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https://www.readbyqxmd.com/read/27897129/a-pilot-study-using-intratympanic-methylprednisolone-for-treatment-of-persistent-posterior-canal-benign-paroxysmal-positional-vertigo
#1
Paz Pérez, Virginia Franco, Manuel Oliva, José A López Escámez
OBJECTIVE: To assess the effect of intratympanic methylprednisolone (ITMP) in posterior canal benign paroxysmal positional vertigo (BPPV) that fails treatment involving repositioning maneuver in a case series. MATERIALS AND METHODS: Nine patients with persistent posterior canal BPPV after 6 or more repositioning maneuvers were treated by ITMP (two weekly doses of 0.3-0.4 mL at 40 mg/mL) before repeating the repositioning procedures. RESULTS: Following ITMP treatment, 7 out of 9 patients were relieved of their symptoms and did not exhibit positional nystagmus after 1 or 2 repositioning maneuvers...
November 28, 2016: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/27856148/evaluation-of-benign-paroxysmal-positional-vertigo-following-le-fort-i-osteotomy
#2
K Deniz, S S Akdeniz, A Ö Koç, S Uçkan, L N Ozluoğlu
The Le Fort I osteotomy is widely used to correct dentofacial deformities. Benign paroxysmal positional vertigo (BPPV) is a common vestibular end organ disorder characterized by short, often recurrent episodes of vertigo. Head trauma is one of the known causes of BPPV. During pterygoid osteotomy, the surgical trauma induced by percussion with the surgical mallet and osteotomes can displace otoliths into the semicircular canal, resulting in BPPV. The aim of this study was to evaluate the potential risk of occurrence of BPPV in individuals undergoing Le Fort I osteotomy...
November 14, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27810843/evaluation-of-cervical-vestibular-evoked-myogenic-potential-findings-in-benign-paroxysmal-positional-vertigo
#3
Abdullah Karataş, Turgut Yüce, Işıl Taylan Çebi, Gülşah Acar Yüceant, Cemal Hacı, Mehti Salviz
OBJECTIVE: Although there has been a wide consensus on the mechanism of nystagmus and clinical presentation of benign paroxysmal positional vertigo (BPPV), the neuroepithelial pathophysiology of BPPV still remains unclear. In this study, we aimed to clarify the pathophysiology of BPPV by evaluating the cervical vestibular-evoked myogenic potential (cVEMP) findings of patients. MATERIALS AND METHODS: Thirty-six BPPV patients and 20 healthy volunteers were included...
August 1, 2016: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/27809643/the-evaluation-of-anxiety-and-panic-agarophobia-scores-in-patients-with-benign-paroxysmal-positional-vertigo-on-initial-presentation-and-at-the-follow-up-visit
#4
Serif Samil Kahraman, Cengiz Arli, Umit Sertan Copoglu, Mehmet Hanifi Kokacya, Sait Colak
CONCLUSION: Patients with BPPV experienced short but intense anxiety and/or panic disorder, especially at the initial visit, but most patients recovered without medication with successful treatment. OBJECTIVE: Recent studies have shown that people with dizziness report some psychological problems such as panic and agoraphobia and anxiety. The aim of this study was to evaluate anxiety and panic agorophobia levels in patients with benign paroxysmal positional vertigo on initial presentation and at the follow-up visit and compare the scores with the control group...
November 4, 2016: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27806891/repeated-canalith-repositioning-procedure-in-bppv-effects-on-recurrence-and-dizziness-prevention
#5
Giancarlo Tirelli, Luca Nicastro, Annalisa Gatto, Margherita Tofanelli
PURPOSE: To evaluate whether a repeated canalith repositioning procedure (CRP) influences the residual symptoms and the rate of recurrence of benign paroxysmal positional vertigo (BPPV) in patients with post-CRP dizziness. MATERIALS AND METHODS: In this retrospective study, we analyzed 292 patients at the referral center for ENT diseases with a first episode of BPPV treated with a single CRP following clinical practice guidelines. In 178 patients (67.9%) who presented dizziness after BPPV recovery at the follow-up visit, 94 patients underwent CRP (treated group) and 84 did not (non-treated group)...
