2011
DOI: 10.1590/s1808-86942011000600018
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Abstract: 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 d… Show more

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Cited by 22 publications
(6 citation statements)
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“…If only benign paroxysmal positional vertigo, multisensory dizziness, and vestibular migraine were better diagnosed by such a specialized assessment, the proportion of patients receiving the appropriate treatment would already increase by one-third of all referred patients. Most patients with benign paroxysmal positional vertigo can successfully be treated with the appropriate repositioning maneuver for the affected semicircular-canal (Alvarenga et al, 2011; Do et al, 2011). Diagnosing multisensory dizziness in older patients leads to several helpful therapeutic measures such as physical therapy of balance, optimizations of eyeglasses, and the use of a cane (Strupp and Brandt, 2008).…”
Section: Discussionmentioning
confidence: 99%
“…If only benign paroxysmal positional vertigo, multisensory dizziness, and vestibular migraine were better diagnosed by such a specialized assessment, the proportion of patients receiving the appropriate treatment would already increase by one-third of all referred patients. Most patients with benign paroxysmal positional vertigo can successfully be treated with the appropriate repositioning maneuver for the affected semicircular-canal (Alvarenga et al, 2011; Do et al, 2011). Diagnosing multisensory dizziness in older patients leads to several helpful therapeutic measures such as physical therapy of balance, optimizations of eyeglasses, and the use of a cane (Strupp and Brandt, 2008).…”
Section: Discussionmentioning
confidence: 99%
“…Establishing a positive diagnosis of BPPV includes the presence of vertigo and nystagmus -fundamental in the characterization for confirmation of the test 22 , however the characteristic nystagmus may not be detected by the maneuver and this subgroup of patients who may not present the typical nystagmus in the Dix-Hallpike test can be named subjective VPPB that is assigned about a quarter of individuals suspected of the disease 23 .…”
Section: Discussionmentioning
confidence: 99%
“…There are possible explanations for the absence of nystagmus in head movement that would provide the extinction of ocular phenomenon at the time of the Dix-Hallpike test: repeating the position during the same maneuver the nystagmus might have been fatigued in an attempt to keep it, the neural signals could be insufficient to achieve the necessary threshold of ocular via vestibule,24due to minimum particles of calcium carbonate floating or adhered to the affected semicircular canal and the conventional assessment would make the diagnosis in elderly patients, in which is as yet unknown in the nystagmus weak engine 22 .…”
Section: Discussionmentioning
confidence: 99%
“…Positive. This result will be subdivided into: a) vertigo with nystagmus or b) vertigo without nystagmus [23]. …”
Section: Methodsmentioning
confidence: 99%
“…A sham maneuver, which will consist of laying the patient with the head tilted on the affected side for five minutes, as described in the literature [17,23], will be performed only on the first visit.…”
Section: Methodsmentioning
confidence: 99%