TestDixHallpikeV1, Main, Exploration, bibRecord, 000050

Diagnosis strategy and Yacovino maneuver for anterior canal-benign paroxysmal positional vertigo.

Identifieur interne : 000050 ( Main/Exploration ); précédent : 000049; suivant : 000051

Diagnosis strategy and Yacovino maneuver for anterior canal-benign paroxysmal positional vertigo.

Auteurs : Xu Yang [République populaire de Chine] ; Xia Ling [République populaire de Chine] ; Bo Shen [République populaire de Chine] ; Yuan Hong [République populaire de Chine] ; Kangzhi Li [République populaire de Chine] ; Lihong Si [République populaire de Chine] ; Ji-Soo Kim [Corée du Sud]

Source :

Journal of neurology [ 1432-1459 ] ; 2019.

RBID : pubmed:30963252

Descripteurs français

KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Canaux semicirculaires osseux (anatomopathologie), Canaux semicirculaires osseux (physiologie), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Nystagmus pathologique (diagnostic), Nystagmus pathologique (thérapie), Nystagmus pathologique (épidémiologie), Positionnement du patient (méthodes), Résultat thérapeutique (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vertige positionnel paroxystique bénin (diagnostic), Vertige positionnel paroxystique bénin (thérapie), Vertige positionnel paroxystique bénin (épidémiologie), Études de suivi (MeSH), Études rétrospectives (MeSH).
MESH :
- anatomopathologie : Canaux semicirculaires osseux.
- diagnostic : Nystagmus pathologique, Vertige positionnel paroxystique bénin.
- méthodes : Positionnement du patient.
- physiologie : Canaux semicirculaires osseux.
- thérapie : Nystagmus pathologique, Vertige positionnel paroxystique bénin.
- épidémiologie : Nystagmus pathologique, Vertige positionnel paroxystique bénin.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Mâle, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de suivi, Études rétrospectives.

English descriptors

KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Benign Paroxysmal Positional Vertigo (diagnosis), Benign Paroxysmal Positional Vertigo (epidemiology), Benign Paroxysmal Positional Vertigo (therapy), Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Nystagmus, Pathologic (diagnosis), Nystagmus, Pathologic (epidemiology), Nystagmus, Pathologic (therapy), Patient Positioning (methods), Retrospective Studies (MeSH), Semicircular Canals (pathology), Semicircular Canals (physiology), Treatment Outcome (MeSH).
MESH :
- diagnosis : Benign Paroxysmal Positional Vertigo, Nystagmus, Pathologic.
- epidemiology : Benign Paroxysmal Positional Vertigo, Nystagmus, Pathologic.
- methods : Patient Positioning.
- pathology : Semicircular Canals.
- physiology : Semicircular Canals.
- therapy : Benign Paroxysmal Positional Vertigo, Nystagmus, Pathologic.
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Male, Middle Aged, Retrospective Studies, Treatment Outcome.

Abstract

OBJECTIVE

To investigate the diagnosis strategy of anterior canal-benign paroxysmal positional vertigo (AC-BPPV) and the therapeutic effects of the Yacovino maneuver.

METHODS

The clinical data of 40 AC-BPPV patients were collected. The nystagmus characteristics induced by the Dix-Hallpike (D-H) and straight head-hanging (SHH) tests, the diagnostic methods used, and the effectiveness of the Yacovino maneuver for the treatment of AC-BPPV were all retrospectively analyzed.

RESULTS

Among the 40 cases analyzed, 19 patients had simple AC-BPPV, 11 patients had AC-posterior canal BPPV, and 10 patients had AC-horizontal canal BPPV. D-H and SHH tests showed down-beating nystagmus in 26 and 33 patients, respectively, and showed down-beating and torsional nystagmus in 14 and 7 patients, respectively. AC-BPPV was diagnosed in 15 patients based on the presence of typical BPPV in other canals, in 9 patients based on typical disease history and the results of position tests, in 6 patients based on effectiveness of the treatment with the Yacovino maneuver, in 4 patients based on the treatment effectiveness and the presence of typical BPPV in other canals, in 3 patients based on the treatment effectiveness and the follow-up outcome, in 2 patients based on the typical BPPV in other canals and occurrence of canal conversion, and in 1 patient based on the treatment effectiveness and occurrence of canal conversion. Thirteen patients with canalolithiasis and four patients with cupulolithiasis were cured after the initial Yacovino maneuver treatment. Twenty-one patients with canalolithiasis and seven patients with cupulolithiasis were cured following 1 week of treatment.

