Utility of the bow and lean test in predicting subtype of benign paroxysmal positional vertigo.
Identifieur interne : 000093 ( Main/Corpus ); précédent : 000092; suivant : 000094Utility of the bow and lean test in predicting subtype of benign paroxysmal positional vertigo.
Auteurs : Seongjun Choi ; Hye Rang Choi ; Hyunjoo Nahm ; Kyujin Han ; Jung Eun Shin ; Chang-Hee KimSource :
- The Laryngoscope [ 1531-4995 ] ; 2018.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Benign Paroxysmal Positional Vertigo (diagnosis), Case-Control Studies (MeSH), Female (MeSH), Functional Laterality (MeSH), Humans (MeSH), Labyrinth Diseases (diagnosis), Lithiasis (diagnosis), Male (MeSH), Middle Aged (MeSH), Nystagmus, Pathologic (diagnosis), Posture (MeSH), Retrospective Studies (MeSH), Semicircular Canals (MeSH), Young Adult (MeSH).
- MESH :
Abstract
OBJECTIVES/HYPOTHESIS
To investigate the role of the bow and lean test (BLT) in the diagnosis of benign paroxysmal positional vertigo (BPPV).
STUDY DESIGN
Retrospective case-control study.
METHODS
Between March 2015 and June 2017, we enrolled 113 patients with posterior semicircular canal (PSCC) BPPV, 74 patients with lateral semicircular canal (LSCC) canalolithiasis, 53 patients with LSCC cupulolithiasis, and 32 patients with light cupula. We retrospectively assessed bowing nystagmus (BN) and leaning nystagmus (LN).
RESULTS
In PSCC BPPV, 75% of the patients showed at least one of BN and LN, and direction of nystagmus provoked by a Dix-Hallpike test on the affected side was consistent with that of LN and opposite to that of BN. In LSCC canalolithiasis, 65% (48 of 74) of the patients showed both BN and LN, which were in the same direction in 38 patients (of 48) and in the opposite direction in 10 patients (of 48). The affected side can be determined according to the results of THE BLT in 74% (55 of 74) of LSCC canalolithiasis patients, and among them, the side determined according to the results of head-roll test was discordant with that according to the BLT in 20 of 55 patients (36%). In LSCC cupulopathy (n = 85), both BN and LN were persistent and observed in all cases, but we could not distinguish LSCC cupulolithiasis from light cupula according to nystagmus direction in the BLT.
CONCLUSIONS
Although a BLT yields better lateralization in LSCC canalolithiasis, it may be more useful in predicting the diagnosis and lateralization of PSCC BPPV than LSCC canalolithiasis.
LEVEL OF EVIDENCE
4 Laryngoscope, 2600-2604, 2018.
DOI: 10.1002/lary.27142
PubMed: 29481705
Links to Exploration step
pubmed:29481705Le document en format XML
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Nahm</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Han, Kyujin" sort="Han, Kyujin" uniqKey="Han K" first="Kyujin" last="Han">Kyujin Han</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Shin, Jung Eun" sort="Shin, Jung Eun" uniqKey="Shin J" first="Jung Eun" last="Shin">Jung Eun Shin</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Chang Hee" sort="Kim, Chang Hee" uniqKey="Kim C" first="Chang-Hee" last="Kim">Chang-Hee Kim</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:29481705</idno><idno type="pmid">29481705</idno><idno type="doi">10.1002/lary.27142</idno><idno type="wicri:Area/Main/Corpus">000093</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000093</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Utility of the bow and lean test in predicting subtype of benign paroxysmal positional vertigo.</title><author><name sortKey="Choi, Seongjun" sort="Choi, Seongjun" uniqKey="Choi S" first="Seongjun" last="Choi">Seongjun Choi</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Choi, Hye Rang" sort="Choi, Hye Rang" uniqKey="Choi H" first="Hye Rang" last="Choi">Hye Rang Choi</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Nahm, Hyunjoo" sort="Nahm, Hyunjoo" uniqKey="Nahm H" first="Hyunjoo" last="Nahm">Hyunjoo Nahm</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Han, Kyujin" sort="Han, Kyujin" uniqKey="Han K" first="Kyujin" last="Han">Kyujin Han</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Shin, Jung Eun" sort="Shin, Jung Eun" uniqKey="Shin J" first="Jung Eun" last="Shin">Jung Eun Shin</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Chang Hee" sort="Kim, Chang Hee" uniqKey="Kim C" first="Chang-Hee" last="Kim">Chang-Hee Kim</name><affiliation><nlm:affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</nlm:affiliation></affiliation></author></analytic><series><title level="j">The Laryngoscope</title><idno type="eISSN">1531-4995</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Benign Paroxysmal Positional Vertigo (diagnosis)</term><term>Case-Control Studies (MeSH)</term><term>Female (MeSH)</term><term>Functional Laterality (MeSH)</term><term>Humans (MeSH)</term><term>Labyrinth Diseases (diagnosis)</term><term>Lithiasis (diagnosis)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Nystagmus, Pathologic (diagnosis)</term><term>Posture (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Semicircular Canals (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Labyrinth Diseases</term><term>Lithiasis</term><term>Nystagmus, Pathologic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Case-Control Studies</term><term>Female</term><term>Functional Laterality</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Posture</term><term>Retrospective Studies</term><term>Semicircular Canals</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES/HYPOTHESIS</b></p><p>To investigate the role of the bow and lean test (BLT) in the diagnosis of benign paroxysmal positional vertigo (BPPV).</p></div><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>Retrospective case-control study.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Between March 2015 and June 2017, we enrolled 113 patients with posterior semicircular canal (PSCC) BPPV, 74 patients with lateral semicircular canal (LSCC) canalolithiasis, 53 patients with LSCC cupulolithiasis, and 32 patients with light cupula. We retrospectively assessed bowing nystagmus (BN) and leaning nystagmus (LN).