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[Significance of the seated supine positioning nystagmus for the diagnosis of benign paroxysmal positional vertigo].

Identifieur interne : 000099 ( Main/Exploration ); précédent : 000098; suivant : 000100

[Significance of the seated supine positioning nystagmus for the diagnosis of benign paroxysmal positional vertigo].

Auteurs : X H Liang [République populaire de Chine] ; P Y Sun ; X. Peng ; J M Liu ; Z. Chen ; X Z Shan

Source :

RBID : pubmed:29871352

Descripteurs français

English descriptors

Abstract

Objective:To observe and assess the significance of seated supine positioning nystagmus (SSPN) in the diagnosis of benign paroxysmal positional vertigo(BPPV).Method:Two hundreds patients who were diagnosed BPPV were tested with the seated supine positioning test(SSPT) to observe SSPN,then were tested Supine roll test(SRT) and Dix-Hallpike test(DHT). According to the result of SRT and DHT,patients were divided into different groups. The positive rate and feature of SSPN in different types of BPPV was analyzed.Result:Among the 200 patients,116 cases(58.0%) of them showed SSPN. Among the 116 cases who were divided to the posterior semicircular canal BPPV(PSC-BPPV) group,72 cases of them showed SSPN. Horizontal semicircular canal BPPV(HSC-BPPV) group were 60 cases,44 cases showed SSPN. Anterior semicircular canal BPPV(ASC-BPPV) group were 4 cases and none of them showed SSPN. The direction of SSPN was a combination of torsional nystagmus with the upper pole of the eyes beating toward the affected side combined with vertical nystagmus beating upward (toward the forehead) typically in the PSC-BPPV group. Canalolithiasis of HSC were 41 cases,and 28 cases showed SSPN,and SSPN was contralesional in 22 cases(78.6%) and ipsilesional in 6 cases. Cupulolithiasis of HSC were 19 cases and 16 cases showed SSPN,and SSPN was ipsilesional in 16 cases.Conclusion:Significance of the seated supine positioning nystagmus in different types of BPPV is different.

DOI: 10.13201/j.issn.1001-1781.2017.09.014
PubMed: 29871352


Affiliations:


