Management of benign paroxysmal positional vertigo with the canalith repositioning maneuver in the emergency department setting.
Identifieur interne : 000270 ( Main/Exploration ); précédent : 000269; suivant : 000271Management of benign paroxysmal positional vertigo with the canalith repositioning maneuver in the emergency department setting.
Auteurs : David B. Burmeister [États-Unis] ; Regina Sacco ; Valerie RuppSource :
- The Journal of the American Osteopathic Association [ 1945-1997 ] ; 2010.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- methods : Manipulation, Osteopathic.
- therapy : Vertigo.
- Adult, Benign Paroxysmal Positional Vertigo, Emergency Service, Hospital, Female, Humans, Physical Therapy Modalities.
Abstract
Vertigo is a common clinical manifestation in the emergency department (ED). It is important for physicians to determine if the peripheral cause of vertigo is benign paroxysmal positional vertigo (BPPV), a disorder accounting for 20% of all vertigo cases. However, the Dix-Hallpike test--the standard for BPPV diagnosis--is not common in the ED setting. If no central origin of the vertigo is determined, patients in the ED are typically treated with benzodiazepine, antihistamine, or anticholinergic agents. Studies have shown that these pharmaceutical treatment options may not be the best for patients with BPPV. The authors describe a case of a 38-year-old woman who presented to the ED with complaints of severe, sudden-onset vertigo. The patient's BPPV was diagnosed by means of a Dix-Hallpike test and the patient was acutely treated in the ED with physical therapy using the canalith repositioning maneuver.
PubMed: 21068225
Affiliations:
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Le document en format XML
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Burmeister</name><affiliation wicri:level="2"><nlm:affiliation>Lehigh Valley Health Network, Department of Emergency Medicine, 1240 S Cedar Crest Blvd, Suite 214, Allentown, PA 18103-6218, USA. david_b.burmeister@lvh.com</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Lehigh Valley Health Network, Department of Emergency Medicine, 1240 S Cedar Crest Blvd, Suite 214, Allentown, PA 18103-6218</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Sacco, Regina" sort="Sacco, Regina" uniqKey="Sacco R" first="Regina" last="Sacco">Regina Sacco</name></author><author><name sortKey="Rupp, Valerie" sort="Rupp, Valerie" uniqKey="Rupp V" first="Valerie" last="Rupp">Valerie Rupp</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:21068225</idno><idno type="pmid">21068225</idno><idno type="wicri:Area/Main/Corpus">000256</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000256</idno><idno type="wicri:Area/Main/Curation">000256</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000256</idno><idno type="wicri:Area/Main/Exploration">000256</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Management of benign paroxysmal positional vertigo with the canalith repositioning maneuver in the emergency department setting.</title><author><name sortKey="Burmeister, David B" sort="Burmeister, David B" uniqKey="Burmeister D" first="David B" last="Burmeister">David B. Burmeister</name><affiliation wicri:level="2"><nlm:affiliation>Lehigh Valley Health Network, Department of Emergency Medicine, 1240 S Cedar Crest Blvd, Suite 214, Allentown, PA 18103-6218, USA. david_b.burmeister@lvh.com</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Lehigh Valley Health Network, Department of Emergency Medicine, 1240 S Cedar Crest Blvd, Suite 214, Allentown, PA 18103-6218</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Sacco, Regina" sort="Sacco, Regina" uniqKey="Sacco R" first="Regina" last="Sacco">Regina Sacco</name></author><author><name sortKey="Rupp, Valerie" sort="Rupp, Valerie" uniqKey="Rupp V" first="Valerie" last="Rupp">Valerie Rupp</name></author></analytic><series><title level="j">The Journal of the American Osteopathic Association</title><idno type="eISSN">1945-1997</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Benign Paroxysmal Positional Vertigo (MeSH)</term><term>Emergency Service, Hospital (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Manipulation, Osteopathic (methods)</term><term>Physical Therapy Modalities (MeSH)</term><term>Vertigo (therapy)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Manipulation ostéopathique (méthodes)</term><term>Service hospitalier d'urgences (MeSH)</term><term>Techniques de physiothérapie (MeSH)</term><term>Vertige (thérapie)</term><term>Vertige positionnel paroxystique bénin (MeSH)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Manipulation, Osteopathic</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Manipulation ostéopathique</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Vertige</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Benign