Subjective visual vertical after treatment of benign paroxysmal positional vertigo

Ferreira, Maristela Mian; Ganança, Maurício Malavasi; Caovilla, Heloísa Helena

doi:10.1016/j.bjorl.2016.08.014

Cited by 17 publications

(8 citation statements)

References 32 publications

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“…Nine patients had abnormal values before the replacement maneuvers, and after the replacement maneuvers, only 2 patients remained with abnormal parameters. Therefore, the authors highlighted the reduction of the SVV values were evidently improved after the particle replacement maneuvers in patients with BPPV [18].…”

Section: Discussionmentioning

confidence: 94%

The bucket test reinterpreted: a study on benign paroxysmal positional vertigo and Ménière’s disease patients

Castro-Urquizo

Celis‐Aguilar

Rubio-Partida

2021

Egypt J Otolaryngol

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Background The bucket test is a simple and practical instrument to evaluate vestibular diseases; additionally, it could be a useful tool in the evaluation of the vertigo patient. Unfortunately, the bucket test still lacks standardization. The objective of this study was to evaluate and to interpret the subjective visual vertical (SVV) using the bucket test in benign paroxysmal positional vertigo (BPPV) and Ménière’s disease patients. We performed a cross-sectional study in a secondary care center. All patients with diagnosis of unilateral posterior canal BPPV or Ménière’s disease underwent complete neuro-otological physical examination and the bucket test. Normal bucket test was 0° to 3° according to previous study. Results We included seventy-eight subjects. Benign paroxysmal positional vertigo cases (n = 51) showed a mean 2.62° of SVV prior to the Epley maneuver and 1.7° of SVV after the maneuver (p = < 0.001), 57% of patients with BPPV were categorized as abnormal. Inactive Ménière’s disease patients (n = 22) had mean SVV of 2.74° and Ménière’s disease with active crisis (n = 5) had 5.06° of SVV (p = 0.002). Conclusion The bucket test is a simple and useful test for the evaluation of SVV, and it has a role in the evaluation of patients with active vestibular diseases such as Ménière’s disease and BPPV.

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Section: Discussionmentioning

confidence: 94%

The bucket test reinterpreted: a study on benign paroxysmal positional vertigo and Ménière’s disease patients

Castro-Urquizo

Celis‐Aguilar

Rubio-Partida

2021

Egypt J Otolaryngol

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“…A variant that does not require instrumentation is the "Bucket test" (7). Using this method, a reduction of the deviation of SVV was detected immediately after the repositioning maneuvers (10). A complete study of OTR should be based on the evaluation of the three signs of OTR at the same time, including the exiclo and inciclo torsion of the eyes.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Skew Deviation to Evaluate the Period of Onset of a Canalolithiasis After Macular Damage

2020

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Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular end-organ disease, and it is one of the first causes of access to the emergency room. The moment of migration of the otoconial debris in a semicircular canal does not necessarily coincide with the moment of detachment of the debris themselves. Consequently, the paroxysmal positional vertigo could arise with a variable delay with respect to the mechanical damage suffered by the macula. The aim of this work is to try to identify objective criteria to establish whether a canalolithiasis is synchronous or diachronic to the damage. The analysis of skew deviation in the context of ocular tilt reaction in patients with canalolithiasis could provide useful information to understand if macular damage occurred at the origin of the disease and when the damage may have occurred. In this study, 38 patients with BPPV were analyzed based on the type of skew deviation that was presented. We found that if the eye on the side of the canalolithiasis is hypotropic the damage of the utriculus is likely recent (last 10 days), if it is hypertropic the damage is not recent (20 days before) and finally if the eyes are at the same height it could be an utricular damage in compensation (occurring the last 10-20 days) or a secondary labyrinth canalolithiasis, without associated utricular damage. Our results show that the evaluation of skew deviation in patients suffering from BPPV could be useful to evaluate: (a) if a positional paroxysmal nystagmus can be related to an previous relevant injury event (for example a head injury that occurred days before the crisis); (b) if it is a BPPV of recent onset or a re-entry of the debris into the canal.

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“…Patients with BPPV are known to have impaired spatial orientation before treatment (Nair et al 2018). BPPV patients have been shown to improve on Bucket Test scores after successful treatments with repositioning maneuvers (Ferreira et al 2017). One study has reported that testretest reliability in healthy normal subjects was poor (Michelson et al 2018), so the test should be used cautiously.…”

Section: Bucket Testmentioning

confidence: 99%

A review on screening tests for vestibular disorders

Cohen

2019

Journal of Neurophysiology

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Although many studies have reported on tests of the vestibular system a valid and reliable, evidence-based screening battery for easy clinical use remains elusive. Many screening tests attempt to assess the vestibulo-ocular reflex. Therefore, head shaking, the Dix-Hallpike maneuver, the supine roll test, and head impulse tests are discussed. Other tests address the spatial orientation functions of the vestibular system, such as the Bucket Test and the Fukuda Stepping test. Still, other tests are based on the known correlates with balance skills, both static and dynamic, such as tandem walking and the modern variation of the Romberg test, the modified Clinical Test of Sensory Interaction and Balance. This review provides a critical overview of the literature on some of these tests and their value for clinical use and in epidemiological studies.

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Subjective visual vertical after treatment of benign paroxysmal positional vertigo

Abstract: There is a reduction of the deviations of the subjective visual vertical, evaluated by the bucket test, immediately after the particle repositioning maneuver in patients with benign paroxysmal positional vertigo.

Cited by 17 publications

References 32 publications

The bucket test reinterpreted: a study on benign paroxysmal positional vertigo and Ménière’s disease patients

The bucket test reinterpreted: a study on benign paroxysmal positional vertigo and Ménière’s disease patients

Analysis of the Skew Deviation to Evaluate the Period of Onset of a Canalolithiasis After Macular Damage

A review on screening tests for vestibular disorders

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