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Le document en format XML

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<name sortKey="Peng, X" sort="Peng, X" uniqKey="Peng X" first="X" last="Peng">X. Peng</name>
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<nlm:affiliation>Department of Otorhinolaryngology Head and Neck Surgery,Institute of Dizziness,General Hospital of Chinese People's Armed Police Forces.</nlm:affiliation>
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<name sortKey="Liu, J M" sort="Liu, J M" uniqKey="Liu J" first="J M" last="Liu">J M Liu</name>
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<term>Benign Paroxysmal Positional Vertigo (diagnosis)</term>
<term>Eye (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Nystagmus, Pathologic (diagnosis)</term>
<term>Posture (MeSH)</term>
<term>Semicircular Canals (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Canaux semicirculaires osseux (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Nystagmus pathologique (diagnostic)</term>
<term>Oeil (MeSH)</term>
<term>Posture (MeSH)</term>
<term>Vertige positionnel paroxystique bénin (diagnostic)</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" xml:lang="en">
<term>Eye</term>
<term>Humans</term>
<term>Posture</term>
<term>Semicircular Canals</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Canaux semicirculaires osseux</term>
<term>Humains</term>
<term>Oeil</term>
<term>Posture</term>
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<div type="abstract" xml:lang="en">
<b>Objective:</b>
To observe and assess the significance of seated supine positioning nystagmus (SSPN) in the diagnosis of benign paroxysmal positional vertigo(BPPV).
<b>Method:</b>
Two hundreds patients who were diagnosed BPPV were tested with the seated supine positioning test(SSPT) to observe SSPN,then were tested Supine roll test(SRT) and Dix-Hallpike test(DHT). According to the result of SRT and DHT,patients were divided into different groups. The positive rate and feature of SSPN in different types of BPPV was analyzed.
<b>Result:</b>
Among the 200 patients,116 cases(58.0%) of them showed SSPN. Among the 116 cases who were divided to the posterior semicircular canal BPPV(PSC-BPPV) group,72 cases of them showed SSPN. Horizontal semicircular canal BPPV(HSC-BPPV) group were 60 cases,44 cases showed SSPN. Anterior semicircular canal BPPV(ASC-BPPV) group were 4 cases and none of them showed SSPN. The direction of SSPN was a combination of torsional nystagmus with the upper pole of the eyes beating toward the affected side combined with vertical nystagmus beating upward (toward the forehead) typically in the PSC-BPPV group. Canalolithiasis of HSC were 41 cases,and 28 cases showed SSPN,and SSPN was contralesional in 22 cases(78.6%) and ipsilesional in 6 cases. Cupulolithiasis of HSC were 19 cases and 16 cases showed SSPN,and SSPN was ipsilesional in 16 cases.
<b>Conclusion:</b>
Significance of the seated supine positioning nystagmus in different types of BPPV is different.</div>
</front>
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<DateCompleted>
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<Month>11</Month>
<Day>26</Day>
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<Year>2018</Year>
<Month>11</Month>
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<Issue>9</Issue>
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<Day>05</Day>
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<Title>Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery</Title>
<ISOAbbreviation>Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi</ISOAbbreviation>
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<ArticleTitle>[Significance of the seated supine positioning nystagmus for the diagnosis of benign paroxysmal positional vertigo].</ArticleTitle>
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<Abstract>
<AbstractText>
<b>Objective:</b>
To observe and assess the significance of seated supine positioning nystagmus (SSPN) in the diagnosis of benign paroxysmal positional vertigo(BPPV).
<b>Method:</b>
Two hundreds patients who were diagnosed BPPV were tested with the seated supine positioning test(SSPT) to observe SSPN,then were tested Supine roll test(SRT) and Dix-Hallpike test(DHT). According to the result of SRT and DHT,patients were divided into different groups. The positive rate and feature of SSPN in different types of BPPV was analyzed.
<b>Result:</b>
Among the 200 patients,116 cases(58.0%) of them showed SSPN. Among the 116 cases who were divided to the posterior semicircular canal BPPV(PSC-BPPV) group,72 cases of them showed SSPN. Horizontal semicircular canal BPPV(HSC-BPPV) group were 60 cases,44 cases showed SSPN. Anterior semicircular canal BPPV(ASC-BPPV) group were 4 cases and none of them showed SSPN. The direction of SSPN was a combination of torsional nystagmus with the upper pole of the eyes beating toward the affected side combined with vertical nystagmus beating upward (toward the forehead) typically in the PSC-BPPV group. Canalolithiasis of HSC were 41 cases,and 28 cases showed SSPN,and SSPN was contralesional in 22 cases(78.6%) and ipsilesional in 6 cases. Cupulolithiasis of HSC were 19 cases and 16 cases showed SSPN,and SSPN was ipsilesional in 16 cases.
<b>Conclusion:</b>
Significance of the seated supine positioning nystagmus in different types of BPPV is different.</AbstractText>
<CopyrightInformation>Copyright© by the Editorial Department of Journal of Clinical Otorhinolaryngology Head and Neck Surgery.</CopyrightInformation>
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<LastName>Liang</LastName>
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<ISSNLinking>2096-7993</ISSNLinking>
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<MeshHeading>
<DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
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<MeshHeading>
<DescriptorName UI="D005123" MajorTopicYN="N">Eye</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D009759" MajorTopicYN="N">Nystagmus, Pathologic</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
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<MeshHeading>
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<MeshHeading>
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<Keyword MajorTopicYN="N">benign paroxysmal positional vertigo</Keyword>
<Keyword MajorTopicYN="N">diagnosis</Keyword>
<Keyword MajorTopicYN="N">seated supine positioning nystagmus</Keyword>
</KeywordList>
<CoiStatement>The authors of this article and the planning committee members and staff have no relevant financial relationships with commercial interests to disclose.</CoiStatement>
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<Day>13</Day>
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<Year>2018</Year>
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<PublicationStatus>ppublish</PublicationStatus>
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