Benign paroxysmal positional vertigo with simultaneous involvement of multiple semicircular canals.
Identifieur interne : 000191 ( Main/Exploration ); précédent : 000190; suivant : 000192Benign paroxysmal positional vertigo with simultaneous involvement of multiple semicircular canals.
Auteurs : Dae Bo Shim [Corée du Sud] ; Chang Eun Song [Corée du Sud] ; Eun Jung Jung [Corée du Sud] ; Kyung Min Ko [Corée du Sud] ; Jin Woo Park [Corée du Sud] ; Mee Hyun Song [Corée du Sud]Source :
- Korean journal of audiology [ 2092-9862 ] ; 2014.
Abstract
BACKGROUND AND OBJECTIVES
Benign paroxysmal positional vertigo (BPPV) generally involves a single semicircular canal (single canal BPPV) but it has been reported that more than one semicircular canal on either the same or the opposite side can be involved in 6.8-20% of the cases (multiple canal BPPV). In this study, the clinical characteristics of multiple canal BPPV were analyzed and compared to those of single canal BPPV.
MATERIALS AND METHODS
Retrospective analysis was performed on 1054 consecutive patients diagnosed with BPPV. Multiple canal BPPV was diagnosed when the combination of typical nystagmus was provoked by the Dix-Hallpike and supine head roll tests. Canalith repositioning maneuver was performed sequentially starting with the semicircular canal causing more severe nystagmus or symptoms. Clinical characteristics and the treatment course were statistically compared between single canal BPPV and multiple canal BPPV.
RESULTS
Among the 1054 patients, single canal BPPV was diagnosed in 1005 patients (95.4%) while multiple canal BPPV was diagnosed in 49 patients (4.6%). BPPV involving semicircular canals on the same side was more common (79.6%) than BPPV with bilateral involvement. The most common combination of the involved canals was ipsilateral posterior and horizontal semicircular canals (63.3%). Multiple canal BPPV was significantly more associated with underlying otologic diseases, especially labyrinthitis. Multiple canal BPPV required more treatment sessions and longer duration of treatment to achieve resolution of nystagmus and symptoms.
CONCLUSIONS
As all cases of multiple canal BPPV were treated successfully although a longer duration of treatment and more treatment sessions were required compared to single canal BPPV, the results of our study could aid in making an accurate diagnosis and providing appropriate treatment of multiple canal BPPV.
DOI: 10.7874/kja.2014.18.3.126
PubMed: 25558406
PubMed Central: PMC4280754
Affiliations:
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wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Myongji Hospital, Goyang, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Otorhinolaryngology, Myongji Hospital, Goyang</wicri:regionArea><wicri:noRegion>Goyang</wicri:noRegion></affiliation></author><author><name sortKey="Song, Chang Eun" sort="Song, Chang Eun" uniqKey="Song C" first="Chang Eun" last="Song">Chang Eun Song</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Myongji Hospital, Goyang, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Otorhinolaryngology, Myongji Hospital, Goyang</wicri:regionArea><wicri:noRegion>Goyang</wicri:noRegion></affiliation></author><author><name sortKey="Jung, Eun Jung" sort="Jung, Eun Jung" uniqKey="Jung E" first="Eun Jung" last="Jung">Eun Jung Jung</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Myongji Hospital, Goyang, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Otorhinolaryngology, Myongji Hospital, Goyang</wicri:regionArea><wicri:noRegion>Goyang</wicri:noRegion></affiliation></author><author><name sortKey="Ko, Kyung Min" sort="Ko, Kyung Min" uniqKey="Ko K" first="Kyung Min" last="Ko">Kyung Min Ko</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Myongji Hospital, Goyang, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Otorhinolaryngology, Myongji Hospital, Goyang</wicri:regionArea><wicri:noRegion>Goyang</wicri:noRegion></affiliation></author><author><name sortKey="Park, Jin Woo" sort="Park, Jin Woo" uniqKey="Park J" first="Jin Woo" last="Park">Jin Woo Park</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Myongji Hospital, Goyang, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Otorhinolaryngology, Myongji Hospital, Goyang</wicri:regionArea><wicri:noRegion>Goyang</wicri:noRegion></affiliation></author><author><name sortKey="Song, Mee Hyun" sort="Song, Mee Hyun" uniqKey="Song M" first="Mee Hyun" last="Song">Mee Hyun Song</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Myongji Hospital, Goyang, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Otorhinolaryngology, Myongji Hospital, Goyang</wicri:regionArea><wicri:noRegion>Goyang</wicri:noRegion></affiliation></author></analytic><series><title level="j">Korean journal of audiology</title><idno type="ISSN">2092-9862</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND OBJECTIVES</b></p><p>Benign paroxysmal positional vertigo (BPPV) generally involves a single semicircular canal (single canal BPPV) but it has been reported that more than one semicircular canal on either the same or the opposite side can be involved in 6.8-20% of the cases (multiple canal BPPV). In this study, the clinical characteristics of multiple canal BPPV were analyzed and compared to those of single canal BPPV.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b></p><p>Retrospective analysis was performed on 1054 consecutive patients diagnosed with BPPV. Multiple canal BPPV was diagnosed when the combination of typical nystagmus was provoked by the Dix-Hallpike and supine head roll tests. Canalith repositioning maneuver was performed sequentially starting with the semicircular canal causing more severe nystagmus or symptoms. Clinical characteristics and the treatment course were statistically compared between single canal BPPV and multiple canal BPPV.