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Benign positional paroxysmal vertigo

Nuan Wang, Hao Zhou, Hongli Huang, Deqin Geng, Xiuhua Yang, Chunyu Yu, Di Shi
Background: We determined the diagnostic and therapeutic effects of SRM-IV vestibular function diagnosis and treatment system on benign paroxysmal positional vertigo (BPPV). Methods: Overall, 120 patients with BPPV diagnosed in the outpatient and in-patient departments of the Vertigo Treatment Center of the First People's Hospital of Xuzhou from January 2013 to December 2015 were selected for this study. They were randomly divided into three groups. Automatic repositioning procedure was conducted for 40 patients in the equipment repositioning group by SRM-IV vestibular function diagnosis and treatment system, conventional manual repositioning procedure was used for 40 patients in the manual repositioning group, and combination of treatment drugs (alprostadil and safflower injection) with acclimatization training was adopted in 40 patients in the drug therapy group...
May 2018: Iranian Journal of Public Health
N Wang, H Zhou, H L Huang
The purpose of this investigation was to compare the efficacy of automatic to manual reposition treatment for patients with horizontal semicircular canal paroxysmal positional vertigo (BPPV). Sixty patients diagnosed with BPPV were equally and randomly divided into either a manual reposition treatment group or an automatic reposition treatment group. The groups were compared regarding difference in pain [visual analog scale (VAS)], extent of vertigo disorder [dizziness handicap inventory (DHI)], quality of life (SF-36), and therapeutic effect...
May 2018: Journal of Biological Regulators and Homeostatic Agents
F Zhou, M C Zhu, M Wang, H T Wang, Y L Jiao, L F Huang, Z J Liang
Objective: To explore the clinical characteristics and treatments of patients with idiopathic sudden sensorineural hearing loss(ISSHL) with or without vertigo. Method: One hundred and twenty ISSHL cases were divided into vertigo group ( n =36) , without vertigo group ( n =84) , and with benign paroxysmal positional vertigo group ( n =15). All patients were in regular treatment. Besides, according to the types of BPPV, patients do the Epley maneuver or Barbecue roll maneuver. We summarized the result and treatment of the patients...
June 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Y S Tian, Y Zhang, R Ma, P Liu
Objective: To ananlyze the characteristics of the vestibular evoked myogenic action potential of patients with residual dizziness after successful canalith repositioning procedures(CRP)for idiopathic benign paroxysmal positional vertigo(IBPPV). Method: Ninety-seven consecutive patients with IBPPV of the unilateral posterior semicircular canal and health controls were initially enrolled. The patients received 500 Hz tone burst evoked ocular vestibular evoked myogenic potentials(oVEMP) and cervical vestibular evoked myogenic potentials (cVEMP)...
June 5, 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
X X Li, Y K Ou, X W Tang, L Chen, P Liu, Q H Huang, Y Q Zheng
Objective: To study the clinical features of patients with recurrent benign paroxysmal positional vertigo (BPPV) and to analyze potential related factors of recurrences. Method: Eighty patients who suffered recurrent BPPV were enrolled in this study. Patients were divided into three groups: young group (21 cases), middle-aged group (25 cases) and old-aged group (34 cases). Theclinical data including age, gender, pathological pattern and canal type of BPPV were collected. We further analyzed the efficacy of repositioning treatment for recurrent BPPV...
June 5, 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
H M Huang, Y Huang, Y Cui, R M Ge, M Fu
Objective: To investigate the diagnosis and treatment of canal conversion during canalith repositioning procedure for benign paroxysmal positional vertigo. Method: The clinic features, nystagmus characteristics, diagnosis and treatment of the patients with benign paroxysmal positional vertigo who suffered from canal conversion during canalith repositioning procedure were analyzed retrospectively.All patients'positioning test and canalith repositioning procedure were done with the aid of videonystagmography...
June 5, 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Wenche Iglebekk, Carsten Tjell, Peter Borenstein
Background and aim A diagnosis of chronic benign paroxysmal positional vertigo (BPPV) is based on brief attacks of rotatory vertigo and concomitant nystagmus elicited by rapid changes in head position relative to gravity. However, the clinical course of BPPV may vary considerably from a self-limiting to a persisting and/or recurrent disabling problem. The authors' experience is that the most common complaints of patients with chronic BPPV are nautical vertigo or dizziness with other symptoms including neck pain, headache, widespread musculoskeletal pain, fatigue, and visual disturbances...
December 29, 2017: Scandinavian Journal of Pain
Harald Breivik
No abstract text is available yet for this article.
December 29, 2017: Scandinavian Journal of Pain
Wenche Iglebekk, Carsten Tjell, Peter Borenstein
Background and aim Chronic musculoskeletal pain, e.g. whiplash associated disorders (WAD), fibromyalgia and myalgia, causes significant burden on both the individual and on society as a whole. In a previous study, the authors concluded that there is a likely connection between chronic benign paroxysmal positional vertigo (BPPV)/canalithiasis and headache, neck pain, generalized pain, fatigue, cognitive dysfunctions as well as tinnitus. The balance dysfunction in BPPV/canalithiasis is dynamic and not static...
December 29, 2017: Scandinavian Journal of Pain
G Guerra-Jiménez, E Domènech-Vadillo, M G Álvarez-Morujo de Sande, R González-Aguado, H Galera-Ruiz, C Morales Angulo, A J Martín-Mateos, E Figuerola-Massana, Á Ramos-Macías, E Domínguez-Durán
OBJECTIVES: To compare the outcome of the Epley maneuver (EM) in benign paroxysmal positional vertigo of the posterior canal (CSP-BPPV) depending on the definition used for recovery. DESIGN: Multicenter observational prospective study. SETTING: Otoneurology Units of five tertiary reference hospitals. PARTICIPANTS: All patients presenting with unilateral CSP-BPPV assisted for one-year period. EXCLUSION CRITERIA: Spontaneous nystagmus, positive McClure-Pagnini maneuver, positive bilateral Dix-Hallpike maneuver (DHM), positive DHM for vertigo but negative for nystagmus and atypical nystagmus...
