Multiple positional nystagmus suggests multiple canal involvement in benign paroxysmal vertigo.
Identifieur interne : 000337 ( Main/Exploration ); précédent : 000336; suivant : 000338Multiple positional nystagmus suggests multiple canal involvement in benign paroxysmal vertigo.
Auteurs : Jose A. Lopez-Escamez [Espagne] ; Maria I. Molina ; Maria Gamiz ; Antonio J. Fernandez-Perez ; Manuel Gomez ; Maria J. Palma ; Cristobal ZapataSource :
- Acta oto-laryngologica [ 0001-6489 ] ; 2005.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Canaux semicirculaires osseux (physiopathologie), Enregistrement sur magnétoscope (MeSH), Femelle (MeSH), Humains (MeSH), Mouvements de la tête (MeSH), Mâle (MeSH), Nystagmus physiologique (physiologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vertige (physiopathologie), Épreuves vestibulaires (MeSH), Épreuves vestibulaires caloriques (MeSH).
- MESH :
- physiologie : Nystagmus physiologique.
- physiopathologie : Canaux semicirculaires osseux, Vertige.
- Adulte, Adulte d'âge moyen, Enregistrement sur magnétoscope, Femelle, Humains, Mouvements de la tête, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Épreuves vestibulaires, Épreuves vestibulaires caloriques.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Caloric Tests (MeSH), Female (MeSH), Head Movements (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Nystagmus, Physiologic (physiology), Semicircular Canals (physiopathology), Vertigo (physiopathology), Vestibular Function Tests (MeSH), Video Recording (MeSH).
- MESH :
- physiology : Nystagmus, Physiologic.
- physiopathology : Semicircular Canals, Vertigo.
- Adult, Aged, Aged, 80 and over, Caloric Tests, Female, Head Movements, Humans, Male, Middle Aged, Vestibular Function Tests, Video Recording.
Abstract
CONCLUSION
Video-oculography demonstrates a higher occurrence of atypical positional nystagmus in patients with benign paroxysmal positional vertigo (BPPV). This includes anterior and horizontal canal variants and multiple positional nystagmus, suggesting combined lesions affecting several canals.
OBJECTIVE
To analyse the video-oculographic findings of positional tests in patients with BPPV.
MATERIAL AND METHODS
Seventy individuals with symptoms of BPPV and positional nystagmus were included in this study. The diagnosis was based on a history of brief episodes of vertigo and the presence of positional nystagmus as confirmed by video-oculographic examination during the Dix-Hallpike test, the McClure test or the head-hanging manoeuvre. Patients were treated by means of different particle repositioning manoeuvres according to the affected canal (Epley's manoeuvre for the posterior or anterior canals and Lempert's manoeuvre for the lateral canal) and the effectiveness was evaluated at 7 and 30 days.
RESULTS
Twenty-nine individuals (41.43%) presented an affected unilateral posterior canal. Fifteen patients (21.43%) presented a pure horizontal direction-changing positional nystagmus consistent with a diagnosis of horizontal canal BPPV. Twelve individuals (17.14%) presented a unilateral down-beating nystagmus, suggesting possible anterior canal BPPV. In addition, 14 patients (20%) showed multiple positional nystagmus during the examination corresponding to simultaneous multi-canal BPPV, 5 had bilateral posterior canal BPPV and 2 presented a positional down-beating nystagmus in both left and right Dix-Hallpike manoeuvres and the head-hanging manoeuvre, which is highly suggestive of anterior canal BPPV. However, seven individuals showed positional horizontal and vertical side-changing nystagmus that could not be explained by single-canal BPPV. These patients with multiple positional nystagmus showed changing patterns of positional nystagmus at follow-up.
