Benign Paroxysmal Positional Vertigo

Furman, Joseph M.; Cass, Stephen P.

doi:10.1056/nejm199911183412107

Cited by 309 publications

(249 citation statements)

References 39 publications

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“…The posterior semicircular canal is the most commonly affected location, resulting in posterior canal BPPV (PC-BPPV), which represents a dominant type of BPPV [3, 4]. As for PC-BPPV, Epley maneuver (EM) is the only treatment recommended officially by both American Academy of Neurology [5] and American Academy of Otolaryngology - Head and Neck Surgery [2].…”

Section: Introductionmentioning

confidence: 99%

Automated Mechanical Repositioning Treatment for Posterior Canal Benign Paroxysmal Positional Vertigo: A Single-Center Experience and Literature Review

et al. 2017

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Objective: To evaluate the feasibility and effectiveness of automated mechanical repositioning treatment (AMRT) for posterior canal benign paroxysmal positional vertigo (PC-BPPV). Patients and Methods: We reviewed all PC-BPPV patients admitted to our department between January and December 2016. The inclusion criteria mainly required conducting a diagnosis for PC-BPPV by using the Dix-Hallpike test, a PC-BPPV history within 1 month, no intake of medications for the last 48 h. Compared with the cases who received classical manual repositioning treatment (CMRT), the proportion of patients who underwent AMRT with a resolution within the 1-week follow-up session after initial treatment and a recurrence during the 6-month follow-up were evaluated. Results: A total of182 patients who underwent AMRT and 152 patients who underwent CMRT were included. Compared with the CMRT group, the AMRT group had a higher rate of complete or partial resolution and positional nystagmus at the 1 week follow-up (92.6 vs. 86.2%; p = 0.004). AMRT with less treatment cycles was more effective than CMRT (1.5 vs. 1.9; p < 0.001). After 6 months of follow-up, the cumulative recurrence rate of the AMRT group was significantly lower than that of the CMRT group (3.0 vs. 8.9%; p = 0.037). Conclusion: AMRT is a feasible and effective procedure for the resolution of PC-BPPV.

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Section: Introductionmentioning

confidence: 99%

Automated Mechanical Repositioning Treatment for Posterior Canal Benign Paroxysmal Positional Vertigo: A Single-Center Experience and Literature Review

et al. 2017

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“…Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo presenting to primary care and neuro-otology clinics [1][2][3][4]. The most accepted theory to explain the subjective (brief episodes of vertigo) and objective (positional nystagmus) clinical features is thought to be loose debris (otolith fragments) within the posterior semicircular canal [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…The most accepted theory to explain the subjective (brief episodes of vertigo) and objective (positional nystagmus) clinical features is thought to be loose debris (otolith fragments) within the posterior semicircular canal [3,4]. This debris moves freely inside the endolymphatic system and can thus migrate to any semicircular canal.…”

Section: Introductionmentioning

confidence: 99%

“…Anterior semicircular canal BPPV (AC-BPPV), diagnosed by observation of a similar nystagmus but in a downbeating direction, is not frequent and therapeutic information on this condition is extremely scarce [3,6,7]. Recent controlled studies have clearly established that physical maneuvers based on inner ear biomechanics are highly effective for PC-BPPV.…”

Section: Introductionmentioning

confidence: 99%

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New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo

2009

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This article describes the clinical features of anterior semicircular canal benign paroxysmal positional vertigo (AC-BPPV) and a new therapeutic maneuver for its management. Our study was a retrospective review of cases from an ambulatory tertiary referral center. Thirteen patients afflicted with positional paroxysmal vertigo exhibiting brief positional down-beating nystagmus in positional tests (Dix-Hallpike and head-hanging position) were treated with a maneuver comprised of the following movements: Sequential head positioning beginning supine with head hanging 30 degrees dependent with respect to the body, then supine with head inclined 30 degrees forward, and ending sitting with head 30 degrees forward. All cases showed excellent therapeutic response to our repositioning procedure, i.e. relief of vertigo and elimination of nystagmus. The maneuver described is an option for AC-BPPV treatment.

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“…The clinician can determine the SCC involved by analyzing the eye movements provoked and the latency of nystagmus 2) . ASC BPPV is characterized by paro xys mal down-beating nystagmus lasting less than 60 seconds 10,11) . The most common clinical intervention for canalithiasis of the ASC is the canalith-repositioning maneuver (CRM).…”

Section: Introductionmentioning

confidence: 99%

Physical therapy management of Anterior Canal Benign Paroxysmal Positional Vertigo by the Deep Head Hanging Maneuver

Saif¹,

Alsenany²

2012

HEALTH

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One important factor that can cause of dizziness is benign paro xys mal positional vertigo (BPPV); this increases in prevalence with age. The aim of this clinical study was to determine whether the Deep Head Hanging maneuver is an efficacious treatment maneuver for anterior canalithiasis. Twenty-eight adult participants were recruited. Their ages ranged fro m 41-63 years. Thrteen participants were male, and fifteen were female. Part icipants were judged to be "clear" of the anterior canalithiasis when there was no nystagmus or subjective vertigo elicited by diagnostic positioning at the follow-up appointment. Results indicate that 82.1 % of the twenty-eight participants were clear o f anterior canalith iasis after one treatment session, with another 14.2 % clear after a second treatment session. The remain ing 3.5 % required a third treatment session. In Conclusion, the Deep Head Hanging maneuver was demonstrated to be a useful treat ment in patients presenting with possible anterior canalithiasis sessions.

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Benign Paroxysmal Positional Vertigo

Cited by 309 publications

References 39 publications

Automated Mechanical Repositioning Treatment for Posterior Canal Benign Paroxysmal Positional Vertigo: A Single-Center Experience and Literature Review

Automated Mechanical Repositioning Treatment for Posterior Canal Benign Paroxysmal Positional Vertigo: A Single-Center Experience and Literature Review

New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo

Physical therapy management of Anterior Canal Benign Paroxysmal Positional Vertigo by the Deep Head Hanging Maneuver

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