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>In PSCC BPPV, 75% of the patients showed at least one of BN and LN, and direction of nystagmus provoked by a Dix-Hallpike test on the affected side was consistent with that of LN and opposite to that of BN. In LSCC canalolithiasis, 65% (48 of 74) of the patients showed both BN and LN, which were in the same direction in 38 patients (of 48) and in the opposite direction in 10 patients (of 48). The affected side can be determined according to the results of THE BLT in 74% (55 of 74) of LSCC canalolithiasis patients, and among them, the side determined according to the results of head-roll test was discordant with that according to the BLT in 20 of 55 patients (36%). In LSCC cupulopathy (n = 85), both BN and LN were persistent and observed in all cases, but we could not distinguish LSCC cupulolithiasis from light cupula according to nystagmus direction in the BLT.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Although a BLT yields better lateralization in LSCC canalolithiasis, it may be more useful in predicting the diagnosis and lateralization of PSCC BPPV than LSCC canalolithiasis.</p></div><div type="abstract" xml:lang="en"><p><b>LEVEL OF EVIDENCE</b></p><p>4 Laryngoscope, 2600-2604, 2018.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29481705</PMID><DateCompleted><Year>2019</Year><Month>03</Month><Day>13</Day></DateCompleted><DateRevised><Year>2019</Year><Month>03</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1531-4995</ISSN><JournalIssue CitedMedium="Internet"><Volume>128</Volume><Issue>11</Issue><PubDate><Year>2018</Year><Month>11</Month></PubDate></JournalIssue><Title>The Laryngoscope</Title><ISOAbbreviation>Laryngoscope</ISOAbbreviation></Journal><ArticleTitle>Utility of the bow and lean test in predicting subtype of benign paroxysmal positional vertigo.</ArticleTitle><Pagination><MedlinePgn>2600-2604</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/lary.27142</ELocationID><Abstract><AbstractText Label="OBJECTIVES/HYPOTHESIS">To investigate the role of the bow and lean test (BLT) in the diagnosis of benign paroxysmal positional vertigo (BPPV).</AbstractText><AbstractText Label="STUDY DESIGN">Retrospective case-control study.</AbstractText><AbstractText Label="METHODS">Between March 2015 and June 2017, we enrolled 113 patients with posterior semicircular canal (PSCC) BPPV, 74 patients with lateral semicircular canal (LSCC) canalolithiasis, 53 patients with LSCC cupulolithiasis, and 32 patients with light cupula. We retrospectively assessed bowing nystagmus (BN) and leaning nystagmus (LN).</AbstractText><AbstractText Label="RESULTS">In PSCC BPPV, 75% of the patients showed at least one of BN and LN, and direction of nystagmus provoked by a Dix-Hallpike test on the affected side was consistent with that of LN and opposite to that of BN. In LSCC canalolithiasis, 65% (48 of 74) of the patients showed both BN and LN, which were in the same direction in 38 patients (of 48) and in the opposite direction in 10 patients (of 48). The affected side can be determined according to the results of THE BLT in 74% (55 of 74) of LSCC canalolithiasis patients, and among them, the side determined according to the results of head-roll test was discordant with that according to the BLT in 20 of 55 patients (36%). In LSCC cupulopathy (n = 85), both BN and LN were persistent and observed in all cases, but we could not distinguish LSCC cupulolithiasis from light cupula according to nystagmus direction in the BLT.</AbstractText><AbstractText Label="CONCLUSIONS">Although a BLT yields better lateralization in LSCC canalolithiasis, it may be more useful in predicting the diagnosis and lateralization of PSCC BPPV than LSCC canalolithiasis.</AbstractText><AbstractText Label="LEVEL OF EVIDENCE">4 Laryngoscope, 2600-2604, 2018.</AbstractText><CopyrightInformation>© 2018 The American Laryngological, Rhinological and Otological Society, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Choi</LastName><ForeName>Seongjun</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Choi</LastName><ForeName>Hye Rang</ForeName><Initials>HR</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nahm</LastName><ForeName>Hyunjoo</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Han</LastName><ForeName>Kyujin</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shin</LastName><ForeName>Jung Eun</ForeName><Initials>JE</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Chang-Hee</ForeName><Initials>CH</Initials><Identifier Source="ORCID">0000-0001-5667-861X</Identifier><AffiliationInfo><Affiliation>Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>02</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Laryngoscope</MedlineTA><NlmUniqueID>8607378</NlmUniqueID><ISSNLinking>0023-852X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007839" MajorTopicYN="N">Functional Laterality</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007759" MajorTopicYN="N">Labyrinth Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020347" MajorTopicYN="N">Lithiasis</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009759" MajorTopicYN="N">Nystagmus, Pathologic</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="Y">Posture</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Benign paroxysmal positional vertigo</Keyword><Keyword MajorTopicYN="Y">Dix-Hallpike test</Keyword><Keyword MajorTopicYN="Y">bow and lean test</Keyword><Keyword MajorTopicYN="Y">head-roll test</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>01</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>01</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>2</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>3</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>2</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29481705</ArticleId><ArticleId IdType="doi">10.1002/lary.27142</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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