TestDixHallpikeV1, Main, Exploration, bibRecord, 000089

Causes of Persistent Positional Vertigo Following Posterior Semicircular Canal Occlusion for Benign Paroxysmal Positional Vertigo.

Identifieur interne : 000089 ( Main/Exploration ); précédent : 000088; suivant : 000090

Causes of Persistent Positional Vertigo Following Posterior Semicircular Canal Occlusion for Benign Paroxysmal Positional Vertigo.

Auteurs : Alexander L. Luryi [États-Unis] ; Christopher A. Schutt [États-Unis] ; Dennis I. Bojrab [États-Unis] ; Michael Larouere [États-Unis] ; John Zappia [États-Unis] ; Eric W. Sargent [États-Unis] ; Seilesh Babu [États-Unis]

Source :

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [ 1537-4505 ] ; 2018.

RBID : pubmed:30239433

Descripteurs français

English descriptors

KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Benign Paroxysmal Positional Vertigo (surgery), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Otologic Surgical Procedures (MeSH), Recurrence (MeSH), Retrospective Studies (MeSH), Semicircular Canals (surgery), Treatment Outcome (MeSH), Young Adult (MeSH).
MESH :
- surgery : Benign Paroxysmal Positional Vertigo, Semicircular Canals.
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Otologic Surgical Procedures, Recurrence, Retrospective Studies, Treatment Outcome, Young Adult.

Abstract

OBJECTIVE

To report causes of persistent recalcitrant positional vertigo (PRPV) after posterior semicircular canal occlusion (PSCO) for benign paroxysmal positional vertigo (BPPV).

STUDY DESIGN

Retrospective chart review.

SETTING

Single high-volume otology practice.

PATIENTS

Patients diagnosed with BPPV from 2007 to 2017.

INTERVENTION

PSCO and follow-up care including diagnostic and particle repositioning maneuvers for recurrent BPPV.

MAIN OUTCOME MEASURES

PRPV, defined as recalcitrant positional vertigo for any reason following PSCO.

RESULTS

Twenty seven PSCO operations were performed in 26 patients. Twenty five patients (96.2%) had resolution of the Dix-Hallpike test in the operated ear. Eleven patients (42.3%) developed BPPV postoperatively, three (11.5%) in the operated ear and eight (30.8%) in the contralateral ear. Five of eight patients (62.5%) who developed contralateral BPPV had unilateral BPPV preoperatively. Eight patients (30.8%) developed BPPV at least twice after surgery or did not resolve, qualifying as PRPV, and all but one of these events occurred in the nonsurgical ear. No instances of cerebrospinal fluid leak, postoperative infection, facial palsy, clinically significant hearing loss, or death occurred.

CONCLUSIONS

PSCO is a safe and effective option for recalcitrant BPPV. However, 30.8% of patients, including patients with initially unilateral BPPV, had recalcitrant positional vertigo postoperatively, usually due to contralateral BPPV. Patients considering PSCO should be counseled regarding this risk to ensure realistic expectations.

