Sitting Up Vertigo. Proposed Variant of Posterior Canal Benign Paroxysmal Positional Vertigo.
Identifieur interne : 000051 ( Main/Corpus ); précédent : 000050; suivant : 000052Sitting Up Vertigo. Proposed Variant of Posterior Canal Benign Paroxysmal Positional Vertigo.
Auteurs : Darío H. Scocco ; Iván E. García ; María A. BarreiroSource :
- Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [ 1537-4505 ] ; 2019.
English descriptors
- KwdEn :
- Adult (MeSH), Benign Paroxysmal Positional Vertigo (physiopathology), Benign Paroxysmal Positional Vertigo (therapy), Eye Movements (physiology), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Nystagmus, Pathologic (diagnosis), Nystagmus, Pathologic (physiopathology), Otolithic Membrane (pathology), Physical Examination (MeSH), Retrospective Studies (MeSH), Semicircular Canals (pathology), Sitting Position (MeSH).
- MESH :
- diagnosis : Nystagmus, Pathologic.
- pathology : Otolithic Membrane, Semicircular Canals.
- physiology : Eye Movements.
- physiopathology : Benign Paroxysmal Positional Vertigo, Nystagmus, Pathologic.
- therapy : Benign Paroxysmal Positional Vertigo.
- Adult, Female, Humans, Male, Middle Aged, Physical Examination, Retrospective Studies, Sitting Position.
Abstract
OBJECTIVE
To describe a variant of posterior canal benign paroxysmal positional vertigo (BPPV).
STUDY DESIGN
Retrospective case review.
SETTING
Tertiary referral center.
PATIENTS
Fifteen patients with symptoms of BPPV and oculomotor evidence of activation of posterior semicircular canal (P-SCC) cupula that arises when sitting up from Dix-Hallpike maneuver (DH).
INTERVENTION
All patients were examined with videonystagmography and underwent brain magnetic resonance imaging (MRI).
RESULTS
All patients showed up-beating nystagmus with ipsilateral torsional component when coming up from right or left side DH. Most patients described vertiginous symptoms when sitting up from bed and many described severe non-positional disequilibrium. Eight patients had been treated with Epley canalith repositioning maneuver (CRM) at our clinic for posterior canal BPPV. Four of them were re-tested within an hour for CRM effectiveness and the rest, a week later. Three patients had been diagnosed with BPPV and were being treated with CRM in other institutions. Four patients showed these findings but they had not previously undergone CRM. All patients were treated with CRM without success, but they resolved their positional vertigo by means of Brandt Daroff exercises. No patient showed evidence of central vestibular disorder.
CONCLUSION
We propose a P-SCC canalolithiasis limited to the periampullar portion by means of an anatomical restriction of distal movement of the otoconial debris. This syndrome seems to be more frequent early after CRM of classical P-SCC canalolithiasis. Close attention to ocular movement on sitting up after DH on patients is warranted.
DOI: 10.1097/MAO.0000000000002157
PubMed: 30870365
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pubmed:30870365Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Sitting Up Vertigo. Proposed Variant of Posterior Canal Benign Paroxysmal Positional Vertigo.</title>
<author><name sortKey="Scocco, Dario H" sort="Scocco, Dario H" uniqKey="Scocco D" first="Darío H" last="Scocco">Darío H. Scocco</name>
<affiliation><nlm:affiliation>Institute of Neuroscience, Favaloro Foundation University Hospital, Buenos Aires, Argentina.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Garcia, Ivan E" sort="Garcia, Ivan E" uniqKey="Garcia I" first="Iván E" last="García">Iván E. García</name>
</author>
<author><name sortKey="Barreiro, Maria A" sort="Barreiro, Maria A" uniqKey="Barreiro M" first="María A" last="Barreiro">María A. Barreiro</name>
</author>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Sitting Up Vertigo. Proposed Variant of Posterior Canal Benign Paroxysmal Positional Vertigo.</title>
<author><name sortKey="Scocco, Dario H" sort="Scocco, Dario H" uniqKey="Scocco D" first="Darío H" last="Scocco">Darío H. Scocco</name>
<affiliation><nlm:affiliation>Institute of Neuroscience, Favaloro Foundation University Hospital, Buenos Aires, Argentina.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Garcia, Ivan E" sort="Garcia, Ivan E" uniqKey="Garcia I" first="Iván E" last="García">Iván E. García</name>
</author>
<author><name sortKey="Barreiro, Maria A" sort="Barreiro, Maria A" uniqKey="Barreiro M" first="María A" last="Barreiro">María A. Barreiro</name>
</author>
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<series><title level="j">Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</title>
<idno type="eISSN">1537-4505</idno>
<imprint><date when="2019" type="published">2019</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Benign Paroxysmal Positional Vertigo (physiopathology)</term>
<term>Benign Paroxysmal Positional Vertigo (therapy)</term>
<term>Eye Movements (physiology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Nystagmus, Pathologic (diagnosis)</term>
<term>Nystagmus, Pathologic (physiopathology)</term>
<term>Otolithic Membrane (pathology)</term>
<term>Physical Examination (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Semicircular Canals (pathology)</term>
<term>Sitting Position (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Nystagmus, Pathologic</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Otolithic Membrane</term>
