Successful management of benign paroxysmal positional vertigo (BPPV) in a patient who was ventilated with a C3 complete spinal injury on a regional spinal unit intensive care.
Identifieur interne : 000094 ( Main/Curation ); précédent : 000093; suivant : 000095Successful management of benign paroxysmal positional vertigo (BPPV) in a patient who was ventilated with a C3 complete spinal injury on a regional spinal unit intensive care.
Auteurs : Lisa Burrows [Royaume-Uni]Source :
- BMJ case reports [ 1757-790X ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Examen physique (méthodes), Humains (MeSH), Mâle (MeSH), Positionnement du patient (méthodes), Traumatismes cranioencéphaliques (complications), Traumatismes de la moelle épinière (complications), Traumatismes de la moelle épinière (thérapie), Unités de soins intensifs (MeSH), Ventilation artificielle (MeSH), Vertige positionnel paroxystique bénin (diagnostic), Vertige positionnel paroxystique bénin (thérapie), Vertige positionnel paroxystique bénin (étiologie).
- MESH :
- diagnostic : Vertige positionnel paroxystique bénin.
- méthodes : Examen physique, Positionnement du patient.
- thérapie : Traumatismes de la moelle épinière, Vertige positionnel paroxystique bénin.
- étiologie : Vertige positionnel paroxystique bénin.
- complications : Adulte d'âge moyen, Humains, Mâle, Traumatismes cranioencéphaliques, Traumatismes de la moelle épinière, Unités de soins intensifs, Ventilation artificielle.
English descriptors
- KwdEn :
- Benign Paroxysmal Positional Vertigo (diagnosis), Benign Paroxysmal Positional Vertigo (etiology), Benign Paroxysmal Positional Vertigo (therapy), Craniocerebral Trauma (complications), Humans (MeSH), Intensive Care Units (MeSH), Male (MeSH), Middle Aged (MeSH), Patient Positioning (methods), Physical Examination (methods), Respiration, Artificial (MeSH), Spinal Cord Injuries (complications), Spinal Cord Injuries (therapy).
- MESH :
- complications : Craniocerebral Trauma, Spinal Cord Injuries.
- diagnosis : Benign Paroxysmal Positional Vertigo.
- etiology : Benign Paroxysmal Positional Vertigo.
- methods : Patient Positioning, Physical Examination.
- therapy : Benign Paroxysmal Positional Vertigo, Spinal Cord Injuries.
- Humans, Intensive Care Units, Male, Middle Aged, Respiration, Artificial.
Abstract
Benign paroxysmal positional vertigo (BPPV) occurs in 14.5% of patients with spinal cord injury (SCI) and may require intervention on intensive care unit (ICU). A 61-year-old man was admitted to a spinal injury ICU with a traumatic C3 complete SCI following a mountain bike accident. Ventilated but stable he complained of severe dizziness on rolling, during personal cares, which lasted for 40 s. Clinical examination was limited due to the injury and ventilation. Subjective questioning, visio-ocular control and a modified Dix-Hallpike and roll tests confirmed a right posterior canalithiasis BPPV. A modified right Epley was performed with assistance of four people, medical supervision, monitoring of tracheal ventilation and vital signs. No adverse reaction was observed. Resolution of dizziness on rolling was achieved with no recurrence at 1 year. BPPV can be successfully and safely managed on ICU.
DOI: 10.1136/bcr-2017-223351
PubMed: 29437815
PubMed Central: PMC5836699
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Vertigo</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Patient Positioning</term><term>Physical Examination</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Examen physique</term><term>Positionnement du patient</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Spinal Cord Injuries</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Traumatismes de la moelle épinière</term><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Intensive Care Units</term><term>Male</term><term>Middle Aged</term><term>Respiration, Artificial</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Humains</term><term>Mâle</term><term>Traumatismes cranioencéphaliques</term><term>Traumatismes de la moelle épinière</term><term>Unités de soins intensifs</term><term>Ventilation artificielle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Benign paroxysmal positional vertigo (BPPV) occurs in 14.5% of patients with spinal cord injury (SCI) and may require intervention on intensive care unit (ICU). A 61-year-old man was admitted to a spinal injury ICU with a traumatic C3 complete SCI following a mountain bike accident. Ventilated but stable he complained of severe dizziness on rolling, during personal cares, which lasted for 40 s. Clinical examination was limited due to the injury and ventilation. Subjective questioning, visio-ocular control and a modified Dix-Hallpike and roll tests confirmed a right posterior canalithiasis BPPV. A modified right Epley was performed with assistance of four people, medical supervision, monitoring of tracheal ventilation and vital signs. No adverse reaction was observed. Resolution of dizziness on rolling was achieved with no recurrence at 1 year. BPPV can be successfully and safely managed on ICU.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29437815</PMID><DateCompleted><Year>2018</Year><Month>09</Month><Day>12</Day></DateCompleted><DateRevised><Year>2020</Year><Month>02</Month><Day>09</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1757-790X</ISSN><JournalIssue CitedMedium="Internet"><Volume>2018</Volume><PubDate><Year>2018</Year><Month>Feb</Month><Day>08</Day></PubDate></JournalIssue><Title>BMJ case reports</Title><ISOAbbreviation>BMJ Case Rep</ISOAbbreviation></Journal><ArticleTitle>Successful management of benign paroxysmal positional vertigo (BPPV) in a patient who was ventilated with a C3 complete spinal injury on a regional spinal unit intensive care.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">bcr-2017-223351</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1136/bcr-2017-223351</ELocationID><Abstract><AbstractText>Benign paroxysmal positional vertigo (BPPV) occurs in 14.5% of patients with spinal cord injury (SCI) and may require intervention on intensive care unit (ICU). A 61-year-old man was admitted to a spinal injury ICU with a traumatic C3 complete SCI following a mountain bike accident. Ventilated but stable he complained of severe dizziness on rolling, during personal cares, which lasted for 40 s. Clinical examination was limited due to the injury and ventilation. Subjective questioning, visio-ocular control and a modified Dix-Hallpike and roll tests confirmed a right posterior canalithiasis BPPV. A modified right Epley was performed with assistance of four people, medical supervision, monitoring of tracheal ventilation and vital signs. No adverse reaction was observed. Resolution of dizziness on rolling was achieved with no recurrence at 1 year. BPPV can be successfully and safely managed on ICU.</AbstractText><CopyrightInformation>© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. 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PubStatus="entrez"><Year>2018</Year><Month>2</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>2</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>9</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29437815</ArticleId><ArticleId IdType="pii">bcr-2017-223351</ArticleId><ArticleId IdType="doi">10.1136/bcr-2017-223351</ArticleId><ArticleId IdType="pmc">PMC5836699</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Acta Otolaryngol. 2011 Dec;131(12):1264-9</Citation><ArticleIdList><ArticleId IdType="pubmed">21905795</ArticleId></ArticleIdList></Reference><Reference><Citation>J Neurol Phys Ther. 2010 Jun;34(2):87-93</Citation><ArticleIdList><ArticleId 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