Treatment of Anterior Benign Paroxysmal Positional Vertigo by Canal Plugging: A Case Report

Brantberg, Krister; Bergenius, Johan

doi:10.1080/00016480252775698

Cited by 47 publications

(30 citation statements)

References 8 publications

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“…Positional nystagmus can be provoked in the supine position with the head hanging straight below the earth-horizontal and by Dix-Hallpike positioning, that, no matter to which side the head is turned, stimulates particle migration within the affected anterior canal [2,6,16]. In the Dix-Hallpike position, nystagmus may be stronger or exclusively present with the affected ear up or down.…”

Section: Commentsmentioning

confidence: 99%

“…However, the small torsional component of the positional nystagmus can be easily missed in clinical practice, rendering identification of the affected side unreliable [2,6]. Identification of the torsional component of nystagmus may be facilitated by eye movement recording with video-oculography [16,22] or search-coils [2].…”

Section: Commentsmentioning

confidence: 99%

“…It is noted that both maneuvers not only test for lithiasis of the posterior canal of one side but also for the anterior canal of both sides [2,6,16]. For testing of the horizontal canal, the supine roll test is used: the head of the patient in the supine position is elevated about 30…”

Section: Diagnosismentioning

confidence: 99%

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Benign paroxysmal positional vertigo: Diagnostic criteria

Brevern

Bertholon

Brandt

et al. 2015

VES

563

502

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Abstract. This article presents operational diagnostic criteria for benign paroxysmal positional vertigo (BPPV), formulated by the Committee for Classification of Vestibular Disorders of the Bárány Society. The classification reflects current knowledge of clinical aspects and pathomechanisms of BPPV and includes both established and emerging syndromes of BPPV. It is anticipated that growing understanding of the disease will lead to further development of this classification.

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Section: Commentsmentioning

confidence: 99%

Section: Commentsmentioning

confidence: 99%

See 1 more Smart Citation

Benign paroxysmal positional vertigo: Diagnostic criteria

Brevern

Bertholon

Brandt

et al. 2015

VES

563

502

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“…Surgical plugging of the SSC for BPPV refractory to medical therapy is not well described, but there is one published success using a transmastoid approach to treat persistent SSC canalithiasis. 8 Canal plugging in this case could have provided definitive evidence to support the clinical diagnosis.…”

Section: Case Reportmentioning

confidence: 85%

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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“…Based on these fi ndings, CRP could be one of the most effective treatment methods for ASC BPPV. In cases with intractable disease, semicircular canal occlusion, using the transmastoid approach, can be applied [11] . In our study, all the symptoms of the ASC BPPV patients could be relieved by CRP alone.…”

Section: The Effi Cacy Of the Treatmentmentioning

confidence: 99%

The Effect of Canalith Repositioning for Anterior Semicircular Canal Canalithiasis

Kim

Shin

Chung³

2005

ORL

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The purpose of this study was to evaluate the efficacy of our canalith repositioning procedure (CRP) for benign paroxysmal positional vertigo (BPPV) of the anterior semicircular canal (ASC). We conducted a prospective study of 30 ASC BPPV patients to analyze the efficacy of a modified CRP. When the patient was diagnosed as having ASC BPPV by a specific provocative positioning test, a CRP was performed. The response to the treatment was categorized as grade I–IV. Of the 30 study patients, 6 were male and 24 were female with the highest incidence when the patients were in their 50s. The vertigo and nystagmus in 29 patients fully resolved (grade I). Using this maneuver, 96.7% of patients became symptom free. Overall, the maneuver needed to be performed 1.97 times to control the symptoms. Based on these findings, CRP could be one of the most effective treatment methods for ASC BPPV.

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Treatment of Anterior Benign Paroxysmal Positional Vertigo by Canal Plugging: A Case Report

Cited by 47 publications

References 8 publications

Benign paroxysmal positional vertigo: Diagnostic criteria

Benign paroxysmal positional vertigo: Diagnostic criteria

Persistent positional nystagmus

The Effect of Canalith Repositioning for Anterior Semicircular Canal Canalithiasis

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