CONCLUSIONS

The effectiveness of the Yacovino maneuver, the follow-up outcome, the presence of typical BPPV in other canals, and the occurrence of canal conversions contribute to AC-BPPV diagnosis. The Yacovino maneuver was found to be more effective in AC-BPPV patients with canalolithiasis than in those with cupulolithiasis.

DOI: 10.1007/s00415-019-09312-1
PubMed: 30963252

Affiliations:

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Benign Paroxysmal Positional Vertigo (diagnosis)</term>
<term>Benign Paroxysmal Positional Vertigo (epidemiology)</term>
<term>Benign Paroxysmal Positional Vertigo (therapy)</term>
<term>Female (MeSH)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Nystagmus, Pathologic (diagnosis)</term>
<term>Nystagmus, Pathologic (epidemiology)</term>
<term>Nystagmus, Pathologic (therapy)</term>
<term>Patient Positioning (methods)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Semicircular Canals (pathology)</term>
<term>Semicircular Canals (physiology)</term>
<term>Treatment Outcome (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Canaux semicirculaires osseux (anatomopathologie)</term>
<term>Canaux semicirculaires osseux (physiologie)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Nystagmus pathologique (diagnostic)</term>
<term>Nystagmus pathologique (thérapie)</term>
<term>Nystagmus pathologique (épidémiologie)</term>
<term>Positionnement du patient (méthodes)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Vertige positionnel paroxystique bénin (diagnostic)</term>
<term>Vertige positionnel paroxystique bénin (thérapie)</term>
<term>Vertige positionnel paroxystique bénin (épidémiologie)</term>
<term>Études de suivi (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Canaux semicirculaires osseux</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
<term>Nystagmus, Pathologic</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Nystagmus pathologique</term>
<term>Vertige positionnel paroxystique bénin</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
<term>Nystagmus, Pathologic</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Patient Positioning</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Positionnement du patient</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Semicircular Canals</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Canaux semicirculaires osseux</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Semicircular Canals</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
<term>Nystagmus, Pathologic</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Nystagmus pathologique</term>
<term>Vertige positionnel paroxystique bénin</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Nystagmus pathologique</term>
<term>Vertige positionnel paroxystique bénin</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To investigate the diagnosis strategy of anterior canal-benign paroxysmal positional vertigo (AC-BPPV) and the therapeutic effects of the Yacovino maneuver.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>The clinical data of 40 AC-BPPV patients were collected. The nystagmus characteristics induced by the Dix-Hallpike (D-H) and straight head-hanging (SHH) tests, the diagnostic methods used, and the effectiveness of the Yacovino maneuver for the treatment of AC-BPPV were all retrospectively analyzed.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Among the 40 cases analyzed, 19 patients had simple AC-BPPV, 11 patients had AC-posterior canal BPPV, and 10 patients had AC-horizontal canal BPPV. D-H and SHH tests showed down-beating nystagmus in 26 and 33 patients, respectively, and showed down-beating and torsional nystagmus in 14 and 7 patients, respectively. AC-BPPV was diagnosed in 15 patients based on the presence of typical BPPV in other canals, in 9 patients based on typical disease history and the results of position tests, in 6 patients based on effectiveness of the treatment with the Yacovino maneuver, in 4 patients based on the treatment effectiveness and the presence of typical BPPV in other canals, in 3 patients based on the treatment effectiveness and the follow-up outcome, in 2 patients based on the typical BPPV in other canals and occurrence of canal conversion, and in 1 patient based on the treatment effectiveness and occurrence of canal conversion. Thirteen patients with canalolithiasis and four patients with cupulolithiasis were cured after the initial Yacovino maneuver treatment. Twenty-one patients with canalolithiasis and seven patients with cupulolithiasis were cured following 1 week of treatment.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>The effectiveness of the Yacovino maneuver, the follow-up outcome, the presence of typical BPPV in other canals, and the occurrence of canal conversions contribute to AC-BPPV diagnosis. The Yacovino maneuver was found to be more effective in AC-BPPV patients with canalolithiasis than in those with cupulolithiasis.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30963252</PMID>
