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Classification, diagnostic criteria and management of benign paroxysmal positional vertigo.

Identifieur interne : 000113 ( Main/Exploration ); précédent : 000112; suivant : 000114

Classification, diagnostic criteria and management of benign paroxysmal positional vertigo.

Auteurs : Takao Imai [Japon] ; Noriaki Takeda [Japon] ; Tetsuo Ikezono [Japon] ; Kohichiro Shigeno [Japon] ; Masatsugu Asai [Japon] ; Yukio Watanabe [Japon] ; Mamoru Suzuki [Japon]

Source :

RBID : pubmed:27174206

Descripteurs français

English descriptors

Abstract

Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vertigo and the posterior and/or lateral semicircular canals are usually affected. BPPV is characterized by brief attacks of rotatory vertigo associated with positional and/or positioning nystagmus, which are elicited by specific head positions or changes in head position relative to gravity. In patients with the posterior-canal-type of BPPV, torsional nystagmus is induced by the Dix-Hallpike maneuver. In patients with the lateral-canal-type of BPPV, horizontal geotropic or apogeotropic nystagmus is induced by the supine roll test. The pathophysiology of BPPV is canalolithiasis comprising free-floating otoconial debris within the endolymph of a semicircular canal, or cupulolithiasis comprising otoconial debris adherent to the cupula. The observation of positional and/or positioning nystagmus is essential for the diagnosis of BPPV. BPPV is treated with the canalith repositioning procedure (CRP). Through a series of head position changes, the CRP moves otoconial debris from the affected semicircular canal to the utricle. In this review, we provide the classification, diagnostic criteria, and examinations for the diagnosis, and specific and non-specific treatments of BPPV in accordance with the Japanese practical guidelines on BPPV published by the Japan Society for Equilibrium Research.

DOI: 10.1016/j.anl.2016.03.013
PubMed: 27174206


Affiliations:


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Le document en format XML

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<term>Benign Paroxysmal Positional Vertigo (physiopathology)</term>
<term>Benign Paroxysmal Positional Vertigo (therapy)</term>
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<term>Nystagmus pathologique (physiopathologie)</term>
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<term>Vertige positionnel paroxystique bénin (classification)</term>
<term>Vertige positionnel paroxystique bénin (diagnostic)</term>
<term>Vertige positionnel paroxystique bénin (physiopathologie)</term>
<term>Vertige positionnel paroxystique bénin (thérapie)</term>
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<div type="abstract" xml:lang="en">Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vertigo and the posterior and/or lateral semicircular canals are usually affected. BPPV is characterized by brief attacks of rotatory vertigo associated with positional and/or positioning nystagmus, which are elicited by specific head positions or changes in head position relative to gravity. In patients with the posterior-canal-type of BPPV, torsional nystagmus is induced by the Dix-Hallpike maneuver. In patients with the lateral-canal-type of BPPV, horizontal geotropic or apogeotropic nystagmus is induced by the supine roll test. The pathophysiology of BPPV is canalolithiasis comprising free-floating otoconial debris within the endolymph of a semicircular canal, or cupulolithiasis comprising otoconial debris adherent to the cupula. The observation of positional and/or positioning nystagmus is essential for the diagnosis of BPPV. BPPV is treated with the canalith repositioning procedure (CRP). Through a series of head position changes, the CRP moves otoconial debris from the affected semicircular canal to the utricle. In this review, we provide the classification, diagnostic criteria, and examinations for the diagnosis, and specific and non-specific treatments of BPPV in accordance with the Japanese practical guidelines on BPPV published by the Japan Society for Equilibrium Research.</div>
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<Year>2017</Year>
<Month>3</Month>
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<Minute>0</Minute>
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<PubMedPubDate PubStatus="entrez">
<Year>2016</Year>
<Month>5</Month>
<Day>14</Day>
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<PublicationStatus>ppublish</PublicationStatus>
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<ArticleId IdType="pubmed">27174206</ArticleId>
<ArticleId IdType="pii">S0385-8146(16)30107-9</ArticleId>
<ArticleId IdType="doi">10.1016/j.anl.2016.03.013</ArticleId>
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<li>Japon</li>
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<li>Région de Kantō</li>
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<li>Tokyo</li>
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<tree>
<country name="Japon">
<noRegion>
<name sortKey="Imai, Takao" sort="Imai, Takao" uniqKey="Imai T" first="Takao" last="Imai">Takao Imai</name>
</noRegion>
<name sortKey="Asai, Masatsugu" sort="Asai, Masatsugu" uniqKey="Asai M" first="Masatsugu" last="Asai">Masatsugu Asai</name>
<name sortKey="Ikezono, Tetsuo" sort="Ikezono, Tetsuo" uniqKey="Ikezono T" first="Tetsuo" last="Ikezono">Tetsuo Ikezono</name>
<name sortKey="Shigeno, Kohichiro" sort="Shigeno, Kohichiro" uniqKey="Shigeno K" first="Kohichiro" last="Shigeno">Kohichiro Shigeno</name>
<name sortKey="Suzuki, Mamoru" sort="Suzuki, Mamoru" uniqKey="Suzuki M" first="Mamoru" last="Suzuki">Mamoru Suzuki</name>
<name sortKey="Takeda, Noriaki" sort="Takeda, Noriaki" uniqKey="Takeda N" first="Noriaki" last="Takeda">Noriaki Takeda</name>
<name sortKey="Watanabe, Yukio" sort="Watanabe, Yukio" uniqKey="Watanabe Y" first="Yukio" last="Watanabe">Yukio Watanabe</name>
</country>
</tree>
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</record>

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