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https://www.readbyqxmd.com/read/28063321/clinical-implication-of-cervical-vestibular-evoked-myogenic-potentials-in-benign-paroxysmal-positional-vertigo
#1
Mun Young Chang, Ji Ho Shin, Kyung Hyun Oh, Young Ho Hong, Seog-Kyun Mun
OBJECTIVES: To evaluate the value of cervical vestibular evoked myogenic potential (cVEMP) as a prognostic factor for benign paroxysmal positional vertigo (BPPV). METHODS: We reviewed 65 patients with BPPV who underwent cVEMP. Patients were divided into two groups according to resistance to the repositioning maneuver. Univariable and multivariable analyses were performed with age, gender, affected semicircular canal, affected side and cVEMP parameters to find the associated factors for resistance to the repositioning maneuver...
December 18, 2016: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/28031157/evaluation-of-cervical-vestibular-evoked-myogenic-potential-findings-in-benign-paroxysmal-positional-vertigo
#2
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...
December 2016: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/28031156/endolymphatic-duct-blockage-for-refractory-m%C3%A3-ni%C3%A3-re-s-disease-assessment-of-endolymphatic-sac-biopsy-on-short-term-surgical-outcomes
#3
Marc Henri Asmar, Issam Saliba
OBJECTIVE: Endolymphatic sac decompression (ESD) for the treatment of Ménière's disease (MD) has had limited success and variable results in the literature. We have devised a novel technique that involves blocking the endolymphatic duct with surgical clips. In a separate effort to study the endolymphatic sac (ELS), we have sectioned the lateral part of the main body of the ELS as biopsies from a subset of patients. We aimed to evaluate the effect of the lateral part sectioning of the ELS on short-term surgical outcomes...
December 2016: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/28018471/paroxysmal-kinesigenic-dyskinesia-in-a-patient-with-a-prrt2-mutation-and-centrotemporal-spike-discharges-on-electroencephalogram-case-report-of-a-10-year-old-girl
#4
Sun Young Seo, Su Jeong You
Coexistence of paroxysmal kinesigenic dyskinesia (PKD) with benign infantile convulsion (BIC) and centrotemporal spikes (CTS) is very rare. A 10-year-old girl presented with a 3-year history of frequent attacks of staggering while laughing and of suddenly collapsing while walking. Interictal electroencephalogram (EEG) revealed bilateral CTS, but no changes in EEG were observed during movement. The patient's medical history showed afebrile seizures 6 months after birth, while the family history showed that the patient's mother and relatives on the mother's side had similar dyskinesia...
November 2016: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/27979611/unilateral-posterior-canal-plugging-surgery-for-intractable-bilateral-posterior-canal-type-benign-paroxysmal-positional-vertigo
#5
Sayaka Hotta, Takao Imai, Kayoko Higashi-Shingai, Suzuyo Okazaki, Tomoko Okumura, Atsuhiko Uno, Yumi Ohta, Tetsuo Morihana, Takashi Sato, Hidenori Inohara
OBJECTIVE: To investigate the effectiveness of unilateral posterior semicircular canal (PSCC)-plugging surgery for patients with intractable bilateral PSCC-type benign paroxysmal positional vertigo (P-BPPV). METHODS: From July 2011 to December 2015, we diagnosed 136 patients with P-BPPV. Of these, 3 patients had bilateral P-BPPV, and in 2 of the 3, the condition had been refractory to conservative treatment for more than 1 year. We planned a staged PSCC-plugging surgery for these 2 patients; initially one side was treated, and the contralateral side was treated 6 months later...
December 12, 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27942374/new-treatment-strategy-for-apogeotropic-horizontal-canal-benign-paroxysmal-positional-vertigo
#6
Francisco Zuma E Maia
The apogeotropic variant of horizontal semicircular canal benign paroxysmal positional vertigo (HC-BPPV) is attributed to canalithiasis of the anterior arm or cupulolithiasis. Despite some therapeutic maneuvers, I propose a new treatment strategy for apogeotropic HC-BPPV that is designed to detach both the otoconial debris from the anterior arm of the semicircular canal and the debris that is attached to the utricular side of the cupula using inertia and gravity and based on simulations with a 3D biomechanical model...
August 23, 2016: Audiology Research
https://www.readbyqxmd.com/read/27930443/otolith-dysfunction-in-persons-with-both-diabetes-and-benign-paroxysmal-positional-vertigo
#7
Linda J DʼSilva, Hinrich Staecker, James Lin, Christy Maddux, John Ferraro, Hongying Dai, Patricia M Kluding
OBJECTIVE: Vestibular dysfunction is a well-recognized complication of type 2 diabetes (DM) that may contribute to increased fall risk. The prevalence of benign paroxysmal positional vertigo (BPPV) is higher in people with DM. The impact of DM on the otolith organs of the vestibular system in people with BPPV is unknown. The purpose of this study was to analyze otolith function using vestibular-evoked myogenic potential (VEMP) tests in people with DM and concurrent BPPV (BPPV + DM), and to examine the relationships between VEMP variables and diabetes-related variables...
December 7, 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27927836/assessment-for-benign-paroxysmal-positioning-vertigo-in-medical-patients-admitted-with-falls-in-a-district-general-hospital
#8
Andrew M Chancellor
No abstract text is available yet for this article.
