Our experience with 500 patients with benign paroxysmal positional vertigo: Reexploring aetiology and reevaluating MRI investigation.
Identifieur interne : 000083 ( Main/Exploration ); précédent : 000082; suivant : 000084Our experience with 500 patients with benign paroxysmal positional vertigo: Reexploring aetiology and reevaluating MRI investigation.
Auteurs : Fei Tan [Irlande (pays)] ; Constantin Bartels [Irlande (pays)] ; Rory Mcconn Walsh [Irlande (pays)]Source :
- Auris, nasus, larynx [ 1879-1476 ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Complications postopératoires (imagerie diagnostique), Complications postopératoires (étiologie), Femelle (MeSH), Humains (MeSH), Hémorragies intracrâniennes (complications), Hémorragies intracrâniennes (imagerie diagnostique), Imagerie par résonance magnétique (MeSH), Jeune adulte (MeSH), Labyrinthite (complications), Maladie aigüe (MeSH), Mâle (MeSH), Positionnement du patient (méthodes), Procédures chirurgicales du nez (MeSH), Procédures de chirurgie otologique (MeSH), Résultats fortuits (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Traumatismes cranioencéphaliques (complications), Traumatismes du cou (complications), Tumeurs du cerveau (complications), Tumeurs du cerveau (imagerie diagnostique), Vertige positionnel paroxystique bénin (imagerie diagnostique), Vertige positionnel paroxystique bénin (thérapie), Vertige positionnel paroxystique bénin (étiologie), Études rétrospectives (MeSH).
- MESH :
- imagerie diagnostique : Complications postopératoires, Hémorragies intracrâniennes, Tumeurs du cerveau, Vertige positionnel paroxystique bénin.
- méthodes : Positionnement du patient.
- thérapie : Vertige positionnel paroxystique bénin.
- étiologie : Complications postopératoires, Vertige positionnel paroxystique bénin.
- complications : Adulte, Adulte d'âge moyen, Femelle, Humains, Hémorragies intracrâniennes, Imagerie par résonance magnétique, Jeune adulte, Labyrinthite, Maladie aigüe, Mâle, Procédures chirurgicales du nez, Procédures de chirurgie otologique, Résultats fortuits, Sujet âgé, Sujet âgé de 80 ans ou plus, Traumatismes cranioencéphaliques, Traumatismes du cou, Tumeurs du cerveau, Études rétrospectives.
English descriptors
- KwdEn :
- Acute Disease (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Benign Paroxysmal Positional Vertigo (diagnostic imaging), Benign Paroxysmal Positional Vertigo (etiology), Benign Paroxysmal Positional Vertigo (therapy), Brain Neoplasms (complications), Brain Neoplasms (diagnostic imaging), Craniocerebral Trauma (complications), Female (MeSH), Humans (MeSH), Incidental Findings (MeSH), Intracranial Hemorrhages (complications), Intracranial Hemorrhages (diagnostic imaging), Labyrinthitis (complications), Magnetic Resonance Imaging (MeSH), Male (MeSH), Middle Aged (MeSH), Nasal Surgical Procedures (MeSH), Neck Injuries (complications), Otologic Surgical Procedures (MeSH), Patient Positioning (methods), Postoperative Complications (diagnostic imaging), Postoperative Complications (etiology), Retrospective Studies (MeSH), Young Adult (MeSH).
- MESH :
- complications : Brain Neoplasms, Craniocerebral Trauma, Intracranial Hemorrhages, Labyrinthitis, Neck Injuries.
- diagnostic imaging : Benign Paroxysmal Positional Vertigo, Brain Neoplasms, Intracranial Hemorrhages, Postoperative Complications.
- etiology : Benign Paroxysmal Positional Vertigo, Postoperative Complications.
- methods : Patient Positioning.
- therapy : Benign Paroxysmal Positional Vertigo.
- Acute Disease, Adult, Aged, Aged, 80 and over, Female, Humans, Incidental Findings, Magnetic Resonance Imaging, Male, Middle Aged, Nasal Surgical Procedures, Otologic Surgical Procedures, Retrospective Studies, Young Adult.
Abstract
OBJECTIVE
To explore the aetiology of and to evaluate the importance of MRI investigation on the posterior semicircular canal benign paroxysmal positional vertigo in an Irish population.
