Surgical Therapy in Intractable Benign Paroxysmal Positional Vertigo

Lévêque, M.; Labrousse, M.; Seidermann, Laurent; Chays, A.

doi:10.1016/j.otohns.2006.04.020

Cited by 40 publications

(39 citation statements)

References 42 publications

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“…Surgical treatments may be considered in these rare occasions of so-called intractable BPPV 84-87. Transection of the posterior ampullary nerve innervating the posterior canal (singular neurectomy) or posterior semicircular canal occlusion (canal plugging) have been performed for intractable PC-BPPV 84…”

Section: Treatmentsmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo

2010

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Benign paroxysmal positional vertigo (BPPV) is characterized by brief recurrent episodes of vertigo triggered by changes in head position. BPPV is the most common etiology of recurrent vertigo and is caused by abnormal stimulation of the cupula by free-floating otoliths (canalolithiasis) or otoliths that have adhered to the cupula (cupulolithiasis) within any of the three semicircular canals. Typical symptoms and signs of BPPV are evoked when the head is positioned so that the plane of the affected semicircular canal is spatially vertical and thus aligned with gravity. Paroxysm of vertigo and nystagmus develops after a brief latency during the Dix-Hallpike maneuver in posterior-canal BPPV, and during the supine roll test in horizontal-canal BPPV. Positioning the head in the opposite direction usually reverses the direction of the nystagmus. The duration, frequency, and symptom intensity of BPPV vary depending on the involved canals and the location of otolithic debris. Spontaneous recovery may be expected even with conservative treatments. However, canalithrepositioning maneuvers usually provide an immediate resolution of symptoms by clearing the canaliths from the semicircular canal into the vestibule.

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Section: Treatmentsmentioning

confidence: 99%

Benign Paroxysmal Positional Vertigo

2010

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“…As CRM become more specific, the need for surgery is decreasing; however, surgery is an extremely effective measure to relieve BPPV. The patient in our report has been free of symptoms for over 1 year since the surgery, demonstrating a successful procedure for only the second reported case of surgical intervention for SSC BBPV.…”

Section: Discussionmentioning

confidence: 99%

“…Symptoms are often self‐limited and resolve spontaneously. Canalith repositioning maneuvers (CRM) have proven to be extremely effective for PSC BPPV, with a success rate of up to 98% . Despite an anatomical orientation that favors resolution of canalithiasis, SSC BPPV has proven to be refractory to CRM in some cases .…”

Section: Introductionmentioning

confidence: 99%

Surgical management for benign paroxysmal positional vertigo of the superior semicircular canal

Naples

Eisen

2015

The Laryngoscope

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Benign paroxysmal positional vertigo of the superior semicircular canal is a rare form of BPPV. It accounts for 1% to 3% of cases. The characteristic nystagmus is positional, down-beating, with a torsional component elicited by the Dix-Hallpike maneuver. Symptoms of superior semicircular canal BPPV often resolve spontaneously; however, it can be refractory to repositioning maneuvers. Surgical management is described for posterior semicircular canal BPPV. To date, however, there is only one reported case of surgical management for superior semicircular canal BPPV. Here we show video documentation of positional, down-beating nystagmus and describe a case of superior semicircular canal BPPV requiring canal occlusion with successful resolution of symptoms.

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“…3,4 Ampullary nerve section is reserved for more serious cases, since it is both difficult and risky. 5 Recent advances in medical laser techniques have made laser occlusion of the posterior semicircular canal more attractive. Antonelli et al reported that this surgical procedure blocked the membranous semicircular canal more effectively, leading to faster post-operative rehabilitation, and had significantly less vestibular complications, compared with mechanical occlusion.…”

Section: Discussionmentioning

confidence: 99%