2,011 results match your criteria Benign Positional Vertigo


Optimal reassessment time for treatment response in posterior canal benign paroxysmal positional vertigo.

Laryngoscope 2019 Apr 14. Epub 2019 Apr 14.

Department of Otorhinolaryngology, Myongji Hospital, Hanyang University College of Medicine, Goyang, South Korea.

Objectives/hypothesis: The present study aimed to evaluate the optimal reassessment time for treatment response in posterior canal benign paroxysmal positional vertigo (PC-BPPV) following the initial Epley maneuver.

Study Design: Prospective, single-blinded, randomized study.

Methods: One hundred eight patients with PC-BPPV agreed to participate. Read More

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http://dx.doi.org/10.1002/lary.28005DOI Listing

Differential diagnosis of apogeotropic positional nystagmus in the emergency room.

J Neurol Sci 2019 May 2;400:180-181. Epub 2019 Apr 2.

Department of Neurology, Yokohama Brain and Spine Center, Yokohama, Japan; Department of Neurology and Stroke Center, Hiratsuka Kyosai Hospital, Hiratsuka, Japan.

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https://linkinghub.elsevier.com/retrieve/pii/S0022510X193016
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http://dx.doi.org/10.1016/j.jns.2019.04.003DOI Listing
May 2019
5 Reads

Does cervical range of motion affect the outcomes of canalith repositioning procedures for posterior canal benign positional paroxysmal vertigo?

Am J Otolaryngol 2019 Apr 2. Epub 2019 Apr 2.

Department of Sense Organs, Sapienza University of Rome, Italy.

Purpose: Canalith repositioning procedure (CRP) for posterior canal benign positional paroxysmal vertigo (BPPV), also known as Epley maneuver, is a common procedure for the treatment of BPPV. This maneuver entails flexion, extension and rotation of the patient's neck. This study aims to investigate the impact of cervical range of motion (C-ROM) on CRP efficacy. Read More

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http://dx.doi.org/10.1016/j.amjoto.2019.04.003DOI Listing
April 2019
1 Read

Diagnosis strategy and Yacovino maneuver for anterior canal-benign paroxysmal positional vertigo.

J Neurol 2019 Apr 8. Epub 2019 Apr 8.

Department of Neurology, College of Medicine, Seoul National University, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam, Gyeonggi-do, 463-707, South Korea.

Objective: To investigate the diagnosis strategy of anterior canal-benign paroxysmal positional vertigo (AC-BPPV) and the therapeutic effects of the Yacovino maneuver.

Methods: The clinical data of 40 AC-BPPV patients were collected. The nystagmus characteristics induced by the Dix-Hallpike (D-H) and straight head-hanging (SHH) tests, the diagnostic methods used, and the effectiveness of the Yacovino maneuver for the treatment of AC-BPPV were all retrospectively analyzed. Read More

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http://dx.doi.org/10.1007/s00415-019-09312-1DOI Listing

Vestibular migraine treatment and prevention.

Authors:
A Lapira

HNO 2019 Apr 8. Epub 2019 Apr 8.

St James & Capua Hospitals, George Borg Olivier St, SLM 1807, Sliema, Malta.

Vestibular migraine probably represents the second most common cause of vertigo after benign positional vertigo, by far exceeding Ménière disease. There are still relatively few published reports on vestibular migraine management, despite its enormous importance in daily practice. In 2003 the first clinical definition of vestibular migraine was proposed. Read More

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http://link.springer.com/10.1007/s00106-019-0661-3
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http://dx.doi.org/10.1007/s00106-019-0661-3DOI Listing
April 2019
6 Reads

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Biosci Rep 2019 Apr 8. Epub 2019 Apr 8.

Department of Pain, Qilu Hospital of Shandong University, No. 107, Wenhua West Road, Jinan, 250012; Shandong Province, P. R. China, Jinan, 250012, China

Background This study aimed to evaluate serum 25-hydroxy vitamin D (25 (OH) D) levels in Chinese patients with idiopathic benign paroxysmal positional vertigo (BPPV) and to investigate the possible relationship between the occurrence and recurrence of idiopathic BPPV and low 25 (OH) D levels. Methods Between January 1, 2017, and May 31, 2018, consecutively older patients (age, older than 50 years) with idiopathic BPPV were recruited in this study. For each patient, 2:1 sex and age matched healthy people were assigned as the control group. Read More

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http://dx.doi.org/10.1042/BSR20190142DOI Listing

Seasonality and solar radiation variation level in benign paroxysmal positional vertigo.

Acta Otolaryngol 2019 Apr 7:1-3. Epub 2019 Apr 7.

d Otolaryngology , Hospital Israelita Albert Einstein , Sao Paulo , Brazil.

Background: Several studies have shown that the incidence of benign paroxysmal positional vertigo (BPPV) presents seasonal variations and there is evidence that the variation in time is dependent on the patient's amount of vitamin D.

