Complex benign horizontal canal positional vertigo: new perceptual management
Objective: Horizontal semicircular canal site pathology of benign paroxysmal positional vertigo demonstrating three types of nystagmi on positional test were studied. We have attempted to design a protocol for its diagnosis and treatment. Methods: 320 patients of HSC-BPPV were subjected to two types...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-11-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S180886942200074X |
| _version_ | 1811185527443947520 |
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| author | Narendra B. Suratwala Jay N. Suratwala Madhav V. Bapat |
| author_facet | Narendra B. Suratwala Jay N. Suratwala Madhav V. Bapat |
| author_sort | Narendra B. Suratwala |
| collection | DOAJ |
| description | Objective: Horizontal semicircular canal site pathology of benign paroxysmal positional vertigo demonstrating three types of nystagmi on positional test were studied. We have attempted to design a protocol for its diagnosis and treatment. Methods: 320 patients of HSC-BPPV were subjected to two types of positional tests. Of these, patients with bilateral steady apogeotropic nysatgmus were treated with VAV modification of Semont’s maneuver. Patients with unsteady or changing apo/geotropic signs were converted into steady geotropic ones by repetitive positional tests; followed by barbecue maneuver with forced prolong positioning. Results: Overall 88% of patients had a total recovery. 92% of patients with geotropic nystagmus showed no symptoms after second maneuveral sitting. 85% of patients with apogeotropic nystagmus recovered fully after third maneuveral sitting. Conclusions: Correct identification of subtypes of HSC-BPPV is based on provoked nystagmus by positional tests. After locating the site and side on the basis of nystagmic pattern, physician can apply the appropriate PRM. Level of evidence: II a. |
| first_indexed | 2024-04-11T13:30:56Z |
| format | Article |
| id | doaj.art-4b0f1bcff617430e800e851ee7dc1305 |
| institution | Directory Open Access Journal |
| issn | 1808-8694 |
| language | English |
| last_indexed | 2024-04-11T13:30:56Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-4b0f1bcff617430e800e851ee7dc13052022-12-22T04:21:49ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942022-11-0188S89S94Complex benign horizontal canal positional vertigo: new perceptual managementNarendra B. Suratwala0Jay N. Suratwala1Madhav V. Bapat2VAV Care Clinic & Sarvoday Hospital, Surat, India; Corresponding author.VAV Care Clinic & Sarvoday Hospital, Surat, IndiaPune University, Department of Pathology, IndiaObjective: Horizontal semicircular canal site pathology of benign paroxysmal positional vertigo demonstrating three types of nystagmi on positional test were studied. We have attempted to design a protocol for its diagnosis and treatment. Methods: 320 patients of HSC-BPPV were subjected to two types of positional tests. Of these, patients with bilateral steady apogeotropic nysatgmus were treated with VAV modification of Semont’s maneuver. Patients with unsteady or changing apo/geotropic signs were converted into steady geotropic ones by repetitive positional tests; followed by barbecue maneuver with forced prolong positioning. Results: Overall 88% of patients had a total recovery. 92% of patients with geotropic nystagmus showed no symptoms after second maneuveral sitting. 85% of patients with apogeotropic nystagmus recovered fully after third maneuveral sitting. Conclusions: Correct identification of subtypes of HSC-BPPV is based on provoked nystagmus by positional tests. After locating the site and side on the basis of nystagmic pattern, physician can apply the appropriate PRM. Level of evidence: II a.http://www.sciencedirect.com/science/article/pii/S180886942200074XBenign paroxysmal positional vertigoHorizontal semicircular canalParticle repositioning maneuverGeotropic nystagmusApogeotropic nystagmus |
| spellingShingle | Narendra B. Suratwala Jay N. Suratwala Madhav V. Bapat Complex benign horizontal canal positional vertigo: new perceptual management Brazilian Journal of Otorhinolaryngology Benign paroxysmal positional vertigo Horizontal semicircular canal Particle repositioning maneuver Geotropic nystagmus Apogeotropic nystagmus |
| title | Complex benign horizontal canal positional vertigo: new perceptual management |
| title_full | Complex benign horizontal canal positional vertigo: new perceptual management |
| title_fullStr | Complex benign horizontal canal positional vertigo: new perceptual management |
| title_full_unstemmed | Complex benign horizontal canal positional vertigo: new perceptual management |
| title_short | Complex benign horizontal canal positional vertigo: new perceptual management |
| title_sort | complex benign horizontal canal positional vertigo new perceptual management |
| topic | Benign paroxysmal positional vertigo Horizontal semicircular canal Particle repositioning maneuver Geotropic nystagmus Apogeotropic nystagmus |
| url | http://www.sciencedirect.com/science/article/pii/S180886942200074X |
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