METHODS
A retrospective observational study of 500 patients with posterior semicircular canal benign paroxysmal positional vertigo, diagnosed and treated by the senior author over a 10-year period. Most patients underwent an MRI brain and inner ear, following the same scan protocol. This included T1 weighted sagittal IR-FSPGR volume, axial T2 weighted, gradient echo T2 weighted and FLAIR sequences plus time of flight cerebral angiography.
RESULTS
The average age of presentation was 56 years; with the overall female to male ratio was 1.6:1, which was largely the net results of 2 age groups. Over 30% of our patients recalled distinct aetiological triggers, of which the top 3 were trauma, infection, and surgery. These accounted for 16%, 6%, and 5%, respectively. More than 25% of the patients were discovered to have abnormal intracranial findings on MRI. The 2 most common non-infarct incidental findings were neoplasia and vascular abnormalities. Although fewer than 20 patients had acute intracranial haemorrhage or malignant tumours, most of them were urgently referred to neurosurgeon due to the life-threatening nature of the condition. One round of particle repositioning manoeuver was successful in treating 84% of the patients, and the 2-year recurrence rate was only 2.2%.
CONCLUSION
The diagnosis of posterior semicircular canal benign paroxysmal positional vertigo is thought to be relatively easy to make, and the treatment is highly effective. Clinicians should be fully aware of and prepared for the diverse aetiology, and thus have no hesitation in requesting MRI scan as an important investigation.
DOI: 10.1016/j.anl.2017.05.017
PubMed: 28943053
Affiliations:
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Electronic address: iatrologist@hotmail.com.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Otorhinolaryngology and Head and Neck Surgery, St. James's Hospital, Dublin 8</wicri:regionArea><wicri:noRegion>Dublin 8</wicri:noRegion></affiliation></author><author><name sortKey="Bartels, Constantin" sort="Bartels, Constantin" uniqKey="Bartels C" first="Constantin" last="Bartels">Constantin Bartels</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, Waterford Regional Hospital, Waterford, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Otorhinolaryngology and Head and Neck Surgery, Waterford Regional Hospital, Waterford</wicri:regionArea><wicri:noRegion>Waterford</wicri:noRegion></affiliation></author><author><name sortKey="Walsh, Rory Mcconn" sort="Walsh, Rory Mcconn" uniqKey="Walsh R" first="Rory Mcconn" last="Walsh">Rory Mcconn Walsh</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, Beaumont Hospital and Blackrock Clinic, Dublin, Ireland.</nlm:affiliation><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Otorhinolaryngology and Head and Neck Surgery, Beaumont Hospital and Blackrock Clinic, Dublin</wicri:regionArea><wicri:noRegion>Dublin</wicri:noRegion></affiliation></author></analytic><series><title level="j">Auris, nasus, larynx</title><idno type="eISSN">1879-1476</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Benign Paroxysmal Positional Vertigo (diagnostic imaging)</term><term>Benign Paroxysmal Positional Vertigo (etiology)</term><term>Benign Paroxysmal Positional Vertigo (therapy)</term><term>Brain Neoplasms (complications)</term><term>Brain Neoplasms (diagnostic imaging)</term><term>Craniocerebral Trauma (complications)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Incidental Findings (MeSH)</term><term>Intracranial Hemorrhages (complications)</term><term>Intracranial Hemorrhages (diagnostic imaging)</term><term>Labyrinthitis (complications)</term><term>Magnetic Resonance Imaging (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Nasal Surgical Procedures (MeSH)</term><term>Neck Injuries (complications)</term><term>Otologic Surgical Procedures (MeSH)</term><term>Patient Positioning (methods)</term><term>Postoperative Complications (diagnostic imaging)</term><term>Postoperative Complications (etiology)</term><term>Retrospective Studies (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Complications postopératoires (imagerie diagnostique)</term><term>Complications postopératoires (étiologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Hémorragies intracrâniennes (complications)</term><term>Hémorragies intracrâniennes (imagerie diagnostique)</term><term>Imagerie par résonance magnétique (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Labyrinthite (complications)</term><term>Maladie aigüe (MeSH)</term><term>Mâle (MeSH)</term><term>Positionnement du patient (méthodes)</term><term>Procédures chirurgicales du nez (MeSH)</term><term>Procédures de chirurgie otologique (MeSH)</term><term>Résultats fortuits (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Traumatismes cranioencéphaliques (complications)</term><term>Traumatismes du cou (complications)</term><term>Tumeurs du cerveau (complications)</term><term>Tumeurs du cerveau (imagerie diagnostique)</term><term>Vertige positionnel paroxystique bénin (imagerie diagnostique)</term><term>Vertige positionnel paroxystique bénin (thérapie)</term><term>Vertige positionnel paroxystique bénin (étiologie)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Brain Neoplasms</term><term>Craniocerebral Trauma</term><term>Intracranial Hemorrhages</term><term>Labyrinthitis</term><term>Neck Injuries</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Brain Neoplasms</term><term>Intracranial Hemorrhages</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Complications postopératoires</term><term>Hémorragies intracrâniennes</term><term>Tumeurs du cerveau</term><term>Vertige positionnel paroxystique bénin</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="therapy" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Vertige positionnel paroxystique bénin</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Incidental Findings</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Nasal Surgical Procedures</term><term>Otologic Surgical Procedures</term><term>Retrospective Studies</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Hémorragies intracrâniennes</term><term>Imagerie par résonance magnétique</term><term>Jeune adulte</term><term>Labyrinthite</term><term>Maladie aigüe</term><term>Mâle</term><term>Procédures chirurgicales du nez</term><term>Procédures de chirurgie otologique</term><term>Résultats fortuits</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Traumatismes cranioencéphaliques</term><term>Traumatismes du cou</term><term>Tumeurs du cerveau</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To explore the aetiology of and to evaluate the importance of MRI investigation on the posterior semicircular canal benign paroxysmal positional vertigo in an Irish population.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A retrospective observational study of 500 patients with posterior semicircular canal benign paroxysmal positional vertigo, diagnosed and treated by the senior author over a 10-year period. Most patients underwent an MRI brain and inner ear, following the same scan protocol. This included T1 weighted sagittal IR-FSPGR volume, axial T2 weighted, gradient echo T2 weighted and FLAIR sequences plus time of flight cerebral angiography.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The average age of presentation was 56 years; with the overall female to male ratio was 1.6:1, which was largely the net results of 2 age groups. Over 30% of our patients recalled distinct aetiological triggers, of which the top 3 were trauma, infection, and surgery. These accounted for 16%, 6%, and 5%, respectively. More than 25% of the patients were discovered to have abnormal intracranial findings on MRI. The 2 most common non-infarct incidental findings were neoplasia and vascular abnormalities. Although fewer than 20 patients had acute intracranial haemorrhage or malignant tumours, most of them were urgently referred to neurosurgeon due to the life-threatening nature of the condition. One round of particle repositioning manoeuver was successful in treating 84% of the patients, and the 2-year recurrence rate was only 2.2%.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The diagnosis of posterior semicircular canal benign paroxysmal positional vertigo is thought to be relatively easy to make, and the treatment is highly effective. Clinicians should be fully aware of and prepared for the diverse aetiology, and thus have no hesitation in requesting MRI scan as an important investigation.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28943053</PMID><DateCompleted><Year>2018</Year><Month>10</Month><Day>16</Day></DateCompleted><DateRevised><Year>2018</Year><Month>10</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-1476</ISSN><JournalIssue CitedMedium="Internet"><Volume>45</Volume><Issue>2</Issue><PubDate><Year>2018</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Auris, nasus, larynx</Title><ISOAbbreviation>Auris Nasus Larynx</ISOAbbreviation></Journal><ArticleTitle>Our experience with 500 patients with benign paroxysmal positional vertigo: Reexploring aetiology and reevaluating MRI investigation.</ArticleTitle><Pagination><MedlinePgn>248-253</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0385-8146(17)30164-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.anl.2017.05.017</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To explore the aetiology of and to evaluate the importance of MRI investigation on the posterior semicircular canal benign paroxysmal positional vertigo in an Irish population.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective observational study of 500 patients with posterior semicircular canal benign paroxysmal positional vertigo, diagnosed and treated by the senior author over a 10-year period. Most patients underwent an MRI brain and inner ear, following the same scan protocol. This included T1 weighted sagittal IR-FSPGR volume, axial T2 weighted, gradient echo T2 weighted and FLAIR sequences plus time of flight cerebral angiography.