Diagnosis and treatment of anterior canal benign paroxysmal positional vertigo.
Identifieur interne : 000072 ( Main/Corpus ); précédent : 000071; suivant : 000073Diagnosis and treatment of anterior canal benign paroxysmal positional vertigo.
Auteurs : Xia Ling ; Kang-Zhi Li ; Bo Shen ; Li-Hong Si ; Yuan Hong ; Xu YangSource :
- International journal of audiology [ 1708-8186 ] ; 2018.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Benign Paroxysmal Positional Vertigo (diagnosis), Benign Paroxysmal Positional Vertigo (physiopathology), Benign Paroxysmal Positional Vertigo (therapy), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Nystagmus, Physiologic (MeSH), Postural Balance (MeSH), Predictive Value of Tests (MeSH), Retrospective Studies (MeSH), Semicircular Canals (physiopathology), Treatment Outcome (MeSH), Vestibular Function Tests (MeSH).
- MESH :
- diagnosis : Benign Paroxysmal Positional Vertigo.
- physiopathology : Benign Paroxysmal Positional Vertigo, Semicircular Canals.
- therapy : Benign Paroxysmal Positional Vertigo.
- Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Nystagmus, Physiologic, Postural Balance, Predictive Value of Tests, Retrospective Studies, Treatment Outcome, Vestibular Function Tests.
Abstract
OBJECTIVE
To investigate the diagnosis and treatment of anterior canal benign paroxysmal positional vertigo (AC-BPPV).
DESIGN
Retrospective analysis of clinical data regarding the diagnosis and treatment of patients with AC-BPPV.
STUDY SAMPLE
Six patients with AC-BPPV.
RESULTS
All patients underwent the Dix-Hallpike test and/or the straight head-hanging test to induce vertigo and down-beating nystagmus with or without torsional components. Down-beating nystagmus in patients 1, 3 and 6 lasted <1 min and was successfully treated with the Yacovino manoeuvre. Down-beating nystagmus in patients 2, 4 and 5 lasted >1 min. The Yacovino manoeuvre was not effective in patient 4, whereas it was effective in patient 2 but with frequently recurring symptoms. Patients 3, 4 and 6 also had other types of typical BPPV. Canal conversion appeared in patients 4 and 5 during the follow-up period.
CONCLUSION
Typical BPPV, canal conversion, a therapeutic diagnosis after applying the Yacovino manoeuvre, and the follow-up outcome contribute to AC-BPPV diagnosis in patients with dizziness and vertigo presenting with down-beating positional nystagmus. Yacovino manoeuvre was more effective in AC-BPPV patients with down-beating positional nystagmus lasted <1 min than in those in whom it lasted >1 min.
DOI: 10.1080/14992027.2018.1472397
PubMed: 30318958
Links to Exploration step
pubmed:30318958Le document en format XML
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<author><name sortKey="Ling, Xia" sort="Ling, Xia" uniqKey="Ling X" first="Xia" last="Ling">Xia Ling</name>
<affiliation><nlm:affiliation>a Peking University Aerospace School of Clinical Medicine , Beijing , PR China.</nlm:affiliation>
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<author><name sortKey="Li, Kang Zhi" sort="Li, Kang Zhi" uniqKey="Li K" first="Kang-Zhi" last="Li">Kang-Zhi Li</name>
<affiliation><nlm:affiliation>a Peking University Aerospace School of Clinical Medicine , Beijing , PR China.</nlm:affiliation>
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<author><name sortKey="Shen, Bo" sort="Shen, Bo" uniqKey="Shen B" first="Bo" last="Shen">Bo Shen</name>
<affiliation><nlm:affiliation>b Department of Neurology , The First Affiliated Hospital of Jinzhou Medical University , Jinzhou , PR China.</nlm:affiliation>
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<author><name sortKey="Si, Li Hong" sort="Si, Li Hong" uniqKey="Si L" first="Li-Hong" last="Si">Li-Hong Si</name>
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<author><name sortKey="Hong, Yuan" sort="Hong, Yuan" uniqKey="Hong Y" first="Yuan" last="Hong">Yuan Hong</name>
<affiliation><nlm:affiliation>c Department of Neurology , Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine , Beijing , PR China.</nlm:affiliation>
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<author><name sortKey="Yang, Xu" sort="Yang, Xu" uniqKey="Yang X" first="Xu" last="Yang">Xu Yang</name>
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<author><name sortKey="Shen, Bo" sort="Shen, Bo" uniqKey="Shen B" first="Bo" last="Shen">Bo Shen</name>
<affiliation><nlm:affiliation>b Department of Neurology , The First Affiliated Hospital of Jinzhou Medical University , Jinzhou , PR China.</nlm:affiliation>