DOI: 10.1097/MAO.0000000000001990
PubMed: 30239433

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en">Causes of Persistent Positional Vertigo Following Posterior Semicircular Canal Occlusion for Benign Paroxysmal Positional Vertigo.</title>
<author><name sortKey="Luryi, Alexander L" sort="Luryi, Alexander L" uniqKey="Luryi A" first="Alexander L" last="Luryi">Alexander L. Luryi</name>
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<country xml:lang="fr">États-Unis</country>
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<series><title level="j">Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</title>
<idno type="eISSN">1537-4505</idno>
<imprint><date when="2018" type="published">2018</date>
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<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 (surgery)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Otologic Surgical Procedures (MeSH)</term>
<term>Recurrence (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Semicircular Canals (surgery)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Canaux semicirculaires osseux (chirurgie)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Procédures de chirurgie otologique (MeSH)</term>
<term>Récidive (MeSH)</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 (chirurgie)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Canaux semicirculaires osseux</term>
<term>Vertige positionnel paroxystique bénin</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
<term>Semicircular Canals</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Otologic Surgical Procedures</term>
<term>Recurrence</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Procédures de chirurgie otologique</term>
<term>Récidive</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To report causes of persistent recalcitrant positional vertigo (PRPV) after posterior semicircular canal occlusion (PSCO) for benign paroxysmal positional vertigo (BPPV).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b>
</p>
<p>Retrospective chart review.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTING</b>
</p>
<p>Single high-volume otology practice.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PATIENTS</b>
</p>
<p>Patients diagnosed with BPPV from 2007 to 2017.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INTERVENTION</b>
</p>
<p>PSCO and follow-up care including diagnostic and particle repositioning maneuvers for recurrent BPPV.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b>
</p>
<p>PRPV, defined as recalcitrant positional vertigo for any reason following PSCO.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Twenty seven PSCO operations were performed in 26 patients. Twenty five patients (96.2%) had resolution of the Dix-Hallpike test in the operated ear. Eleven patients (42.3%) developed BPPV postoperatively, three (11.5%) in the operated ear and eight (30.8%) in the contralateral ear. Five of eight patients (62.5%) who developed contralateral BPPV had unilateral BPPV preoperatively. Eight patients (30.8%) developed BPPV at least twice after surgery or did not resolve, qualifying as PRPV, and all but one of these events occurred in the nonsurgical ear. No instances of cerebrospinal fluid leak, postoperative infection, facial palsy, clinically significant hearing loss, or death occurred.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>PSCO is a safe and effective option for recalcitrant BPPV. However, 30.8% of patients, including patients with initially unilateral BPPV, had recalcitrant positional vertigo postoperatively, usually due to contralateral BPPV. Patients considering PSCO should be counseled regarding this risk to ensure realistic expectations.</p>
</div>
</front>
</TEI>
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<DateCompleted><Year>2019</Year>
<Month>11</Month>
<Day>05</Day>
</DateCompleted>
<DateRevised><Year>2019</Year>
<Month>11</Month>
<Day>05</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1537-4505</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>39</Volume>
<Issue>10</Issue>
<PubDate><Year>2018</Year>
<Month>12</Month>
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<Title>Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</Title>
<ISOAbbreviation>Otol Neurotol</ISOAbbreviation>
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<ArticleTitle>Causes of Persistent Positional Vertigo Following Posterior Semicircular Canal Occlusion for Benign Paroxysmal Positional Vertigo.</ArticleTitle>
<Pagination><MedlinePgn>e1078-e1083</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1097/MAO.0000000000001990</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE">To report causes of persistent recalcitrant positional vertigo (PRPV) after posterior semicircular canal occlusion (PSCO) for benign paroxysmal positional vertigo (BPPV).</AbstractText>
<AbstractText Label="STUDY DESIGN">Retrospective chart review.</AbstractText>
<AbstractText Label="SETTING">Single high-volume otology practice.</AbstractText>
<AbstractText Label="PATIENTS">Patients diagnosed with BPPV from 2007 to 2017.</AbstractText>
<AbstractText Label="INTERVENTION">PSCO and follow-up care including diagnostic and particle repositioning maneuvers for recurrent BPPV.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES">PRPV, defined as recalcitrant positional vertigo for any reason following PSCO.</AbstractText>