December 2016: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/27921448/efficacy-of-the-li-maneuver-in-treating-posterior-canal-benign-paroxysmal-positional-vertigo
#9
Jinrang Li, Shiyu Tian, Shizhen Zou
CONCLUSION: The Li maneuver is a safe, effective, and simple repositioning method for the treatment of BPPV. It is simple to master and exerts an exact effect. As a rapid repositioning method, the Li maneuver can result in reduced treatment times and increased treatment efficacy, and is, therefore, especially suitable for patients with limited cervical spine movement. OBJECTIVE: To compare the short-term efficacies of the Li and Epley maneuvers in treating posterior canal benign paroxysmal positional vertigo (PC-BPPV)...
December 6, 2016: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27919464/smart-syndrome-classic-transient-symptoms-leading-to-an-unusual-unfavorable-outcome
#10
F Bompaire, L Zinchenko, M Lahutte, K Mokhtari, D Psimaras, C Gaultier, A Monjour, J-Y Delattre, D Ricard
BACKGROUND: Stroke-like migraine attacks after radiation therapy (SMART) syndrome is a rare complication of cerebral radiation therapy that usually presents>10 years after treatment as reversible paroxysmal episodes of neurological dysfunction associated with headaches. CASES: We report here on two cases of SMART syndrome in long-term survivors of high-grade glioma for whom neuropathological data were available. The course of the disease was unfavorable. Although the clinico-radiological picture of SMART syndrome clearly differs from classic cerebral radionecrosis, the gross neuropathological lesions observed in our two patients appeared to be similar to those described in focal radionecrosis...
December 2, 2016: Revue Neurologique
https://www.readbyqxmd.com/read/27918366/oculographic-clinical-test-of-sensory-integration-and-balance-and-computerized-dynamic-posturography-findings-in-patients-with-psoriatic-arthritis
#11
Juan Carlos Amor-Dorado, Maria P Barreira-Fernandez, Javier Llorca, Miguel A Gonzalez-Gay
OBJECTIVE: To assess the frequency and characteristics of the oculographic findings and the usefulness of the clinical test of sensory integration and balance (CTSIB) for the evaluation of balance in patients with psoriatic arthritis (PsA) by comparing this test with the computerized dynamic posturography (CDP). STUDY DESIGN: A series of consecutive patients that fulfilled the Moll and Wright criteria for PsA and matched controls were studied. SETTING: The study was performed at the Otolaryngology Division of a tertiary reference center...
December 1, 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27918236/meniere-s-migraine-and-motion-sickness
#12
John F Golding, Mitesh Patel
CONCLUSION: Elevated Motion Sickness Susceptibility (MSS) in Meniere?s disease (MD) is likely to be a consequence of the onset of MD and not migraine per se. OBJECTIVES: Pathologies of the vestibular system influence MSS. Bilateral vestibular deficits lower MSS, vestibular neuritis or benign paroxysmal positional vertigo have little overall effect, whereas vestibular migraine elevates MSS. However, less is known about MSS in MD, a condition in which many patients experience vestibular loss and migraine symptoms...
December 5, 2016: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27907918/treatment-maneuvers-for-benign-paroxysmal-positional-vertigo-in-the-very-old
#13
Evangelos Anagnostou, Evangelia Kararizou, Ioannis Evdokimidis
No abstract text is available yet for this article.
2017: European Neurology
https://www.readbyqxmd.com/read/27897129/a-pilot-study-using-intratympanic-methylprednisolone-for-treatment-of-persistent-posterior-canal-benign-paroxysmal-positional-vertigo
#14
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/27873123/vestibular-migraine-in-children-and-adolescents
#15
REVIEW
Thyra Langhagen, Mirjam N Landgraf, Doreen Huppert, Florian Heinen, Klaus Jahn
PURPOSE OF REVIEW: The goal of this review is to provide an actualized overview on vestibular migraine in childhood and adolescence, with focus on the epidemiology and clinical presentation as well as its treatment. RECENT FINDINGS: Vertigo spells in childhood can evolve into other periodic syndromes and/or migraine types and persist even into adulthood. Vestibular migraine (VM) and benign paroxysmal vertigo are the most common causes of vertigo in children and adolescents...
December 2016: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/27856148/evaluation-of-benign-paroxysmal-positional-vertigo-following-le-fort-i-osteotomy
#16
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/27814314/chronic-subjective-dizziness-analysis-of%C3%A2-underlying-personality-factors
#17
G Chiarella, C Petrolo, R Riccelli, L Giofrè, G Olivadese, F M Gioacchini, A Scarpa, E Cassandro, L Passamonti
BACKGROUND: Chronic subjective dizziness (CSD) is characterized by persistent dizziness, unsteadiness, and hypersensitivity to one's own motion or exposure to complex visual stimuli. CSD may be triggered, in predisposed individuals with specific personality traits, by acute vestibular diseases. CSD is also thought to arise from failure to re-establish normal balance strategies after resolution of acute vestibular events which may be modulated by diathesis to develop anxiety and depression...
November 3, 2016: Journal of Vestibular Research: Equilibrium & Orientation
https://www.readbyqxmd.com/read/27810843/evaluation-of-cervical-vestibular-evoked-myogenic-potential-findings-in-benign-paroxysmal-positional-vertigo
#18
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
#19
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
#20
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)...
January 2017: American Journal of Otolaryngology
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