[The analysis of nystagmus in patients with posterior canal benign paroxysmal positional vertigoin positioning test].
Identifieur interne : 000149 ( Main/Exploration ); précédent : 000148; suivant : 000150[The analysis of nystagmus in patients with posterior canal benign paroxysmal positional vertigoin positioning test].
Auteurs : Xiangning Cui ; Yong Feng ; Lingyun Mei ; Chufeng He ; Xiaojing Lu ; Hua Zhang ; Hongsheng ChenSource :
- Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery [ 2096-7993 ] ; 2015.
Descripteurs français
- KwdFr :
- Canaux semicirculaires osseux (MeSH), Face (MeSH), Humains (MeSH), Membrane des statoconies (MeSH), Nystagmus physiologique (MeSH), Positionnement du patient (MeSH), Sensation vertigineuse (MeSH), Tête (MeSH), Vertige (MeSH), Vertige positionnel paroxystique bénin (complications), Électronystagmographie (MeSH), Épreuves vestibulaires (MeSH).
- MESH :
English descriptors
- KwdEn :
- Benign Paroxysmal Positional Vertigo (complications), Dizziness (MeSH), Electronystagmography (MeSH), Face (MeSH), Head (MeSH), Humans (MeSH), Nystagmus, Physiologic (MeSH), Otolithic Membrane (MeSH), Patient Positioning (MeSH), Semicircular Canals (MeSH), Vertigo (MeSH), Vestibular Function Tests (MeSH).
- MESH :
Abstract
OBJECTIVE
To analyze and summarize nystagmus of patients with posterior canal benign paroxysmal positional vertigo (BPPV) in positioning test,and to improve the diagnosis and treatment of posterior canal BPPV (PSC-BPPV).
METHOD
The present study was conducted on 175 patients who had unilateral BPPV of the posterior semicircular canal (PSC). Their positional nystagmus recorded by videnonystagmography in Dix-Hallpike test,roll test and roll over test were analyzed to summarize the characteristics of nystagmus on nystagmograph of PSC-BP-PV.
RESULT
Of the 175 patients, lesion was located in the left PSC in 69 (39.4%) patients,the right PSC in 106 (60. 6%)patients. The nystagmus of patients with PSC-canalithiasis showed upward on the vertical phase of nystagmograph and orientated the different side on horizontal phase in the head hangging position. The horizontal phase pointed to the contralateral side in 47(26. 9%) patients, the ipsilateral contralateral side in 100(57. 1%) patients,no significant reverse ingredients in 28(16.0%) patients. When these patients returned to sit,139(79.4%) patients showed down beating positioning nystagmus, whereas 36 (20. 6%) patients with no nystagmus only had a short vertigo or dizziness. The horizontal phase of the 139 patients pointed to the contralateral side in 40(22. 9%) patients,the ipsilateral contralateral side in 68(38. 9%) patients,no significant reverse ingredients in 31(17. 7%) patients. In roll test,12 patients of the right PSC-BPPV presented an up-beating rotatory nystagmus when the head turned to right,and 5 patients of the left PSC-BPPV presented a down-beating rotatory nystagmus when the head turned to left. When the patients changed body from the left lateral position to the right lateral position in the roll over test, 74(42. 3%) patientsshowed vertical positioning nystagmus. In 30 patients who presented an up-beating nystagmus, there were 25(83. 3%) patientscame from the right PSC-BPPV. In 44 patients who presented a down-beating nystagmus, there were 36(81. 8%) patientscame from the left PSC-BPPV. The direction of the vertical nystagmus was highly correlated with the judgment about the side of the PSC-BPPV in roll over test (P<0. 01).
CONCLUSION
The patient with PSC-canalithiasis showed an uncertain direction in torsional nystagmus in Dix-Hallpike test,the diagnosis was mainly concern with the vertical nystagmus. When we found a rotatory nystagmus with much more up-beating nystagmus in roll test, it might be PSC-BPPV. We also can use the roll over test to diagnose the location of the otolith in which side of the PSC-BPPV.
