Vertigo returning to the sitting position after the Semont manoeuvre. Is it a prognostic symptom?
Identifieur interne : 000073 ( Main/Exploration ); précédent : 000072; suivant : 000074Vertigo returning to the sitting position after the Semont manoeuvre. Is it a prognostic symptom?
Auteurs : A. Albera [Italie] ; M. Boldreghini [Italie] ; A. Canale [Italie] ; R. Albera [Italie] ; C F Gervasio [Italie]Source :
- Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale [ 1827-675X ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Position assise (MeSH), Pronostic (MeSH), Récidive (MeSH), Résultat thérapeutique (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vertige positionnel paroxystique bénin (thérapie), Études de cohortes (MeSH), Études rétrospectives (MeSH).
- MESH :
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Benign Paroxysmal Positional Vertigo (therapy), Cohort Studies (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Prognosis (MeSH), Recurrence (MeSH), Retrospective Studies (MeSH), Sitting Position (MeSH), Treatment Outcome (MeSH), Young Adult (MeSH).
- MESH :
Abstract
SUMMARY
Benign paroxysmal positional vertigo (BPPV) is a frequent benign vestibular condition usually managed with particle repositioning manoeuvres, such as Semont manoeuvre (SM). Since few authors have described prognostic aspects of liberatory manoeuvres, the purpose of the present study was to investigate the possibility of considering vertigo in the final sitting position of the SM as a prognostic symptom in the outcome of posterior BPPV. One hundred and thirteen patients with diagnosis of unilateral posterior BPPV were taking into account in our retrospective cohort study: 41 men and 72 women, aged 22 to 85 years. All were submitted to one repositioning SM and afterwards controlled 3 to 5 days later by means of an additional Dix-Hallpike manoeuvre. The main outcomes investigated were the occurrence of Ny and vertigo in the different phases of the SM, as well as their characteristics in relation to outcome of the disease. Among all patients, 75 (66%) presented both orthotropic Ny and vertigo in the second SM position and 72% obtained a complete resolution of the disease after the liberatory manoeuvre. Contrarily, 17 subjects (15%) manifested vertigo in the final sitting position of the SM and among these, only 7 (41%) completely recovered from BPPV. According to our data, in case of sudden vertigo returning to the final sitting position of the SM, the failure rate of the liberatory manoeuvre was higher, even though not statistically significant: therefore, it can be considered as a negative prognostic factor of posterior BPPV after SM.
DOI: 10.14639/0392-100X-1815
PubMed: 29967559
PubMed Central: PMC6028822
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Benign Paroxysmal Positional Vertigo (therapy)</term>
<term>Cohort Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Prognosis (MeSH)</term>
<term>Recurrence (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Sitting Position (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Position assise (MeSH)</term>
<term>Pronostic (MeSH)</term>
<term>Récidive (MeSH)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Vertige positionnel paroxystique bénin (thérapie)</term>
<term>Études de cohortes (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
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<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Vertige positionnel paroxystique bénin</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prognosis</term>
<term>Recurrence</term>
<term>Retrospective Studies</term>
<term>Sitting Position</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
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<term>Adulte d'âge moyen</term>
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<front><div type="abstract" xml:lang="en"><p><b>SUMMARY</b>
</p>
<p>Benign paroxysmal positional vertigo (BPPV) is a frequent benign vestibular condition usually managed with particle repositioning manoeuvres, such as Semont manoeuvre (SM). Since few authors have described prognostic aspects of liberatory manoeuvres, the purpose of the present study was to investigate the possibility of considering vertigo in the final sitting position of the SM as a prognostic symptom in the outcome of posterior BPPV. One hundred and thirteen patients with diagnosis of unilateral posterior BPPV were taking into account in our retrospective cohort study: 41 men and 72 women, aged 22 to 85 years. All were submitted to one repositioning SM and afterwards controlled 3 to 5 days later by means of an additional Dix-Hallpike manoeuvre. The main outcomes investigated were the occurrence of Ny and vertigo in the different phases of the SM, as well as their characteristics in relation to outcome of the disease. Among all patients, 75 (66%) presented both orthotropic Ny and vertigo in the second SM position and 72% obtained a complete resolution of the disease after the liberatory manoeuvre. Contrarily, 17 subjects (15%) manifested vertigo in the final sitting position of the SM and among these, only 7 (41%) completely recovered from BPPV. According to our data, in case of sudden vertigo returning to the final sitting position of the SM, the failure rate of the liberatory manoeuvre was higher, even though not statistically significant: therefore, it can be considered as a negative prognostic factor of posterior BPPV after SM.</p>
</div>
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<ArticleTitle>Vertigo returning to the sitting position after the Semont manoeuvre. Is it a prognostic symptom?</ArticleTitle>