DOI: 10.1080/00016480510040146
PubMed: 16193587
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Molina</name></author><author><name sortKey="Gamiz, Maria" sort="Gamiz, Maria" uniqKey="Gamiz M" first="Maria" last="Gamiz">Maria Gamiz</name></author><author><name sortKey="Fernandez Perez, Antonio J" sort="Fernandez Perez, Antonio J" uniqKey="Fernandez Perez A" first="Antonio J" last="Fernandez-Perez">Antonio J. Fernandez-Perez</name></author><author><name sortKey="Gomez, Manuel" sort="Gomez, Manuel" uniqKey="Gomez M" first="Manuel" last="Gomez">Manuel Gomez</name></author><author><name sortKey="Palma, Maria J" sort="Palma, Maria J" uniqKey="Palma M" first="Maria J" last="Palma">Maria J. Palma</name></author><author><name sortKey="Zapata, Cristobal" sort="Zapata, Cristobal" uniqKey="Zapata C" first="Cristobal" last="Zapata">Cristobal Zapata</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2005">2005</date><idno type="RBID">pubmed:16193587</idno><idno type="pmid">16193587</idno><idno type="doi">10.1080/00016480510040146</idno><idno type="wicri:Area/Main/Corpus">000333</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000333</idno><idno type="wicri:Area/Main/Curation">000333</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000333</idno><idno type="wicri:Area/Main/Exploration">000333</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Multiple positional nystagmus suggests multiple canal involvement in benign paroxysmal vertigo.</title><author><name sortKey="Lopez Escamez, Jose A" sort="Lopez Escamez, Jose A" uniqKey="Lopez Escamez J" first="Jose A" last="Lopez-Escamez">Jose A. Lopez-Escamez</name><affiliation wicri:level="1"><nlm:affiliation>Otology and Neurotology Group, CTS495, Department of Surgery, Hospital de Poniente de Almería, El Ejido, Almería, Spain. jalopeze@cajamar.es</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Otology and Neurotology Group, CTS495, Department of Surgery, Hospital de Poniente de Almería, El Ejido, Almería</wicri:regionArea><wicri:noRegion>Almería</wicri:noRegion></affiliation></author><author><name sortKey="Molina, Maria I" sort="Molina, Maria I" uniqKey="Molina M" first="Maria I" last="Molina">Maria I. Molina</name></author><author><name sortKey="Gamiz, Maria" sort="Gamiz, Maria" uniqKey="Gamiz M" first="Maria" last="Gamiz">Maria Gamiz</name></author><author><name sortKey="Fernandez Perez, Antonio J" sort="Fernandez Perez, Antonio J" uniqKey="Fernandez Perez A" first="Antonio J" last="Fernandez-Perez">Antonio J. Fernandez-Perez</name></author><author><name sortKey="Gomez, Manuel" sort="Gomez, Manuel" uniqKey="Gomez M" first="Manuel" last="Gomez">Manuel Gomez</name></author><author><name sortKey="Palma, Maria J" sort="Palma, Maria J" uniqKey="Palma M" first="Maria J" last="Palma">Maria J. Palma</name></author><author><name sortKey="Zapata, Cristobal" sort="Zapata, Cristobal" uniqKey="Zapata C" first="Cristobal" last="Zapata">Cristobal Zapata</name></author></analytic><series><title level="j">Acta oto-laryngologica</title><idno type="ISSN">0001-6489</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Caloric Tests (MeSH)</term><term>Female (MeSH)</term><term>Head Movements (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Nystagmus, Physiologic (physiology)</term><term>Semicircular Canals (physiopathology)</term><term>Vertigo (physiopathology)</term><term>Vestibular Function Tests (MeSH)</term><term>Video Recording (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Canaux semicirculaires osseux (physiopathologie)</term><term>Enregistrement sur magnétoscope (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mouvements de la tête (MeSH)</term><term>Mâle (MeSH)</term><term>Nystagmus physiologique (physiologie)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Vertige (physiopathologie)</term><term>Épreuves vestibulaires (MeSH)</term><term>Épreuves vestibulaires caloriques (MeSH)</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Nystagmus physiologique</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Nystagmus, Physiologic</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Canaux semicirculaires osseux</term><term>Vertige</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Semicircular Canals</term><term>Vertigo</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Caloric Tests</term><term>Female</term><term>Head Movements</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Vestibular Function Tests</term><term>Video Recording</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enregistrement sur magnétoscope</term><term>Femelle</term><term>Humains</term><term>Mouvements de la tête</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Épreuves vestibulaires</term><term>Épreuves vestibulaires caloriques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Video-oculography demonstrates a higher occurrence of atypical positional nystagmus in patients with benign paroxysmal positional vertigo (BPPV). This includes anterior and horizontal canal variants and multiple positional nystagmus, suggesting combined lesions affecting several canals.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To analyse the video-oculographic findings of positional tests in patients with BPPV.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b></p><p>Seventy individuals with symptoms of BPPV and positional nystagmus were included in this study. The diagnosis was based on a history of brief episodes of vertigo and the presence of positional nystagmus as confirmed by video-oculographic examination during the Dix-Hallpike test, the McClure test or the head-hanging manoeuvre. Patients were treated by means of different particle repositioning manoeuvres according to the affected canal (Epley's manoeuvre for the posterior or anterior canals and Lempert's manoeuvre for the lateral canal) and the effectiveness was evaluated at 7 and 30 days.