规管良性阵发性位置性眩晕(BPPV)的临床意义。
<b>方法:</b>
对临床怀疑BPPV的患者,先后行改良Dix-Hallpike试验、水平滚转试验和经典Dix-Hallpike试验,比较改良和经典Dix-Hallpike试验诊断后半规管BPPV的敏感性和特异性。
<b>结果:</b>
后半规管BPPV患者55例,改良Dix-Hallpike和经典Dix-Hallpike均阳性,其中12例同侧水平滚转试验诱发旋转眼震。
<b>结论:</b>
改良Dix-Hallpike试验和经典Dix-Hallpike试验对于诊断后半规管BPPV具备同样的效能,但前者简化了操作和眼震观察及结果判断,有利于临床推广使用。.</AbstractText>
</OtherAbstract>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N"></Keyword>
<Keyword MajorTopicYN="N">Dix-Hallpike maneuver</Keyword>
<Keyword MajorTopicYN="N">supine roll maneuver</Keyword>
<Keyword MajorTopicYN="N">vertigo</Keyword>
</KeywordList>
<CoiStatement>The authors of this article and the planning committee members and staff have no relevant financial relationships with commercial interests to disclose.</CoiStatement>
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<Year>2019</Year>
<Month>01</Month>
<Day>19</Day>
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<Year>2019</Year>
<Month>6</Month>
<Day>5</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline">
<Year>2019</Year>
<Month>8</Month>
<Day>30</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PublicationStatus>ppublish</PublicationStatus>
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