Avaliação vestibular na vertigem posicional paroxística benigna típica e atípica

Munaro, Gisiane; Silveira, Aron Ferreira da

doi:10.1590/s1516-18462009000500012

Cited by 10 publications

(11 citation statements)

References 10 publications

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“…Diagnostic criteria include torsional nystagmus and a feeling of vertigo. For horizontal canal BPPV, we use the roll-test , turning the patient's head in its own plane 10 , 11 , 12 , 13 , 14 , 15 . Today, there are three basic treatments for BPPV, with their own indications: canalith repositioning maneuver, freeing exercises and the Brandt-Daroff habituation exercises.…”

Section: Introductionmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo: comparison of two recent international guidelines

Silva¹,

Marinho²,

Gouveia³

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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Beni gn paroxysmal positional Vertigo (BppV) is characterized by vertigo, lasting for a few seconds and usually managed by head positioning maneuvers. To educate clinicians concerning the state-ofthe art knowledge about its management, the international societies developed guidelines.Aim: the aim of this paper is to discuss, in a practical fashion, the current options available to manage BppV. Method:Study design: non-systematic review. This study reviews two recent guidelines regarding the evaluation and treatment of BppV. The first one was published by the American Academy of Otolaryngology Head and neck surgery (AAO-HnS) and the other by the American Academy of neurology (AAn). The similarities were presented in different tables.Results: Those guidelines presented differences regarding methods. Only the AAO-HnS guidelines recommend the dix-Hallpike test for the diagnosis of BppV. Only canalith repositioning maneuver, Semont maneuver and vestibular rehabilitation had showed some benefit and were recommended as good treatment options. Conclusions:Both guidelines fulfilled all the aspects required for clinicians to diagnosed and manage BppV; only the AAO-HnS's guidelines were more comprehensive and of better quality. Braz J Otorhinolaryngol. 2011;77(2):191-200. ORIgInAL ARTIcLE

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Section: Introductionmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo: comparison of two recent international guidelines

Silva¹,

Marinho²,

Gouveia³

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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“…Of the ten listed papers, we found nine 18,19,[23][24][25][26][27][28][29][30] (Chart 1). As far as clinical evolution is concerned, 990 (77.9%) patients became asymptomatic or improved after the first treatment done by means of the repositioning maneuver.…”

Section: Resultsmentioning

confidence: 99%

“…As reported by Silveira & Munaro 23 , there is a shortage of studies on this subject. On BPPV studies 2,20 ; in general, the patients who did not have nystagmus are taken off the study, especially when the study aims at proving treatment when the lack of this signal characterizes the study outcome.…”

Section: Introductionmentioning

confidence: 97%

Vertigem posicional paroxística benigna sem nistagmo: diagnóstico e tratamento

Alvarenga¹,

Barbosa²,

Porto³

2011

Braz. j. otorhinolaryngol. (Impr.)

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Nyst agmus tests to diagnose BPPV are still relevant in the clinical evaluation of BPPV. However, in everyday practice, there are cases of vertigo caused by head movements, which do not follow this sign in the Dix-Hallpike maneuver and the turn test. Aim:To characterize BPPV without nystagmus and treatment for it. Materials and methods:A non-systematic review of diagnosis and treatment of benign paroxysmal positional vertigo (BPPV) without nystagmus in the PubMed, SciELO, Cochrane, BIREME, LILACS and MEDLINE databases in the years between 2001 and 2009. Results:We found nine papers dealing with BPPV without nystagmus, whose diagnoses were based solely on clinical history and physical examination. The treatment of BPPV without nystagmus was made by Epley maneuvers, Sémont, modified releasing for posterior semicircular canal and BrandtDaroff exercises. Conclusion:From 50% to 97.1% of the patients with BPPV without nystagmus had symptom remission, while patients with BPPV with nystagmus with symptom remission ranged from 76% to 100%. These differences may not be significant, which points to the need for more studies on BPPV without nystagmus. Braz J Otorhinolaryngol. 2011;77(6):799-804. REVIEW ARTICLE

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“…It is called objective vertigo when the patient presents during positioning maneuver the characteristic nystagmus and dizziness, being considered objectively positive and when there is an absence of nystagmus is subjectively positive, professionals should be alert to the atypical form, because more patients may be favored with the correct diagnosis 24 .…”

Section: Discussionmentioning

confidence: 99%

Applicability of the Dix-Hallpike test on benign paroxysmal positional vertigo: literature review

et al. 2019

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Objetivo: Analisar a aplicabilidade da manobra de Dix-Hallpike sobre a VPPB como método diagnóstico para os canais semicirculares, bem como sua sensibilidade. Métodos: realizou-se revisão bibliográfica utilizando as seguintes bases de dados de sourcing: LILACS, PubMed, SCIELO procurando por artigos publicados em português, inglês e espanhol. Foram utilizados os seguintes descritores da estratégia de busca: vertigem, vestibulopatias e técnicas de fisioterapia respiratória, sendo incluídas publicações entre os anos de 2000 e 2017. Resultados: os resultados do trabalho foram apresentados por meio de tabela e fluxograma sinóptico. Conclusão: Ainda há controvérsias quanto à sua sensibilidade aos canais anteriores e laterais, mesmo que a manobra, não apresente sensibilidade de 100%, seu grau de proximidade proporciona segurança no diagnóstico da VPPB.

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Avaliação vestibular na vertigem posicional paroxística benigna típica e atípica

Cited by 10 publications

References 10 publications

Benign Paroxysmal Positional Vertigo: comparison of two recent international guidelines

Benign Paroxysmal Positional Vertigo: comparison of two recent international guidelines

Vertigem posicional paroxística benigna sem nistagmo: diagnóstico e tratamento

Applicability of the Dix-Hallpike test on benign paroxysmal positional vertigo: literature review

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