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Among the 1054 patients, single canal BPPV was diagnosed in 1005 patients (95.4%) while multiple canal BPPV was diagnosed in 49 patients (4.6%). BPPV involving semicircular canals on the same side was more common (79.6%) than BPPV with bilateral involvement. The most common combination of the involved canals was ipsilateral posterior and horizontal semicircular canals (63.3%). Multiple canal BPPV was significantly more associated with underlying otologic diseases, especially labyrinthitis. Multiple canal BPPV required more treatment sessions and longer duration of treatment to achieve resolution of nystagmus and symptoms.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>As all cases of multiple canal BPPV were treated successfully although a longer duration of treatment and more treatment sessions were required compared to single canal BPPV, the results of our study could aid in making an accurate diagnosis and providing appropriate treatment of multiple canal BPPV.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">25558406</PMID><DateCompleted><Year>2015</Year><Month>01</Month><Day>05</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>29</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2092-9862</ISSN><JournalIssue CitedMedium="Print"><Volume>18</Volume><Issue>3</Issue><PubDate><Year>2014</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Korean journal of audiology</Title><ISOAbbreviation>Korean J Audiol</ISOAbbreviation></Journal><ArticleTitle>Benign paroxysmal positional vertigo with simultaneous involvement of multiple semicircular canals.</ArticleTitle><Pagination><MedlinePgn>126-30</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.7874/kja.2014.18.3.126</ELocationID><Abstract><AbstractText Label="BACKGROUND AND OBJECTIVES" NlmCategory="OBJECTIVE">Benign paroxysmal positional vertigo (BPPV) generally involves a single semicircular canal (single canal BPPV) but it has been reported that more than one semicircular canal on either the same or the opposite side can be involved in 6.8-20% of the cases (multiple canal BPPV). In this study, the clinical characteristics of multiple canal BPPV were analyzed and compared to those of single canal BPPV.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Retrospective analysis was performed on 1054 consecutive patients diagnosed with BPPV. Multiple canal BPPV was diagnosed when the combination of typical nystagmus was provoked by the Dix-Hallpike and supine head roll tests. Canalith repositioning maneuver was performed sequentially starting with the semicircular canal causing more severe nystagmus or symptoms. Clinical characteristics and the treatment course were statistically compared between single canal BPPV and multiple canal BPPV.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Among the 1054 patients, single canal BPPV was diagnosed in 1005 patients (95.4%) while multiple canal BPPV was diagnosed in 49 patients (4.6%). BPPV involving semicircular canals on the same side was more common (79.6%) than BPPV with bilateral involvement. The most common combination of the involved canals was ipsilateral posterior and horizontal semicircular canals (63.3%). Multiple canal BPPV was significantly more associated with underlying otologic diseases, especially labyrinthitis. Multiple canal BPPV required more treatment sessions and longer duration of treatment to achieve resolution of nystagmus and symptoms.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">As all cases of multiple canal BPPV were treated successfully although a longer duration of treatment and more treatment sessions were required compared to single canal BPPV, the results of our study could aid in making an accurate diagnosis and providing appropriate treatment of multiple canal BPPV.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Shim</LastName><ForeName>Dae Bo</ForeName><Initials>DB</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Myongji Hospital, Goyang, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Song</LastName><ForeName>Chang Eun</ForeName><Initials>CE</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Myongji Hospital, Goyang, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jung</LastName><ForeName>Eun Jung</ForeName><Initials>EJ</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Myongji Hospital, Goyang, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ko</LastName><ForeName>Kyung Min</ForeName><Initials>KM</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Myongji Hospital, Goyang, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Park</LastName><ForeName>Jin Woo</ForeName><Initials>JW</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Myongji Hospital, Goyang, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Song</LastName><ForeName>Mee Hyun</ForeName><Initials>MH</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Myongji Hospital, Goyang, Korea.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>12</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>Korea (South)</Country><MedlineTA>Korean J Audiol</MedlineTA><NlmUniqueID>101537216</NlmUniqueID><ISSNLinking>2092-9862</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Benign paroxysmal positional vertigo</Keyword><Keyword MajorTopicYN="N">Labyrinthitis</Keyword><Keyword MajorTopicYN="N">Multiple</Keyword><Keyword MajorTopicYN="N">Semicircular canal</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>11</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>11</Month><Day>28</Day></PubMedPubDate><PubMedPubDate 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Feb;118(2):113-7</Citation><ArticleIdList><ArticleId IdType="pubmed">19326761</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Shim, Dae Bo" sort="Shim, Dae Bo" uniqKey="Shim D" first="Dae Bo" last="Shim">Dae Bo Shim</name></noRegion><name sortKey="Jung, Eun Jung" sort="Jung, Eun Jung" uniqKey="Jung E" first="Eun Jung" last="Jung">Eun Jung Jung</name><name sortKey="Ko, Kyung Min" sort="Ko, Kyung Min" uniqKey="Ko K" first="Kyung Min" last="Ko">Kyung Min Ko</name><name sortKey="Park, Jin Woo" sort="Park, Jin Woo" uniqKey="Park J" first="Jin Woo" last="Park">Jin Woo Park</name><name sortKey="Song, Chang Eun" sort="Song, Chang Eun" uniqKey="Song C" first="Chang Eun" last="Song">Chang Eun Song</name><name sortKey="Song, Mee Hyun" sort="Song, Mee Hyun" uniqKey="Song M" first="Mee Hyun" last="Song">Mee Hyun 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