September 28, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27780909/benign-paroxysmal-positional-vertigo-secondary-to-mild-head-trauma
#6
Dimitrios G Balatsouras, George Koukoutsis, Andreas Aspris, Alexandros Fassolis, Antonis Moukos, Nicolas C Economou, Michael Katotomichelakis
OBJECTIVES: We studied the clinical characteristics, nystagmographic findings, and treatment outcome of a group of patients with benign paroxysmal positional vertigo (BPPV) secondary to mild head trauma and compared them with a group of patients with idiopathic BPPV. METHODS: The medical records of 33 patients with BPPV associated with mild head trauma were reviewed. Data of a complete otolaryngological, audiological, neurotologic, and imaging evaluation were available for all patients...
January 2017: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/27772791/evaluating-the-morphological-changes-of-intracranial-arteries-and-whole-brain-perfusion-in-undetermined-isolated-vertigo
#7
Wenxian Li, Youzhen Feng, Weibiao Lu, Xie Xie, Zhilin Xiong, Zhen Jing, Xiangran Cai, Li'an Huang
PURPOSE: To determine the morphological changes of intracranial arteries and whole-brain perfusion in undetermined isolated vertigo (UIV) patients using 320-detector row computed tomography (CT). METHODS: A total of 150 patients who underwent CT angiography (CTA) and CT perfusion (CTP) imaging were divided into UIV group and benign paroxysmal positional vertigo (BPPV) group. Sixty individuals with sex- and age-matched without vertigo and cerebral diseases served as the control...
November 15, 2016: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/27757201/the-effect-of-serum-vitamin-d-normalization-in-preventing-recurrences-of-benign-paroxysmal-positional-vertigo-a-case-control-study
#8
Mahboobeh Sheikhzadeh, Yones Lotfi, Abdollah Mousavi, Behzad Heidari, Enyatollah Bakhshi
BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is a condition with recurrent attacks in a significant proportion of patients. The present case- control study was conducted to assess the influence of serum vitamin D normalization on recurrent attacks of vitamin D deficient patients. METHODS: Diagnosis of BPPV was made based on history and clinical examination and exclusion of other conditions. Serum 25-hydroxy vitamin D (25-OHD) was measured using ELISA method and a levels of < 20 ng/ml was considered a deficiency of vitamin D...
2016: Caspian Journal of Internal Medicine
https://www.readbyqxmd.com/read/27726156/otoconia-and-otolithic-membrane-fragments-within-the-posterior-semicircular-canal-in-benign-paroxysmal-positional-vertigo
#9
Wee Tin K Kao, Lorne S Parnes, Richard A Chole
OBJECTIVES/HYPOTHESIS: Benign paroxysmal positional vertigo (BPPV) is the most common vestibular disorder with an incidence between 10.7 and 17.3 per 100,000 persons per year. The mechanism for BPPV has been postulated to involve displaced otoconia resulting in canalithiasis. Although particulate matter has been observed in the endolymph of affected patients undergoing posterior canal occlusion surgery, an otoconial origin for the disease is still questioned. STUDY DESIGN: In this study, particulate matter was extracted from the posterior semicircular canal of two patients and examined with scanning electron microscopy...
October 11, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27718352/utility-of-the-frequency-tuning-measure-of-ovemp-in-differentiating-meniere-s-disease-from-bppv
#10
Niraj Kumar Singh, Animesh Barman
BACKGROUND: Utility of frequency tuning of ocular vestibular evoked myogenic potential (oVEMP) for evaluation of utricular function in individuals with Meniere's disease is a recent development. However, there is dearth of studies regarding its utility in differential diagnosis of Meniere's disease from other vestibular pathologies. PURPOSE: The present study aimed at investigating the feasibility of frequency tuning of oVEMP in discriminating Meniere's disease from benign paroxysmal positional vertigo (BPPV)...