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Twenty-nine individuals (41.43%) presented an affected unilateral posterior canal. Fifteen patients (21.43%) presented a pure horizontal direction-changing positional nystagmus consistent with a diagnosis of horizontal canal BPPV. Twelve individuals (17.14%) presented a unilateral down-beating nystagmus, suggesting possible anterior canal BPPV. In addition, 14 patients (20%) showed multiple positional nystagmus during the examination corresponding to simultaneous multi-canal BPPV, 5 had bilateral posterior canal BPPV and 2 presented a positional down-beating nystagmus in both left and right Dix-Hallpike manoeuvres and the head-hanging manoeuvre, which is highly suggestive of anterior canal BPPV. However, seven individuals showed positional horizontal and vertical side-changing nystagmus that could not be explained by single-canal BPPV. These patients with multiple positional nystagmus showed changing patterns of positional nystagmus at follow-up.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16193587</PMID><DateCompleted><Year>2005</Year><Month>12</Month><Day>29</Day></DateCompleted><DateRevised><Year>2019</Year><Month>07</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0001-6489</ISSN><JournalIssue CitedMedium="Print"><Volume>125</Volume><Issue>9</Issue><PubDate><Year>2005</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Acta oto-laryngologica</Title><ISOAbbreviation>Acta Otolaryngol</ISOAbbreviation></Journal><ArticleTitle>Multiple positional nystagmus suggests multiple canal involvement in benign paroxysmal vertigo.</ArticleTitle><Pagination><MedlinePgn>954-61</MedlinePgn></Pagination><Abstract><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Video-oculography demonstrates a higher occurrence of atypical positional nystagmus in patients with benign paroxysmal positional vertigo (BPPV). This includes anterior and horizontal canal variants and multiple positional nystagmus, suggesting combined lesions affecting several canals.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To analyse the video-oculographic findings of positional tests in patients with BPPV.</AbstractText><AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Seventy individuals with symptoms of BPPV and positional nystagmus were included in this study. The diagnosis was based on a history of brief episodes of vertigo and the presence of positional nystagmus as confirmed by video-oculographic examination during the Dix-Hallpike test, the McClure test or the head-hanging manoeuvre. Patients were treated by means of different particle repositioning manoeuvres according to the affected canal (Epley's manoeuvre for the posterior or anterior canals and Lempert's manoeuvre for the lateral canal) and the effectiveness was evaluated at 7 and 30 days.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-nine individuals (41.43%) presented an affected unilateral posterior canal. Fifteen patients (21.43%) presented a pure horizontal direction-changing positional nystagmus consistent with a diagnosis of horizontal canal BPPV. Twelve individuals (17.14%) presented a unilateral down-beating nystagmus, suggesting possible anterior canal BPPV. In addition, 14 patients (20%) showed multiple positional nystagmus during the examination corresponding to simultaneous multi-canal BPPV, 5 had bilateral posterior canal BPPV and 2 presented a positional down-beating nystagmus in both left and right Dix-Hallpike manoeuvres and the head-hanging manoeuvre, which is highly suggestive of anterior canal BPPV. However, seven individuals showed positional horizontal and vertical side-changing nystagmus that could not be explained by single-canal BPPV. These patients with multiple positional nystagmus showed changing patterns of positional nystagmus at follow-up.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lopez-Escamez</LastName><ForeName>Jose A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Otology and Neurotology Group, CTS495, Department of Surgery, Hospital de Poniente de Almería, El Ejido, Almería, Spain. jalopeze@cajamar.es</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Molina</LastName><ForeName>Maria I</ForeName><Initials>MI</Initials></Author><Author ValidYN="Y"><LastName>Gamiz</LastName><ForeName>Maria</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Fernandez-Perez</LastName><ForeName>Antonio J</ForeName><Initials>AJ</Initials></Author><Author ValidYN="Y"><LastName>Gomez</LastName><ForeName>Manuel</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Palma</LastName><ForeName>Maria J</ForeName><Initials>MJ</Initials></Author><Author ValidYN="Y"><LastName>Zapata</LastName><ForeName>Cristobal</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Acta Otolaryngol</MedlineTA><NlmUniqueID>0370354</NlmUniqueID><ISSNLinking>0001-6489</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><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="D002150" MajorTopicYN="N">Caloric Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019416" MajorTopicYN="N">Head Movements</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="D009760" MajorTopicYN="N">Nystagmus, Physiologic</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014741" MajorTopicYN="N">Video Recording</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>10</Month><Day>1</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>12</Month><Day>31</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>10</Month><Day>1</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">16193587</ArticleId><ArticleId IdType="doi">10.1080/00016480510040146</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country></list><tree><noCountry><name sortKey="Fernandez Perez, Antonio J" sort="Fernandez Perez, Antonio J" uniqKey="Fernandez Perez A" first="Antonio J" last="Fernandez-Perez">Antonio J. Fernandez-Perez</name><name sortKey="Gamiz, Maria" sort="Gamiz, Maria" uniqKey="Gamiz M" first="Maria" last="Gamiz">Maria Gamiz</name><name sortKey="Gomez, Manuel" sort="Gomez, Manuel" uniqKey="Gomez M" first="Manuel" last="Gomez">Manuel Gomez</name><name sortKey="Molina, Maria I" sort="Molina, Maria I" uniqKey="Molina M" first="Maria I" last="Molina">Maria I. Molina</name><name sortKey="Palma, Maria J" sort="Palma, Maria J" uniqKey="Palma M" first="Maria J" last="Palma">Maria J. Palma</name><name sortKey="Zapata, Cristobal" sort="Zapata, Cristobal" uniqKey="Zapata C" first="Cristobal" last="Zapata">Cristobal Zapata</name></noCountry><country name="Espagne"><noRegion><name sortKey="Lopez Escamez, Jose A" sort="Lopez Escamez, Jose A" uniqKey="Lopez Escamez J" first="Jose A" last="Lopez-Escamez">Jose A. Lopez-Escamez</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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