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The average age of presentation was 56 years; with the overall female to male ratio was 1.6:1, which was largely the net results of 2 age groups. Over 30% of our patients recalled distinct aetiological triggers, of which the top 3 were trauma, infection, and surgery. These accounted for 16%, 6%, and 5%, respectively. More than 25% of the patients were discovered to have abnormal intracranial findings on MRI. The 2 most common non-infarct incidental findings were neoplasia and vascular abnormalities. Although fewer than 20 patients had acute intracranial haemorrhage or malignant tumours, most of them were urgently referred to neurosurgeon due to the life-threatening nature of the condition. One round of particle repositioning manoeuver was successful in treating 84% of the patients, and the 2-year recurrence rate was only 2.2%.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The diagnosis of posterior semicircular canal benign paroxysmal positional vertigo is thought to be relatively easy to make, and the treatment is highly effective. Clinicians should be fully aware of and prepared for the diverse aetiology, and thus have no hesitation in requesting MRI scan as an important investigation.</AbstractText><CopyrightInformation>Copyright © 2018 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tan</LastName><ForeName>Fei</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, St. James's Hospital, Dublin 8, Ireland. Electronic address: iatrologist@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bartels</LastName><ForeName>Constantin</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, Waterford Regional Hospital, Waterford, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Walsh</LastName><ForeName>Rory McConn</ForeName><Initials>RM</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, Beaumont Hospital and Blackrock Clinic, Dublin, Ireland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>09</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Auris Nasus Larynx</MedlineTA><NlmUniqueID>7708170</NlmUniqueID><ISSNLinking>0385-8146</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000208" MajorTopicYN="N">Acute Disease</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="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001932" MajorTopicYN="N">Brain Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006259" MajorTopicYN="N">Craniocerebral Trauma</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D033162" MajorTopicYN="N">Incidental Findings</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020300" MajorTopicYN="N">Intracranial Hemorrhages</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007762" MajorTopicYN="N">Labyrinthitis</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059747" MajorTopicYN="N">Nasal Surgical Procedures</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019838" MajorTopicYN="N">Neck Injuries</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013506" MajorTopicYN="N">Otologic Surgical Procedures</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D056888" MajorTopicYN="N">Patient Positioning</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Aetiology</Keyword><Keyword MajorTopicYN="N">Algorithm</Keyword><Keyword MajorTopicYN="N">BPPV</Keyword><Keyword MajorTopicYN="N">Demographics</Keyword><Keyword MajorTopicYN="N">Dix-Hallpike</Keyword><Keyword MajorTopicYN="N">Epley manoeuvre</Keyword><Keyword MajorTopicYN="N">European</Keyword><Keyword MajorTopicYN="N">Incidental finding</Keyword><Keyword MajorTopicYN="N">Infection</Keyword><Keyword MajorTopicYN="N">MRI</Keyword><Keyword MajorTopicYN="N">Scan</Keyword><Keyword MajorTopicYN="N">Semicircular canal</Keyword><Keyword MajorTopicYN="N">Surgery</Keyword><Keyword MajorTopicYN="N">Trauma</Keyword><Keyword MajorTopicYN="N">Tumour</Keyword><Keyword MajorTopicYN="N">Vertigo</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>02</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>05</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>05</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>9</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>10</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>9</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28943053</ArticleId><ArticleId IdType="pii">S0385-8146(17)30164-5</ArticleId><ArticleId IdType="doi">10.1016/j.anl.2017.05.017</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Irlande (pays)</li></country></list><tree><country name="Irlande (pays)"><noRegion><name sortKey="Tan, Fei" sort="Tan, Fei" uniqKey="Tan F" first="Fei" last="Tan">Fei Tan</name></noRegion><name sortKey="Bartels, Constantin" sort="Bartels, Constantin" uniqKey="Bartels C" first="Constantin" last="Bartels">Constantin Bartels</name><name sortKey="Walsh, Rory Mcconn" sort="Walsh, Rory Mcconn" uniqKey="Walsh R" first="Rory Mcconn" last="Walsh">Rory Mcconn Walsh</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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