<term>Semicircular Canals</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Eye Movements</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
<term>Nystagmus, Pathologic</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Physical Examination</term>
<term>Retrospective Studies</term>
<term>Sitting Position</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To describe a variant of posterior canal benign paroxysmal positional vertigo (BPPV).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b>
</p>
<p>Retrospective case review.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTING</b>
</p>
<p>Tertiary referral center.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PATIENTS</b>
</p>
<p>Fifteen patients with symptoms of BPPV and oculomotor evidence of activation of posterior semicircular canal (P-SCC) cupula that arises when sitting up from Dix-Hallpike maneuver (DH).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INTERVENTION</b>
</p>
<p>All patients were examined with videonystagmography and underwent brain magnetic resonance imaging (MRI).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>All patients showed up-beating nystagmus with ipsilateral torsional component when coming up from right or left side DH. Most patients described vertiginous symptoms when sitting up from bed and many described severe non-positional disequilibrium. Eight patients had been treated with Epley canalith repositioning maneuver (CRM) at our clinic for posterior canal BPPV. Four of them were re-tested within an hour for CRM effectiveness and the rest, a week later. Three patients had been diagnosed with BPPV and were being treated with CRM in other institutions. Four patients showed these findings but they had not previously undergone CRM. All patients were treated with CRM without success, but they resolved their positional vertigo by means of Brandt Daroff exercises. No patient showed evidence of central vestibular disorder.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>We propose a P-SCC canalolithiasis limited to the periampullar portion by means of an anatomical restriction of distal movement of the otoconial debris. This syndrome seems to be more frequent early after CRM of classical P-SCC canalolithiasis. Close attention to ocular movement on sitting up after DH on patients is warranted.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2020</Year>
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<DateRevised><Year>2020</Year>
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<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1537-4505</ISSN>
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<Title>Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</Title>
<ISOAbbreviation>Otol Neurotol</ISOAbbreviation>
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<ArticleTitle>Sitting Up Vertigo. Proposed Variant of Posterior Canal Benign Paroxysmal Positional Vertigo.</ArticleTitle>
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<Abstract><AbstractText Label="OBJECTIVE">To describe a variant of posterior canal benign paroxysmal positional vertigo (BPPV).</AbstractText>
<AbstractText Label="STUDY DESIGN">Retrospective case review.</AbstractText>
<AbstractText Label="SETTING">Tertiary referral center.</AbstractText>
<AbstractText Label="PATIENTS">Fifteen patients with symptoms of BPPV and oculomotor evidence of activation of posterior semicircular canal (P-SCC) cupula that arises when sitting up from Dix-Hallpike maneuver (DH).</AbstractText>
<AbstractText Label="INTERVENTION">All patients were examined with videonystagmography and underwent brain magnetic resonance imaging (MRI).</AbstractText>
<AbstractText Label="RESULTS">All patients showed up-beating nystagmus with ipsilateral torsional component when coming up from right or left side DH. Most patients described vertiginous symptoms when sitting up from bed and many described severe non-positional disequilibrium. Eight patients had been treated with Epley canalith repositioning maneuver (CRM) at our clinic for posterior canal BPPV. Four of them were re-tested within an hour for CRM effectiveness and the rest, a week later. Three patients had been diagnosed with BPPV and were being treated with CRM in other institutions. Four patients showed these findings but they had not previously undergone CRM. All patients were treated with CRM without success, but they resolved their positional vertigo by means of Brandt Daroff exercises. No patient showed evidence of central vestibular disorder.</AbstractText>
<AbstractText Label="CONCLUSION">We propose a P-SCC canalolithiasis limited to the periampullar portion by means of an anatomical restriction of distal movement of the otoconial debris. This syndrome seems to be more frequent early after CRM of classical P-SCC canalolithiasis. Close attention to ocular movement on sitting up after DH on patients is warranted.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Scocco</LastName>
<ForeName>Darío H</ForeName>
<Initials>DH</Initials>
<AffiliationInfo><Affiliation>Institute of Neuroscience, Favaloro Foundation University Hospital, Buenos Aires, Argentina.</Affiliation>
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<MeshHeading><DescriptorName UI="D000077708" MajorTopicYN="Y">Sitting Position</DescriptorName>
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