[Benign paroxysmal positional vertigo of the horizontal canal. Clinical features in 25 patients].
Identifieur interne : 000376 ( Main/Exploration ); précédent : 000375; suivant : 000377[Benign paroxysmal positional vertigo of the horizontal canal. Clinical features in 25 patients].
Auteurs : P. Bertholon [France] ; M B Faye ; S. Tringali ; Ch MartinSource :
- Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris [ 0003-438X ] ; 2002.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Diagnostic différentiel (MeSH), Femelle (MeSH), Humains (MeSH), Mouvements de la tête (physiologie), Mâle (MeSH), Nystagmus pathologique (diagnostic), Nystagmus pathologique (physiopathologie), Nystagmus pathologique (thérapie), Nystagmus pathologique (étiologie), Orientation (physiologie), Posture (physiologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vertige (diagnostic), Vertige (physiopathologie), Vertige (étiologie), Études de suivi (MeSH), Études rétrospectives (MeSH).
- MESH :
- diagnostic : Nystagmus pathologique, Vertige.
- physiologie : Mouvements de la tête, Orientation, Posture.
- physiopathologie : Nystagmus pathologique, Vertige.
- thérapie : Nystagmus pathologique.
- étiologie : Nystagmus pathologique, Vertige.
- Adulte, Adulte d'âge moyen, Diagnostic différentiel, Femelle, Humains, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Diagnosis, Differential (MeSH), Female (MeSH), Follow-Up Studies (MeSH), Head Movements (physiology), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Nystagmus, Pathologic (diagnosis), Nystagmus, Pathologic (etiology), Nystagmus, Pathologic (physiopathology), Nystagmus, Pathologic (therapy), Orientation (physiology), Posture (physiology), Retrospective Studies (MeSH), Vertigo (diagnosis), Vertigo (etiology), Vertigo (physiopathology).
- MESH :
- diagnosis : Nystagmus, Pathologic, Vertigo.
- etiology : Nystagmus, Pathologic, Vertigo.
- physiology : Head Movements, Orientation, Posture.
- physiopathology : Nystagmus, Pathologic, Vertigo.
- therapy : Nystagmus, Pathologic.
- Adult, Aged, Aged, 80 and over, Diagnosis, Differential, Female, Follow-Up Studies, Humans, Male, Middle Aged, Retrospective Studies.
Abstract
OBJECTIVES
To review the clinical features of benign paroxysmal positional vertigo of the horizontal canal (HC-BPPV).
PATIENTS AND METHODS
Retrospective study (September 1999 to March 2001) of 25 patients with HC-BPPV. Patients complained of positional vertigo associated with direction changing horizontal positional nystagmus, either geotropic or ageotropic.
RESULTS
The horizontal nystagmus was triggered in all patients when rolled to either side in a supine position (head raised 30 degrees) and in 14 patients by the Dix Hallpike manoeuvre. The nystagmus was geotropic in 15 patients and ageotropic in 10. It varies in time in 4 patients with one change in 3 (from geotropic to ageotropic in 2 and ageotropic to geotropic in 1) and 4 changes in 10 days in another patient. In one patient with head trauma, the HC-BPPV was currently associated with ipsilateral posterior canal benign paroxysmal positional vertigo (PC-BPPV), and its characteristic rotatory-up beat nystagmus. Interestingly, 4 patients had a previous history of ipsilateral PC-BPPV and in 5 others an ipsilateral PC-BPPV occurred after the HC-BPPV. Although spontaneous recovery of HC-BPPV was common in most patients, a 270 degrees "barbecue rotation" or a "prolonged position on the healthy side" was effective in some patients.
CONCLUSION
Patients with positional vertigo should undergo Dix Hallpike positioning and supine lateral head turns as this latter manoeuvre is more efficient to diagnose an HC-BPPV. Both the transformation of the positional horizontal nystagmus (geotropic-ageotropic) and the association with a PC-BPPV support the diagnosis of an HC-BPPV.