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<author><name sortKey="Si, Li Hong" sort="Si, Li Hong" uniqKey="Si L" first="Li-Hong" last="Si">Li-Hong Si</name>
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<author><name sortKey="Hong, Yuan" sort="Hong, Yuan" uniqKey="Hong Y" first="Yuan" last="Hong">Yuan Hong</name>
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<author><name sortKey="Yang, Xu" sort="Yang, Xu" uniqKey="Yang X" first="Xu" last="Yang">Xu Yang</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Benign Paroxysmal Positional Vertigo (diagnosis)</term>
<term>Benign Paroxysmal Positional Vertigo (physiopathology)</term>
<term>Benign Paroxysmal Positional Vertigo (therapy)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Nystagmus, Physiologic (MeSH)</term>
<term>Postural Balance (MeSH)</term>
<term>Predictive Value of Tests (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Semicircular Canals (physiopathology)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Vestibular Function Tests (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
<term>Semicircular Canals</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nystagmus, Physiologic</term>
<term>Postural Balance</term>
<term>Predictive Value of Tests</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
<term>Vestibular Function Tests</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To investigate the diagnosis and treatment of anterior canal benign paroxysmal positional vertigo (AC-BPPV).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>Retrospective analysis of clinical data regarding the diagnosis and treatment of patients with AC-BPPV.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>STUDY SAMPLE</b>
</p>
<p>Six patients with AC-BPPV.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>All patients underwent the Dix-Hallpike test and/or the straight head-hanging test to induce vertigo and down-beating nystagmus with or without torsional components. Down-beating nystagmus in patients 1, 3 and 6 lasted <1 min and was successfully treated with the Yacovino manoeuvre. Down-beating nystagmus in patients 2, 4 and 5 lasted >1 min. The Yacovino manoeuvre was not effective in patient 4, whereas it was effective in patient 2 but with frequently recurring symptoms. Patients 3, 4 and 6 also had other types of typical BPPV. Canal conversion appeared in patients 4 and 5 during the follow-up period.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Typical BPPV, canal conversion, a therapeutic diagnosis after applying the Yacovino manoeuvre, and the follow-up outcome contribute to AC-BPPV diagnosis in patients with dizziness and vertigo presenting with down-beating positional nystagmus. Yacovino manoeuvre was more effective in AC-BPPV patients with down-beating positional nystagmus lasted <1 min than in those in whom it lasted >1 min.</p>
</div>
</front>
</TEI>
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<ArticleTitle>Diagnosis and treatment of anterior canal benign paroxysmal positional vertigo.</ArticleTitle>
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<Abstract><AbstractText Label="OBJECTIVE">To investigate the diagnosis and treatment of anterior canal benign paroxysmal positional vertigo (AC-BPPV).</AbstractText>
<AbstractText Label="DESIGN">Retrospective analysis of clinical data regarding the diagnosis and treatment of patients with AC-BPPV.</AbstractText>
<AbstractText Label="STUDY SAMPLE">Six patients with AC-BPPV.</AbstractText>
<AbstractText Label="RESULTS">All patients underwent the Dix-Hallpike test and/or the straight head-hanging test to induce vertigo and down-beating nystagmus with or without torsional components. Down-beating nystagmus in patients 1, 3 and 6 lasted <1 min and was successfully treated with the Yacovino manoeuvre. Down-beating nystagmus in patients 2, 4 and 5 lasted >1 min. The Yacovino manoeuvre was not effective in patient 4, whereas it was effective in patient 2 but with frequently recurring symptoms. Patients 3, 4 and 6 also had other types of typical BPPV. Canal conversion appeared in patients 4 and 5 during the follow-up period.</AbstractText>
<AbstractText Label="CONCLUSION">Typical BPPV, canal conversion, a therapeutic diagnosis after applying the Yacovino manoeuvre, and the follow-up outcome contribute to AC-BPPV diagnosis in patients with dizziness and vertigo presenting with down-beating positional nystagmus. Yacovino manoeuvre was more effective in AC-BPPV patients with down-beating positional nystagmus lasted <1 min than in those in whom it lasted >1 min.</AbstractText>
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