October 2016: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/27683970/effects-of-semont-maneuver-on-benign-paroxysmal-positional-vertigo-a-meta-analysis
#11
Xiaoli Zhang, Xiaoyun Qian, Ling Lu, Jie Chen, Jing Liu, Chuanyao Lin, Xia Gao
BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is the most common type of peripheral vertigo. This study aimed to evaluate the effects of the Semont maneuver (SM) for BPPV treatment, compared with other methods. METHODS: Studies were selected in relevant databases under pre-defined criteria up to June 2015. The Cochrane evaluation system was used to assess the quality of the studies. Effect size was indicated as a risk-ratio (RR) with corresponding 95% confidential interval (CI)...
August 12, 2016: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27661276/the-usefulness-of-monitoring-the-neutrophil-to-lymphocyte-ratio-in-patients-with-peripheral-vertigo
#12
C Sahin, C Varim, M Uyanik, B Acar, T Acar, A Nalbant
The purpose of this study was to evaluate the usefulness of the neutrophil to lymphocyte ratio (NLR) in a differential diagnosis and follow-up of patients with peripheral vertigo. Twenty patients with benign positional paroxysmal vertigo (BPPV) and 20 patients diagnosed with vestibular neuritis (VN) were included in the study. Serum samples were analysed at the initial presentation and on the seventh day of admission retrospectively. The WBC (white blood cell) count was 10500±2100 /mm3, the neutrophil count was 4700±1100/mm3, the lymphocyte count was 5000±1200/mm3 and the NLR was 0...
July 2016: Georgian Medical News
https://www.readbyqxmd.com/read/27644766/office-based-differential-diagnosis-of-transient-and-persistent-geotropic-positional-nystagmus-in-patients-with-horizontal-canal-type-of-benign-paroxysmal-positional-vertigo
#13
Suzuyo Okazaki, Takao Imai, Kayoko Higashi-Shingai, Kazunori Matsuda, Noriaki Takeda, Tadashi Kitahara, Atsuhiko Uno, Arata Horii, Yumi Ohta, Tetsuo Morihana, Chisako Masumura, Suetaka Nishiike, Hidenori Inohara
CONCLUSION: A 30 s observation of geotropic positional nystagmus is sufficient to distinguish persistent geotropic positional nystagmus (PGPN) from transient geotropic positional nystagmus (TGPN) in patients with horizontal canal type of benign paroxysmal positional vertigo (H-BPPV) in ENT office. OBJECTIVE: As a canalith repositioning procedure effectively treats H-BPPV with TGPN, but not PGPN, the differentiation between patients with PGPN and with TGPN is essential...
September 20, 2016: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27642667/two-common-second-causes-of-dizziness-in-patients-with-m%C3%A3-ni%C3%A3-re-s-disease
#14
Babette F van Esch, Peter Paul G van Benthem, Hester J van der Zaag-Loonen, Tjasse D Bruintjes
OBJECTIVE: There are no epidemiological studies quantifying the prevalence of second causes of dizziness in Ménière's disease (MD). Therefore, we aimed to quantify which dizziness-inducing causes are prevalent alongside MD. Moreover, we analyzed which second cause of dizziness was more common in a specific age group and if age was a risk factor. STUDY DESIGN: Retrospective cohort study. SETTING: Tertiary referral center. METHODS: Data were retrospectively obtained from all MD patients who visited our clinic between January 2000 and December 2013...
December 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27638063/the-epidemiology-of-dizziness-and-vertigo
#15
H K Neuhauser
This chapter gives an overview of the epidemiology of dizziness, vertigo, and imbalance, and of specific vestibular disorders. In the last decade, population-based epidemiologic studies have complemented previous publications from specialized settings and provided evidence for the high burden of dizziness and vertigo in the community. Dizziness (including vertigo) affects about 15% to over 20% of adults yearly in large population-based studies. Vestibular vertigo accounts for about a quarter of dizziness complaints and has a 12-month prevalence of 5% and an annual incidence of 1...