PubMed: 12015491
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Bertholon</name><affiliation wicri:level="3"><nlm:affiliation>Service ORL, Hôpital Bellevue, 42055 Saint-Etienne cedex 02, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service ORL, Hôpital Bellevue, 42055 Saint-Etienne cedex 02</wicri:regionArea><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region><settlement type="city">Saint-Étienne</settlement></placeName></affiliation></author><author><name sortKey="Faye, M B" sort="Faye, M B" uniqKey="Faye M" first="M B" last="Faye">M B Faye</name></author><author><name sortKey="Tringali, S" sort="Tringali, S" uniqKey="Tringali S" first="S" last="Tringali">S. Tringali</name></author><author><name sortKey="Martin, Ch" sort="Martin, Ch" uniqKey="Martin C" first="Ch" last="Martin">Ch Martin</name></author></analytic><series><title level="j">Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris</title><idno type="ISSN">0003-438X</idno><imprint><date when="2002" type="published">2002</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>Diagnosis, Differential (MeSH)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Head Movements (physiology)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Nystagmus, Pathologic (diagnosis)</term><term>Nystagmus, Pathologic (etiology)</term><term>Nystagmus, Pathologic (physiopathology)</term><term>Nystagmus, Pathologic (therapy)</term><term>Orientation (physiology)</term><term>Posture (physiology)</term><term>Retrospective Studies (MeSH)</term><term>Vertigo (diagnosis)</term><term>Vertigo (etiology)</term><term>Vertigo (physiopathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Diagnostic différentiel (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mouvements de la tête (physiologie)</term><term>Mâle (MeSH)</term><term>Nystagmus pathologique (diagnostic)</term><term>Nystagmus pathologique (physiopathologie)</term><term>Nystagmus pathologique (thérapie)</term><term>Nystagmus pathologique (étiologie)</term><term>Orientation (physiologie)</term><term>Posture (physiologie)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Vertige (diagnostic)</term><term>Vertige (physiopathologie)</term><term>Vertige (étiologie)</term><term>Études de suivi (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Nystagmus, Pathologic</term><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Nystagmus pathologique</term><term>Vertige</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Nystagmus, Pathologic</term><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Mouvements de la tête</term><term>Orientation</term><term>Posture</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Head Movements</term><term>Orientation</term><term>Posture</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Nystagmus pathologique</term><term>Vertige</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Nystagmus, Pathologic</term><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Nystagmus, Pathologic</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Nystagmus pathologique</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Nystagmus pathologique</term><term>Vertige</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Diagnosis, Differential</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Diagnostic différentiel</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>To review the clinical features of benign paroxysmal positional vertigo of the horizontal canal (HC-BPPV).</p></div><div type="abstract" xml:lang="en"><p><b>PATIENTS AND METHODS</b></p><p>Retrospective study (September 1999 to March 2001) of 25 patients with HC-BPPV. Patients complained of positional vertigo associated with direction changing horizontal positional nystagmus, either geotropic or ageotropic.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The horizontal nystagmus was triggered in all patients when rolled to either side in a supine position (head raised 30 degrees) and in 14 patients by the Dix Hallpike manoeuvre. The nystagmus was geotropic in 15 patients and ageotropic in 10. It varies in time in 4 patients with one change in 3 (from geotropic to ageotropic in 2 and ageotropic to geotropic in 1) and 4 changes in 10 days in another patient. In one patient with head trauma, the HC-BPPV was currently associated with ipsilateral posterior canal benign paroxysmal positional vertigo (PC-BPPV), and its characteristic rotatory-up beat nystagmus. Interestingly, 4 patients had a previous history of ipsilateral PC-BPPV and in 5 others an ipsilateral PC-BPPV occurred after the HC-BPPV. Although spontaneous recovery of HC-BPPV was common in most patients, a 270 degrees "barbecue rotation" or a "prolonged position on the healthy side" was effective in some patients.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Patients with positional vertigo should undergo Dix Hallpike positioning and supine lateral head turns as this latter manoeuvre is more efficient to diagnose an HC-BPPV. Both the transformation of the positional horizontal nystagmus (geotropic-ageotropic) and the association with a PC-BPPV support the diagnosis of an HC-BPPV.