PubMed: 25966550
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Hongsheng" uniqKey="Chen H" first="Hongsheng" last="Chen">Hongsheng Chen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25966550</idno><idno type="pmid">25966550</idno><idno type="wicri:Area/Main/Corpus">000157</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000157</idno><idno type="wicri:Area/Main/Curation">000157</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000157</idno><idno type="wicri:Area/Main/Exploration">000157</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[The analysis of nystagmus in patients with posterior canal benign paroxysmal positional vertigoin positioning test].</title><author><name sortKey="Cui, Xiangning" sort="Cui, Xiangning" uniqKey="Cui X" first="Xiangning" last="Cui">Xiangning Cui</name></author><author><name sortKey="Feng, Yong" sort="Feng, Yong" uniqKey="Feng Y" first="Yong" last="Feng">Yong Feng</name></author><author><name sortKey="Mei, Lingyun" sort="Mei, Lingyun" uniqKey="Mei L" first="Lingyun" last="Mei">Lingyun Mei</name></author><author><name sortKey="He, Chufeng" sort="He, Chufeng" uniqKey="He C" first="Chufeng" last="He">Chufeng He</name></author><author><name sortKey="Lu, Xiaojing" sort="Lu, Xiaojing" uniqKey="Lu X" first="Xiaojing" last="Lu">Xiaojing Lu</name></author><author><name sortKey="Zhang, Hua" sort="Zhang, Hua" uniqKey="Zhang H" first="Hua" last="Zhang">Hua Zhang</name></author><author><name sortKey="Chen, Hongsheng" sort="Chen, Hongsheng" uniqKey="Chen H" first="Hongsheng" last="Chen">Hongsheng Chen</name></author></analytic><series><title level="j">Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery</title><idno type="ISSN">2096-7993</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo (complications)</term><term>Dizziness (MeSH)</term><term>Electronystagmography (MeSH)</term><term>Face (MeSH)</term><term>Head (MeSH)</term><term>Humans (MeSH)</term><term>Nystagmus, Physiologic (MeSH)</term><term>Otolithic Membrane (MeSH)</term><term>Patient Positioning (MeSH)</term><term>Semicircular Canals (MeSH)</term><term>Vertigo (MeSH)</term><term>Vestibular Function Tests (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Canaux semicirculaires osseux (MeSH)</term><term>Face (MeSH)</term><term>Humains (MeSH)</term><term>Membrane des statoconies (MeSH)</term><term>Nystagmus physiologique (MeSH)</term><term>Positionnement du patient (MeSH)</term><term>Sensation vertigineuse (MeSH)</term><term>Tête (MeSH)</term><term>Vertige (MeSH)</term><term>Vertige positionnel paroxystique bénin (complications)</term><term>Électronystagmographie (MeSH)</term><term>Épreuves vestibulaires (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Dizziness</term><term>Electronystagmography</term><term>Face</term><term>Head</term><term>Humans</term><term>Nystagmus, Physiologic</term><term>Otolithic Membrane</term><term>Patient Positioning</term><term>Semicircular Canals</term><term>Vertigo</term><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Canaux semicirculaires osseux</term><term>Face</term><term>Humains</term><term>Membrane des statoconies</term><term>Nystagmus physiologique</term><term>Positionnement du patient</term><term>Sensation vertigineuse</term><term>Tête</term><term>Vertige</term><term>Vertige positionnel paroxystique bénin</term><term>Électronystagmographie</term><term>Épreuves vestibulaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To analyze and summarize nystagmus of patients with posterior canal benign paroxysmal positional vertigo (BPPV) in positioning test,and to improve the diagnosis and treatment of posterior canal BPPV (PSC-BPPV).</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>The present study was conducted on 175 patients who had unilateral BPPV of the posterior semicircular canal (PSC). Their positional nystagmus recorded by videnonystagmography in Dix-Hallpike test,roll test and roll over test were analyzed to summarize the characteristics of nystagmus on nystagmograph of PSC-BP-PV.</p></div><div type="abstract" xml:lang="en"><p><b>RESULT</b></p><p>Of the 175 patients, lesion was located in the left PSC in 69 (39.4%) patients,the right PSC in 106 (60. 6%)patients. The nystagmus of patients with PSC-canalithiasis showed upward on the vertical phase of nystagmograph and orientated the different side on horizontal phase in the head hangging position. The horizontal phase pointed to the contralateral side in 47(26. 9%) patients, the ipsilateral contralateral side in 100(57. 1%) patients,no significant reverse ingredients in 28(16.0%) patients. When these patients returned to sit,139(79.4%) patients showed down beating positioning nystagmus, whereas 36 (20. 6%) patients with no nystagmus only had a short vertigo or dizziness. The horizontal phase of the 139 patients pointed to the contralateral side in 40(22. 9%) patients,the ipsilateral contralateral side in 68(38. 9%) patients,no significant reverse ingredients in 31(17. 7%) patients. In roll test,12 patients of the right PSC-BPPV presented an up-beating rotatory nystagmus when the head turned to right,and 5 patients of the left PSC-BPPV presented a down-beating rotatory nystagmus when the head turned to left. When the patients changed body from the left lateral position to the right lateral position in the roll over test, 74(42. 3%) patientsshowed vertical positioning nystagmus. In 30 patients who presented an up-beating nystagmus, there were 25(83. 3%) patientscame from the right PSC-BPPV. In 44 patients who presented a down-beating nystagmus, there were 36(81. 8%) patientscame from the left PSC-BPPV. The direction of the vertical nystagmus was highly correlated with the judgment about the side of the PSC-BPPV in roll over test (P<0. 01).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>The patient with PSC-canalithiasis showed an uncertain direction in torsional nystagmus in Dix-Hallpike test,the diagnosis was mainly concern with the vertical nystagmus. When we found a rotatory nystagmus with much more up-beating nystagmus in roll test, it might be PSC-BPPV. We also can use the roll over test to diagnose the location of the otolith in which side of the PSC-BPPV.