<AbstractText Label="RESULTS">Twenty seven PSCO operations were performed in 26 patients. Twenty five patients (96.2%) had resolution of the Dix-Hallpike test in the operated ear. Eleven patients (42.3%) developed BPPV postoperatively, three (11.5%) in the operated ear and eight (30.8%) in the contralateral ear. Five of eight patients (62.5%) who developed contralateral BPPV had unilateral BPPV preoperatively. Eight patients (30.8%) developed BPPV at least twice after surgery or did not resolve, qualifying as PRPV, and all but one of these events occurred in the nonsurgical ear. No instances of cerebrospinal fluid leak, postoperative infection, facial palsy, clinically significant hearing loss, or death occurred.</AbstractText>
<AbstractText Label="CONCLUSIONS">PSCO is a safe and effective option for recalcitrant BPPV. However, 30.8% of patients, including patients with initially unilateral BPPV, had recalcitrant positional vertigo postoperatively, usually due to contralateral BPPV. Patients considering PSCO should be counseled regarding this risk to ensure realistic expectations.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Luryi</LastName>
<ForeName>Alexander L</ForeName>
<Initials>AL</Initials>
<AffiliationInfo><Affiliation>Department of Surgery, Yale University School of Medicine, New Haven, Connecticut.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Schutt</LastName>
<ForeName>Christopher A</ForeName>
<Initials>CA</Initials>
<AffiliationInfo><Affiliation>Department of Neurotology, Michigan Ear Institute, St. John Providence Hospital and Medical Centers, Farmington Hills, Michigan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bojrab</LastName>
<ForeName>Dennis I</ForeName>
<Initials>DI</Initials>
<AffiliationInfo><Affiliation>Department of Neurotology, Michigan Ear Institute, St. John Providence Hospital and Medical Centers, Farmington Hills, Michigan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>LaRouere</LastName>
<ForeName>Michael</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Neurotology, Michigan Ear Institute, St. John Providence Hospital and Medical Centers, Farmington Hills, Michigan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zappia</LastName>
<ForeName>John</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Neurotology, Michigan Ear Institute, St. John Providence Hospital and Medical Centers, Farmington Hills, Michigan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sargent</LastName>
<ForeName>Eric W</ForeName>
<Initials>EW</Initials>
<AffiliationInfo><Affiliation>Department of Neurotology, Michigan Ear Institute, St. John Providence Hospital and Medical Centers, Farmington Hills, Michigan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Babu</LastName>
<ForeName>Seilesh</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Neurotology, Michigan Ear Institute, St. John Providence Hospital and Medical Centers, Farmington Hills, Michigan.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
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<NlmUniqueID>100961504</NlmUniqueID>
<ISSNLinking>1531-7129</ISSNLinking>
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<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="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013506" MajorTopicYN="N">Otologic Surgical Procedures</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2018</Year>
<Month>9</Month>
<Day>22</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2019</Year>
<Month>11</Month>
<Day>7</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2018</Year>
<Month>9</Month>
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<ArticleIdList><ArticleId IdType="pubmed">30239433</ArticleId>
<ArticleId IdType="doi">10.1097/MAO.0000000000001990</ArticleId>
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<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Connecticut</li>
<li>Michigan</li>
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<tree><country name="États-Unis"><region name="Connecticut"><name sortKey="Luryi, Alexander L" sort="Luryi, Alexander L" uniqKey="Luryi A" first="Alexander L" last="Luryi">Alexander L. Luryi</name>
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<name sortKey="Babu, Seilesh" sort="Babu, Seilesh" uniqKey="Babu S" first="Seilesh" last="Babu">Seilesh Babu</name>
<name sortKey="Bojrab, Dennis I" sort="Bojrab, Dennis I" uniqKey="Bojrab D" first="Dennis I" last="Bojrab">Dennis I. Bojrab</name>
<name sortKey="Larouere, Michael" sort="Larouere, Michael" uniqKey="Larouere M" first="Michael" last="Larouere">Michael Larouere</name>
<name sortKey="Sargent, Eric W" sort="Sargent, Eric W" uniqKey="Sargent E" first="Eric W" last="Sargent">Eric W. Sargent</name>
<name sortKey="Schutt, Christopher A" sort="Schutt, Christopher A" uniqKey="Schutt C" first="Christopher A" last="Schutt">Christopher A. Schutt</name>
<name sortKey="Zappia, John" sort="Zappia, John" uniqKey="Zappia J" first="John" last="Zappia">John Zappia</name>
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{{Explor lien
   |wiki=    Sante
   |area=    TestDixHallpikeV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     pubmed:30239433
   |texte=   Causes of Persistent Positional Vertigo Following Posterior Semicircular Canal Occlusion for Benign Paroxysmal Positional Vertigo.
}}

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	Serveur d'exploration sur le test Dix-Hallpike
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Serveur d'exploration sur le test Dix-Hallpike

Causes of Persistent Positional Vertigo Following Posterior Semicircular Canal Occlusion for Benign Paroxysmal Positional Vertigo.

Causes of Persistent Positional Vertigo Following Posterior Semicircular Canal Occlusion for Benign Paroxysmal Positional Vertigo.

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