<DateCompleted><Year>2019</Year>
<Month>12</Month>
<Day>30</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>02</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1459</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>266</Volume>
<Issue>7</Issue>
<PubDate><Year>2019</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Journal of neurology</Title>
<ISOAbbreviation>J Neurol</ISOAbbreviation>
</Journal>
<ArticleTitle>Diagnosis strategy and Yacovino maneuver for anterior canal-benign paroxysmal positional vertigo.</ArticleTitle>
<Pagination><MedlinePgn>1674-1684</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00415-019-09312-1</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To investigate the diagnosis strategy of anterior canal-benign paroxysmal positional vertigo (AC-BPPV) and the therapeutic effects of the Yacovino maneuver.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The clinical data of 40 AC-BPPV patients were collected. The nystagmus characteristics induced by the Dix-Hallpike (D-H) and straight head-hanging (SHH) tests, the diagnostic methods used, and the effectiveness of the Yacovino maneuver for the treatment of AC-BPPV were all retrospectively analyzed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Among the 40 cases analyzed, 19 patients had simple AC-BPPV, 11 patients had AC-posterior canal BPPV, and 10 patients had AC-horizontal canal BPPV. D-H and SHH tests showed down-beating nystagmus in 26 and 33 patients, respectively, and showed down-beating and torsional nystagmus in 14 and 7 patients, respectively. AC-BPPV was diagnosed in 15 patients based on the presence of typical BPPV in other canals, in 9 patients based on typical disease history and the results of position tests, in 6 patients based on effectiveness of the treatment with the Yacovino maneuver, in 4 patients based on the treatment effectiveness and the presence of typical BPPV in other canals, in 3 patients based on the treatment effectiveness and the follow-up outcome, in 2 patients based on the typical BPPV in other canals and occurrence of canal conversion, and in 1 patient based on the treatment effectiveness and occurrence of canal conversion. Thirteen patients with canalolithiasis and four patients with cupulolithiasis were cured after the initial Yacovino maneuver treatment. Twenty-one patients with canalolithiasis and seven patients with cupulolithiasis were cured following 1 week of treatment.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The effectiveness of the Yacovino maneuver, the follow-up outcome, the presence of typical BPPV in other canals, and the occurrence of canal conversions contribute to AC-BPPV diagnosis. The Yacovino maneuver was found to be more effective in AC-BPPV patients with canalolithiasis than in those with cupulolithiasis.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yang</LastName>
<ForeName>Xu</ForeName>
<Initials>X</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine, Beijing, 100049, People's Republic of China. yangxu2011@163.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ling</LastName>
<ForeName>Xia</ForeName>
<Initials>X</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine, Beijing, 100049, People's Republic of China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Shen</LastName>
<ForeName>Bo</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, 121001, People's Republic of China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hong</LastName>
<ForeName>Yuan</ForeName>
<Initials>Y</Initials>
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<affiliations><list><country><li>Corée du Sud</li>
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<name sortKey="Si, Lihong" sort="Si, Lihong" uniqKey="Si L" first="Lihong" last="Si">Lihong Si</name>
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<country name="Corée du Sud"><noRegion><name sortKey="Kim, Ji Soo" sort="Kim, Ji Soo" uniqKey="Kim J" first="Ji-Soo" last="Kim">Ji-Soo Kim</name>
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Diagnosis strategy and Yacovino maneuver for anterior canal-benign paroxysmal positional vertigo.

Diagnosis strategy and Yacovino maneuver for anterior canal-benign paroxysmal positional vertigo.

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