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">25966550</PMID><DateCompleted><Year>2015</Year><Month>06</Month><Day>01</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">2096-7993</ISSN><JournalIssue CitedMedium="Internet"><Volume>29</Volume><Issue>1</Issue><PubDate><Year>2015</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery</Title><ISOAbbreviation>Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi</ISOAbbreviation></Journal><ArticleTitle>[The analysis of nystagmus in patients with posterior canal benign paroxysmal positional vertigoin positioning test].</ArticleTitle><Pagination><MedlinePgn>27-30</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To analyze and summarize nystagmus of patients with posterior canal benign paroxysmal positional vertigo (BPPV) in positioning test,and to improve the diagnosis and treatment of posterior canal BPPV (PSC-BPPV).</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">The present study was conducted on 175 patients who had unilateral BPPV of the posterior semicircular canal (PSC). Their positional nystagmus recorded by videnonystagmography in Dix-Hallpike test,roll test and roll over test were analyzed to summarize the characteristics of nystagmus on nystagmograph of PSC-BP-PV.</AbstractText><AbstractText Label="RESULT" NlmCategory="RESULTS">Of the 175 patients, lesion was located in the left PSC in 69 (39.4%) patients,the right PSC in 106 (60. 6%)patients. The nystagmus of patients with PSC-canalithiasis showed upward on the vertical phase of nystagmograph and orientated the different side on horizontal phase in the head hangging position. The horizontal phase pointed to the contralateral side in 47(26. 9%) patients, the ipsilateral contralateral side in 100(57. 1%) patients,no significant reverse ingredients in 28(16.0%) patients. When these patients returned to sit,139(79.4%) patients showed down beating positioning nystagmus, whereas 36 (20. 6%) patients with no nystagmus only had a short vertigo or dizziness. The horizontal phase of the 139 patients pointed to the contralateral side in 40(22. 9%) patients,the ipsilateral contralateral side in 68(38. 9%) patients,no significant reverse ingredients in 31(17. 7%) patients. In roll test,12 patients of the right PSC-BPPV presented an up-beating rotatory nystagmus when the head turned to right,and 5 patients of the left PSC-BPPV presented a down-beating rotatory nystagmus when the head turned to left. When the patients changed body from the left lateral position to the right lateral position in the roll over test, 74(42. 3%) patientsshowed vertical positioning nystagmus. In 30 patients who presented an up-beating nystagmus, there were 25(83. 3%) patientscame from the right PSC-BPPV. In 44 patients who presented a down-beating nystagmus, there were 36(81. 8%) patientscame from the left PSC-BPPV. The direction of the vertical nystagmus was highly correlated with the judgment about the side of the PSC-BPPV in roll over test (P<0. 01).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The patient with PSC-canalithiasis showed an uncertain direction in torsional nystagmus in Dix-Hallpike test,the diagnosis was mainly concern with the vertical nystagmus. When we found a rotatory nystagmus with much more up-beating nystagmus in roll test, it might be PSC-BPPV. We also can use the roll over test to diagnose the location of the otolith in which side of the PSC-BPPV.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cui</LastName><ForeName>Xiangning</ForeName><Initials>X</Initials></Author><Author ValidYN="Y"><LastName>Feng</LastName><ForeName>Yong</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Mei</LastName><ForeName>Lingyun</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>He</LastName><ForeName>Chufeng</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Lu</LastName><ForeName>Xiaojing</ForeName><Initials>X</Initials></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Hua</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Hongsheng</ForeName><Initials>H</Initials></Author></AuthorList><Language>chi</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>China</Country><MedlineTA>Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi</MedlineTA><NlmUniqueID>101303164</NlmUniqueID><ISSNLinking>2096-7993</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004584" MajorTopicYN="N">Electronystagmography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005145" MajorTopicYN="N">Face</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006257" MajorTopicYN="N">Head</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009760" MajorTopicYN="Y">Nystagmus, Physiologic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010037" MajorTopicYN="N">Otolithic Membrane</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D056888" MajorTopicYN="Y">Patient Positioning</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>5</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>5</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>6</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25966550</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Chen, Hongsheng" sort="Chen, Hongsheng" uniqKey="Chen H" first="Hongsheng" last="Chen">Hongsheng Chen</name><name sortKey="Cui, Xiangning" sort="Cui, Xiangning" uniqKey="Cui X" first="Xiangning" last="Cui">Xiangning Cui</name><name sortKey="Feng, Yong" sort="Feng, Yong" uniqKey="Feng Y" first="Yong" last="Feng">Yong Feng</name><name sortKey="He, Chufeng" sort="He, Chufeng" uniqKey="He C" first="Chufeng" last="He">Chufeng He</name><name sortKey="Lu, Xiaojing" sort="Lu, Xiaojing" uniqKey="Lu X" first="Xiaojing" last="Lu">Xiaojing Lu</name><name sortKey="Mei, Lingyun" sort="Mei, Lingyun" uniqKey="Mei L" first="Lingyun" last="Mei">Lingyun Mei</name><name sortKey="Zhang, Hua" sort="Zhang, Hua" uniqKey="Zhang H" first="Hua" last="Zhang">Hua Zhang</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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