2016: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/27595924/health-related-quality-of-life-and-disability-in-patients-with-acute-unilateral-peripheral-vestibular-disorders
#16
Maria Petri, Magdalena Chirilă, Sorana D Bolboacă, Marcel Cosgarea
INTRODUCTION: Health-related quality of life (HRQoL) is used to denote that portion of the quality of life that is influenced by the person's health. OBJECTIVES: To compare the HRQoL of individuals with vestibular disorders of peripheral origin by analyzing functional, emotional and physical disabilities before and after vestibular treatment. METHODS: A prospective, non randomized case-controlled study was conduced in the ENT Department, between January 2015 and December 2015...
August 24, 2016: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/27588161/behavior-of-the-posterior-semicircular-canal-after-dix-hallpike-maneuver
#17
Francisco Carlos Zuma e Maia, Pedro Luiz Mangabeira Albernaz, Renato Valério Cal
The objective of the present study is to analyze the quantitative vestibulo-ocular responses in a group of patients with benign paroxysmal positional vertigo (BPPV) canalolithiasis and compare these data with the data of the tridimensional biomechanical model. This study was conducted on 70 patients that presented idiopathic posterior semicircular canal canalolithiasis. The diagnosis was obtained by Dix-Hallpike maneuvers recorded by videonystagmograph. The present study demonstrates that there is a significant correlation between the intensity of the nystagmus and its latency in cases of BPPV-idiopathic posterior semicircular canal canalolithiasis type...
April 20, 2016: Audiology Research
https://www.readbyqxmd.com/read/27577049/onset-time-of-benign-paroxysmal-positional-vertigo
#18
Hiroaki Ichijo
CONCLUSION: Benign paroxysmal positional vertigo (BPPV) is strongly related to sleep. This study proposes a micro-otoconia accumulation theory in which the pathological debris is an aggregate of micro-otoconia over a long time period, and which begins to slide by its own weight during sleep. OBJECTIVES: To examine the onset time of idiopathic BPPV and to investigate its etiology. METHOD: Patients (n = 351) were classified as posterior canalolithiasis (PC), horizontal canalolithiasis (HC), and horizontal heavy cupula (HHC) according to nystagmus findings...
August 31, 2016: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27564837/development-of-a-murine-model-of-traumatic-benign-paroxysmal-positional-vertigo-a-preliminary-study
#19
Chan Joo Yang, Ji-Won Lee, Sung-Jin Kim, Chang-Whan Lee, Hong Ju Park
CONCLUSION: The results showed a gradual detachment of otoconia in the utricle after a single event of head vibration, possibly explaining the frequent recurrence of BPPV attacks and persistent dizziness after trauma. OBJECTIVES: This study developed a murine model of traumatic BPPV and observed the changes in otoconia detachment over time. METHODS: Six-week-old CBA mice were used in this study. Otoconia detachment was induced by vibrating the head for 2 min...
August 26, 2016: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27525708/calcium-homeostasis-during-attack-and-remission-in-patients-with-idiopathic-benign-paroxysmal-positional-vertigo
#20
Serif Samil Kahraman, Oguzhan Ozcan, Cengiz Arli, Ihsan Ustun, Rana Erduran, Ertap Akoglu, Cumali Gokce
OBJECTIVE: To evaluate changes in calcium metabolism in patients with idiopathic benign paroxysmal positional vertigo (BPPV) on initial presentation and at the follow-up visit. SUBJECTS AND METHODS: The study comprised a total of 31 patients aged greater than 18 years who presented at the otorhinolaryngology outpatient clinic of our hospital, newly diagnosed as idiopathic BPPV based on the history compatible with BPPV and positive provocative maneuver (either Dix-Hallpike or Roll test)...
October 2016: Otology & Neurotology
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