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">12015491</PMID><DateCompleted><Year>2002</Year><Month>09</Month><Day>06</Day></DateCompleted><DateRevised><Year>2010</Year><Month>03</Month><Day>23</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-438X</ISSN><JournalIssue CitedMedium="Print"><Volume>119</Volume><Issue>2</Issue><PubDate><Year>2002</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris</Title><ISOAbbreviation>Ann Otolaryngol Chir Cervicofac</ISOAbbreviation></Journal><ArticleTitle>[Benign paroxysmal positional vertigo of the horizontal canal. Clinical features in 25 patients].</ArticleTitle><Pagination><MedlinePgn>73-80</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To review the clinical features of benign paroxysmal positional vertigo of the horizontal canal (HC-BPPV).</AbstractText><AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Retrospective study (September 1999 to March 2001) of 25 patients with HC-BPPV. Patients complained of positional vertigo associated with direction changing horizontal positional nystagmus, either geotropic or ageotropic.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The horizontal nystagmus was triggered in all patients when rolled to either side in a supine position (head raised 30 degrees) and in 14 patients by the Dix Hallpike manoeuvre. The nystagmus was geotropic in 15 patients and ageotropic in 10. It varies in time in 4 patients with one change in 3 (from geotropic to ageotropic in 2 and ageotropic to geotropic in 1) and 4 changes in 10 days in another patient. In one patient with head trauma, the HC-BPPV was currently associated with ipsilateral posterior canal benign paroxysmal positional vertigo (PC-BPPV), and its characteristic rotatory-up beat nystagmus. Interestingly, 4 patients had a previous history of ipsilateral PC-BPPV and in 5 others an ipsilateral PC-BPPV occurred after the HC-BPPV. Although spontaneous recovery of HC-BPPV was common in most patients, a 270 degrees "barbecue rotation" or a "prolonged position on the healthy side" was effective in some patients.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Patients with positional vertigo should undergo Dix Hallpike positioning and supine lateral head turns as this latter manoeuvre is more efficient to diagnose an HC-BPPV. Both the transformation of the positional horizontal nystagmus (geotropic-ageotropic) and the association with a PC-BPPV support the diagnosis of an HC-BPPV.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bertholon</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Service ORL, Hôpital Bellevue, 42055 Saint-Etienne cedex 02, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Faye</LastName><ForeName>M B</ForeName><Initials>MB</Initials></Author><Author ValidYN="Y"><LastName>Tringali</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Martin</LastName><ForeName>Ch</ForeName><Initials>Ch</Initials></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Le vertige positionnel paroxystique bénin du canal horizontal.</VernacularTitle></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Ann Otolaryngol Chir Cervicofac</MedlineTA><NlmUniqueID>9431026</NlmUniqueID><ISSNLinking>0003-438X</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="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019416" MajorTopicYN="N">Head Movements</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></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="D009759" MajorTopicYN="N">Nystagmus, Pathologic</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009949" MajorTopicYN="N">Orientation</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="N">Posture</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2002</Year><Month>5</Month><Day>17</Day><Hour>10</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2002</Year><Month>9</Month><Day>7</Day><Hour>10</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2002</Year><Month>5</Month><Day>17</Day><Hour>10</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">12015491</ArticleId><ArticleId IdType="pii">MDOI-AORL-04-2002-119-2-0003-438X-101019-ART2</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Rhône-Alpes</li></region><settlement><li>Saint-Étienne</li></settlement></list><tree><noCountry><name sortKey="Faye, M B" sort="Faye, M B" uniqKey="Faye M" first="M B" last="Faye">M B Faye</name><name sortKey="Martin, Ch" sort="Martin, Ch" uniqKey="Martin C" first="Ch" last="Martin">Ch Martin</name><name sortKey="Tringali, S" sort="Tringali, S" uniqKey="Tringali S" first="S" last="Tringali">S. Tringali</name></noCountry><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Bertholon, P" sort="Bertholon, P" uniqKey="Bertholon P" first="P" last="Bertholon">P. Bertholon</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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