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<Abstract><AbstractText Label="SUMMARY" NlmCategory="CONCLUSIONS">Benign paroxysmal positional vertigo (BPPV) is a frequent benign vestibular condition usually managed with particle repositioning manoeuvres, such as Semont manoeuvre (SM). Since few authors have described prognostic aspects of liberatory manoeuvres, the purpose of the present study was to investigate the possibility of considering vertigo in the final sitting position of the SM as a prognostic symptom in the outcome of posterior BPPV. One hundred and thirteen patients with diagnosis of unilateral posterior BPPV were taking into account in our retrospective cohort study: 41 men and 72 women, aged 22 to 85 years. All were submitted to one repositioning SM and afterwards controlled 3 to 5 days later by means of an additional Dix-Hallpike manoeuvre. The main outcomes investigated were the occurrence of Ny and vertigo in the different phases of the SM, as well as their characteristics in relation to outcome of the disease. Among all patients, 75 (66%) presented both orthotropic Ny and vertigo in the second SM position and 72% obtained a complete resolution of the disease after the liberatory manoeuvre. Contrarily, 17 subjects (15%) manifested vertigo in the final sitting position of the SM and among these, only 7 (41%) completely recovered from BPPV. According to our data, in case of sudden vertigo returning to the final sitting position of the SM, the failure rate of the liberatory manoeuvre was higher, even though not statistically significant: therefore, it can be considered as a negative prognostic factor of posterior BPPV after SM.</AbstractText>
<CopyrightInformation>Copyright © 2018 Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale, Rome, Italy.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Albera</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Otolaryngology, San Giuseppe Hospital, University of Milan, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Boldreghini</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Surgical Sciences, Otolaryngology Unit, University of Turin, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Canale</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Surgical Sciences, Otolaryngology Unit, University of Turin, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Albera</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Department of Surgical Sciences, Otolaryngology Unit, University of Turin, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gervasio</LastName>
<ForeName>C F</ForeName>
<Initials>CF</Initials>
<AffiliationInfo><Affiliation>Department of Surgical Sciences, Otolaryngology Unit, University of Turin, Italy.</Affiliation>
</AffiliationInfo>
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<ISSNLinking>0392-100X</ISSNLinking>
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<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
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<MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName>
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<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000077708" MajorTopicYN="Y">Sitting Position</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
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<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
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<OtherAbstract Type="Publisher" Language="ita"><AbstractText>La comparsa di vertigine al ritorno nella posizione seduta della manovra di Semont può esser considerata un fattore prognostico?</AbstractText>
<AbstractText Label="RIASSUNTO" NlmCategory="UNASSIGNED">La vertigine parossistica posizionale benigna (BPPV) è la patologia che più frequentemente colpisce il labirinto e si manifesta con crisi di vertigine parossistiche, ovvero intense e di breve durata. Poiché la BPPV, provocata da un disturbo meccanico dell’organo dell’equilibrio, è considerata una patologia ad andamento benigno, viene normalmente gestita con manovre di riposizionamento degli otoliti chiamate manovre liberatorie: tra queste vi è la manovra di Semont (SM). L’obiettivo del presente studio è indagare se vi sia la possibilità di considerare la vertigine che talvolta insorge al ritorno nella posizione seduta finale della SM come un fattore prognostico riguardo l’esito della manovra stessa e quindi la risoluzione della patologia. Sono stati presi in considerazione per questo studio retrospettivo 113 pazienti con diagnosi di BPPV unilaterale posteriore: 41 uomini e 72 donne, di età compresa tra 22 e 85 anni. Tutti sono stati sottoposti a una SM liberatoria e in seguito controllati dopo 3-5 giorni mediante una nuova manovra Dix-Hallpike diagnostica. Tra le diverse variabili indagate, il principale dato preso in considerazione è stato il verificarsi di nistagmo (Ny) e/o vertigine nelle diverse posizioni della SM, nonché le loro caratteristiche in funzione dell’evoluzione della malattia. Tra tutti i campioni, 75 pazienti (66%) presentavano sia vertigine che Ny nella seconda posizione della SM ed il 72% di essi ha ottenuto una completa risoluzione della malattia dopo tale manovra liberatoria. Al contrario, 17 soggetti (15%) hanno manifestato esclusivamente vertigini al ritorno nella posizione seduta finale della SM e tra di essi solo 7 pazienti (41%) hanno ottenuto una completa remissione della BPPV. Secondo i dati in nostro possesso si può pertanto affermare che, in caso di insorgenza di vertigini nella posizione seduta finale della SM, il tasso di fallimento della manovra liberatoria è risultato molto più elevato, anche se non statisticamente significativo: tale risultato può essere considerato un fattore prognostico negativo nell’outcome della BPPV posteriore dopo SM.</AbstractText>
</OtherAbstract>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">BPPV</Keyword>
<Keyword MajorTopicYN="N">BPPV outcomes</Keyword>
<Keyword MajorTopicYN="N">Positional vertigo</Keyword>
<Keyword MajorTopicYN="N">Semont manoeuvre •Semont prognostic factors</Keyword>
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<affiliations><list><country><li>Italie</li>
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