Paroxysmal Positional Vertigo</term><term>Emergency Service, Hospital</term><term>Female</term><term>Humans</term><term>Physical Therapy Modalities</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Femelle</term><term>Humains</term><term>Service hospitalier d'urgences</term><term>Techniques de physiothérapie</term><term>Vertige positionnel paroxystique bénin</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Vertigo is a common clinical manifestation in the emergency department (ED). It is important for physicians to determine if the peripheral cause of vertigo is benign paroxysmal positional vertigo (BPPV), a disorder accounting for 20% of all vertigo cases. However, the Dix-Hallpike test--the standard for BPPV diagnosis--is not common in the ED setting. If no central origin of the vertigo is determined, patients in the ED are typically treated with benzodiazepine, antihistamine, or anticholinergic agents. Studies have shown that these pharmaceutical treatment options may not be the best for patients with BPPV. The authors describe a case of a 38-year-old woman who presented to the ED with complaints of severe, sudden-onset vertigo. The patient's BPPV was diagnosed by means of a Dix-Hallpike test and the patient was acutely treated in the ED with physical therapy using the canalith repositioning maneuver.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21068225</PMID><DateCompleted><Year>2011</Year><Month>03</Month><Day>07</Day></DateCompleted><DateRevised><Year>2014</Year><Month>11</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1945-1997</ISSN><JournalIssue CitedMedium="Internet"><Volume>110</Volume><Issue>10</Issue><PubDate><Year>2010</Year><Month>Oct</Month></PubDate></JournalIssue><Title>The Journal of the American Osteopathic Association</Title><ISOAbbreviation>J Am Osteopath Assoc</ISOAbbreviation></Journal><ArticleTitle>Management of benign paroxysmal positional vertigo with the canalith repositioning maneuver in the emergency department setting.</ArticleTitle><Pagination><MedlinePgn>602-4</MedlinePgn></Pagination><Abstract><AbstractText>Vertigo is a common clinical manifestation in the emergency department (ED). It is important for physicians to determine if the peripheral cause of vertigo is benign paroxysmal positional vertigo (BPPV), a disorder accounting for 20% of all vertigo cases. However, the Dix-Hallpike test--the standard for BPPV diagnosis--is not common in the ED setting. If no central origin of the vertigo is determined, patients in the ED are typically treated with benzodiazepine, antihistamine, or anticholinergic agents. Studies have shown that these pharmaceutical treatment options may not be the best for patients with BPPV. The authors describe a case of a 38-year-old woman who presented to the ED with complaints of severe, sudden-onset vertigo. The patient's BPPV was diagnosed by means of a Dix-Hallpike test and the patient was acutely treated in the ED with physical therapy using the canalith repositioning maneuver.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Burmeister</LastName><ForeName>David B</ForeName><Initials>DB</Initials><AffiliationInfo><Affiliation>Lehigh Valley Health Network, Department of Emergency Medicine, 1240 S Cedar Crest Blvd, Suite 214, Allentown, PA 18103-6218, USA. david_b.burmeister@lvh.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sacco</LastName><ForeName>Regina</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Rupp</LastName><ForeName>Valerie</ForeName><Initials>V</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Am Osteopath Assoc</MedlineTA><NlmUniqueID>7503065</NlmUniqueID><ISSNLinking>0098-6151</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="Y">Emergency Service, Hospital</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D026301" MajorTopicYN="N">Manipulation, Osteopathic</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="N">Physical Therapy Modalities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>11</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>11</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>3</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21068225</ArticleId><ArticleId IdType="pii">110/10/602</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Pennsylvanie</li></region></list><tree><noCountry><name sortKey="Rupp, Valerie" sort="Rupp, Valerie" uniqKey="Rupp V" first="Valerie" last="Rupp">Valerie Rupp</name><name sortKey="Sacco, Regina" sort="Sacco, Regina" uniqKey="Sacco R" first="Regina" last="Sacco">Regina Sacco</name></noCountry><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Burmeister, David B" sort="Burmeister, David B" uniqKey="Burmeister D" first="David B" last="Burmeister">David B. 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