June 15, 2018: Clinical Otolaryngology
Paula Martínez Pascual, Pedro Amaro Merino
INTRODUCTION: Benign paroxysmal positional vertigo (BPPV) pathophysiology is based on otoconia migration from the utricle and saccule to the semicircular canals, however, the role of the saccule is still under study. Our aim is to study the otolith damage in these patients with vestibular evoked myogenic potentials (VEMPS) and correlate the results with those of computerised dynamic posturography (CDP). MATERIAL AND METHODS: We present 79 patients diagnosed with BPPV between March and June 2017...
June 9, 2018: Acta Otorrinolaringológica Española
Yun Wang, Fei Fei Xia, Wei Wang, Wenli Hu
OBJECTIVE: Despite the availability of highly effective treatments, there is a significant recurrence rate of benign paroxysmal positional vertigo (BPPV). This study is aimed to quantitatively measure sleep quality in BPPV patients and correlate it with the recurrence of BPPV. METHODS: In this longitudinal cohort study, the clinical records of 67 elderly or middle-aged adult patients who were diagnosed with BPPV at Neurology Clinic, Beijing Chaoyang Hospital affiliated to Capital Medical University between 2013 and 2014...
June 8, 2018: International Journal of Neuroscience
Antonello Maria Messina, Ettore Marini
With the increasing popularity of dental implants, the explantation of fractured implants has become a major challenge for clinicians. Several tools can be used for the removal of osseointegrated implants; however, few of these have the characteristics of easy control, selective cutting, and rapid healing. We report a case of benign paroxysmal positional vertigo (BPPV) developed immediately after piezosurgical removal of osteointegrated implants.The BPPV may be an unpleasant complication of piezosurgical removal of osseointegrated implants and may cause considerable stress if not identified correctly and managed properly...
June 5, 2018: Journal of Craniofacial Surgery
X L Zhang, M J Zhang, D L Liu, Q F Zhang
Objective: To analyze the etiological characteristics of patients in department of ENT with chief complaint of vertigo or dizziness in order to reduce the rate of misdiagnosis and wrong treatment. Method: A total of 3 137 patients in department of ENT with chief complaint of vertigo or dizziness from Sep 2015 to Sep 2017 were included and the etiologies were clarified retrospectively. And in which with any of the 8 kinds of disease including benign paroxysmal positional vertigo(BPPV), vestibular neuritis, vestibular migraine (VM), Meiniére disease, recurrent vestibular disease, sudden deafness with vertigo, psychogenic vertigo, posterior circulation ischemia (PCI) together 2 138 patients were further stratified analyzed by gender and age...
May 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
P X Wu, J Wang, W Y Li, H W Li
In 2008, American Academy of Otolaryngology-Head and Neck Surgery Foundation(AAO-HNSF)published the first clinical practice guideline for Benign Paroxysmal Positional Vertigo (BPPV) based on evidence-based methodology. The primary purposes of this guideline were to improve quality of care and outcomes for BPPV by enhancing the accuracy and efficacy of diagnosis of BPPV, reduce the inappropriate use of vestibular suppressant, and decrease the inappropriate use of ancillary examinations. The guideline was updated in 2017...
May 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Gregory T Whitman
Dizziness is a common symptom encountered by all physicians. Dizziness and related symptoms are frequently linked to one or more of a list of contributors that includes benign paroxysmal positional vertigo, Ménière's disease, migraine, acute peripheral vestibulopathy, cerebral ischemia and anxiety disorders. Awareness of these common clinical patterns increases the likelihood of making a rapid, accurate diagnosis.
May 31, 2018: American Journal of Medicine
Chang-Hee Kim, Seok Min Hong
OBJECTIVE: Clinicians sometimes see patients with relatively persistent geotropic direction-changing positional nystagmus (DCPN) as a variant of lateral semicircular canal-benign paroxysmal positional vertigo (LSCC-BPPV). Recently, the concept of a "light cupula" in the lateral semicircular canal, exhibiting persistent geotropic DCPN, has been introduced. However, the underlying pathogenesis of light cupula is not known. We investigated the efficacy of a modified cupulopathy repositioning maneuver (mCuRM), designed to reduce light debris attached to the cupula in patients with persistent geotropic DCPN...
May 26, 2018: European Archives of Oto-rhino-laryngology
X Wang, Y J Tian, J Shan
Objective: To explore the best treatment for elderly patients with benign paroxysmal positional vertigo (BPPV). Method: Sixty-eight BPPV patients aged 60-85 years were randomly divided into two groups. The control group was treated by simple manipulation. The study group was treated by manual reduction combined with psychological intervention. The curative effect was compared. Result: The cure rates of the control group and the study group were 44.4% and 43.8% respectively, with no significant difference ( P >0...
February 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Q P Gong, Y Zhang, Y J Li, X R Xu, J Y Luo
Objective: To conclude the four types of nystagmus in the final position during canalith repositioning procedure (CRP) for posterior canal benign paroxysmal positional vertigo (PC-BPPV), and predict the outcome of CRP therapy. Method: Nystagmus were recorded by an infrared charge-coupled devicecamera when underwent CRP therapy, which observed in the final position and concluded into four types. Result: Two hundred and twenty-three patients were included in our research and the results as follow. ①The nystagmus replicates the initial nystagmus during the Hallpike maneuver, which suggests therapeutic outcome,128 cases in total (57...
February 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
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