Diagnosis and Management of Lateral Semicircular Canal Benign Paroxysmal Positional Vertigo

White, Judith; Coale, Kathleen D.; Catalano, Peter J.; Oas, John G.

doi:10.1016/j.otohns.2005.03.080

Cited by 81 publications

(94 citation statements)

References 16 publications

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“…For the treatment of HSC-BPPV, the barbecue maneuver (and its several variations) is the one that is most commonly used [Fife, 1998;White et al, 2005;Escher et al, 2007], often in association with FPP [Nuti et al, 1998;Casani et al, 2002;Koo et al, 2006] achieving success in 50-100% of the cases. Some years ago, Gufoni et al [1998] described a method of treatment that involves shifting the patient rapidly from a sitting position to the healthy side (in the geotropic forms) or to the affected side (in the apogeotropic forms).…”

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confidence: 99%

“…(2) the apogeotropic type, less common, in which the material is found in the ampullar branch of the canal very near the cupula; by means of specific maneuvers this form (generally more resistant to treatment) can be converted into the geotropic type [White et al, 2005]. If this is not possible, the apogeotropic type may be considered a true cupulolithiasis since the debris probably adheres strictly to the HSC cupula [Baloh et al, 1995;Casani et al, 1997].…”

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Horizontal Semicircular Canal Benign Paroxysmal Positional Vertigo: Effectiveness of Two Different Methods of Treatment

Casani¹,

Nacci

Dallan³

et al. 2010

Audiol Neurotol

106

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The aim of this study is to compare the results obtained using 2 methods of treatment for horizontal semicircular canal benign paroxysmal positional vertigo (HSC-BPPV): the barbecue maneuver + forced prolonged position (FPP) versus the Gufoni maneuver. In a randomized prospective clinical trial, we recruited 147 patients affected by HSC-BPPV. The primary outcome was the absence of vertigo and nystagmus upon application of the supine roll test during the follow-up examination. A statistical evaluation was performed in order to assess whether any parameters (e.g. age, duration of nystagmus and symptoms) could influence in any way the results obtained with the 2 methods of treatment. One hundred and three of the 147 patients affected by HSC-BPPV had the geotropic form and 44 had the apogeotropic type. We were able to transform 29 cases of HSC-BPPV from apogeotropic to geotropic. Finally, we obtained a group of 112 patients who were randomized either to the barbecue + FPP procedure (54 patients) or to the Gufoni maneuver (58 patients). The most evident result is the higher percentage of success (statistically significant) with the Gufoni maneuver at the first session of treatment (86 vs. 61%). The final control showed that 44 out of 54 (81%) patients treated with the barbecue maneuver + FPP were symptom free compared to 54 out of 58 (93%) treated with the Gufoni maneuver. Both the barbecue maneuver + FPP and the Gufoni maneuver are valid methods for treating HSC-BPPV (geotropic forms). However, our results also indicate that the Gufoni maneuver has a significant advantage: the success rate shown at the follow-up, although without statistical significance, is undoubtedly higher (93 vs. 81%). This result, together with the fact that it is very easy to perform and that patient compliance is better, make the Gufoni maneuver the method of choice in HSC-BPPV treatment.

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confidence: 99%

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Horizontal Semicircular Canal Benign Paroxysmal Positional Vertigo: Effectiveness of Two Different Methods of Treatment

Casani¹,

Nacci

Dallan³

et al. 2010

Audiol Neurotol

106

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“…При этом в процессе проведения маневра наблюдается изме-нение направления нистагма на специфичный для друго-го ПК. Чаще всего встречается перемещение отолитов из ЗПК в ГПК и в ППК [29].…”

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The etiology, pathophysiology and differential diagnosis of benign paroxysmal positional vertigo

Kunelskaya

Mel’nikov²,

Baybakova

2016

Z. nevrol. psikhiatr. im. S.S. Korsakova

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“…However, this is not particularly surprising because BPPV secondary to cupulolithiasis is often less responsive to conservative treatment measures than canalithiasis. 7 This is presumably because otoconial debris must be freed from the cupula before repositioning maneuvers can be effective. We suspect that this patient has otoconial debris firmly adherent to the cupula, which were not mobilized despite extensive efforts in vestibular rehabilitation therapy.…”

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confidence: 99%

Persistent positional nystagmus

Heidenreich¹,

Kerber

Carender³

et al. 2011

The Laryngoscope

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Involvement of the superior semicircular canal (SSC) in benign paroxysmal positional vertigo (BPPV) is rare. SSC BPPV is distinguished from the more common posterior semicircular canal (PSC) variant by the pattern of nystagmus triggered by the Dix-Hallpike position: down-beating torsional nystagmus in SSC BPPV versus up-beating torsional nystagmus in PSC BPPV. SSC BPPV may be readily treated at the bedside, which is a key component in excluding central causes of down-beating nystagmus. We present an unusual video case report believed to represent refractory SSC BPPV based on the pattern of nystagmus and the absence of any other central signs.

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Diagnosis and Management of Lateral Semicircular Canal Benign Paroxysmal Positional Vertigo

Abstract: Adding supine positional testing to routine vestibular diagnostic testing will increase the identification of LSC-BPPV. Apogeotropic LSC-BPPV is more challenging to treat.

Cited by 81 publications

References 16 publications

Horizontal Semicircular Canal Benign Paroxysmal Positional Vertigo: Effectiveness of Two Different Methods of Treatment

Horizontal Semicircular Canal Benign Paroxysmal Positional Vertigo: Effectiveness of Two Different Methods of Treatment

The etiology, pathophysiology and differential diagnosis of benign paroxysmal positional vertigo

Persistent positional nystagmus

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