Objectives: This is a retrospective study to verify if there is a correlation between the incidence of BPPV and the level of solar radiation, essential for the synthesis of vitamin D in the skin.

Material And Methods: This study comprised 214 patients with BPPV seen from 2012 to 2017, in a city Latitude: -30. Read More

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http://dx.doi.org/10.1080/00016489.2019.1590636DOI Listing

Identification of Factors Related to Cases of Benign Paroxysmal Positional Vertigo Refractory to Canalicular Repositioning Maneuvers and Evaluation of the Need for Magnetic Resonance Imaging in their Management: Retrospective Analysis of a Series of 176 Cases.

Int Arch Otorhinolaryngol 2019 Apr 26;23(2):196-202. Epub 2018 Oct 26.

ENT Department, Hospital Universitari Son Espases, Palma de Mallorca, Islas Baleares, Spain.

 Benign paroxysmal positional vertigo (BPPV) is the most common form of peripheral vertigo, and, in most cases, it presents a favorable prognosis. The treatment is based on a series of specific canalicular repositioning maneuvers that offer an efficacy close to 100%. Despite this, there are cases that are refractory to treatment, with the persistence of the vertigo symptoms. Read More

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http://dx.doi.org/10.1055/s-0038-1670693DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449138PMC
April 2019
7 Reads

The Aging Vestibular System: Dizziness and Imbalance in the Elderly.

Authors:
Klaus Jahn

Adv Otorhinolaryngol 2019 15;82:143-149. Epub 2019 Jan 15.

Aging in vestibular structures with loss of hair cells in the inner ear starts early in life, but vestibular function usually remains relatively unimpaired up to advanced ages. However, dizziness and imbalance are common in the elderly and have substantial impact on the quality of life. Dizziness interferes with the everyday activities of 30% of persons over age 70. Read More

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http://dx.doi.org/10.1159/000490283DOI Listing
January 2019
2 Reads

Benign Paroxysmal Positional Vertigo.

Adv Otorhinolaryngol 2019 15;82:67-76. Epub 2019 Jan 15.

Purpose of Chapter: This chapter discusses the recent progress made in understanding the pathophysiology, diagnosis, and treatment of benign paroxysmal positional vertigo (BPPV). Recent Findings: Recent evidence supports the canalolithiasis model as the pathophysiological mechanism and predominant subtype of BPPV. Scanning electron micrographs of extracted posterior semicircular canal contents show free-floating otoconia of utricular origin. Read More

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https://www.karger.com/Article/FullText/490273
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http://dx.doi.org/10.1159/000490273DOI Listing
January 2019
8 Reads

Investigation of self-reported dizziness in the elderly when lying down or turning over in bed, and possible benign paroxysmal positional vertigo.

J Laryngol Otol 2019 Apr 1:1-6. Epub 2019 Apr 1.

Department of Otorhinolaryngology, Head and Neck Surgery,Institute of Clinical Sciences, ,Sahlgrenska Academy at the University of Gothenburg,Sahlgrenska University Hospital,Gothenburg,Sweden.

Objectives: This study aimed to investigate the rate of dizziness and occurrence of benign paroxysmal positional vertigo in the elderly by physical examination in those reporting dizziness symptoms when lying down or turning over in bed.

Methods: A total of 498 people, aged 70-85 years, were asked to complete a questionnaire regarding dizziness symptoms. Subjects answering that they became dizzy in bed were asked to participate in a physical examination and diagnostic manoeuvres investigating benign paroxysmal positional vertigo. Read More

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http://dx.doi.org/10.1017/S0022215119000537DOI Listing

Risk of benign paroxysmal positional vertigo in patients with depressive disorders: a nationwide population-based cohort study.

BMJ Open 2019 Mar 30;9(3):e026936. Epub 2019 Mar 30.

Center for Geriatrics and Gerontology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

Objective: The association between depression and benign paroxysmal positional vertigo (BPPV) remains debated. This study aimed to investigate the risk of BPPV in patients with depressive disorders.

Design: Longitudinal nationwide cohort study. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-026936DOI Listing
March 2019
2 Reads

Effect of Epley, Semont Maneuvers and Brandt-Daroff Exercise on Quality of Life in Patients with Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo (PSCBPPV).

Indian J Otolaryngol Head Neck Surg 2019 Mar 30;71(1):99-103. Epub 2018 Mar 30.

Department of ENT, Geetanjali Medical College and Hospital, Manwa Khera, Udaipur, Rajasthan 313002 India.

Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause in patients with vertigo (Pereira et al. in Braz J Otorhinolaryngol (Impr) 76(6):704-708, 2010; Dix and Hallpike in Ann Otol Rhinol Laryngol 6:987-1016, 1952). Posterior Semicircular Canal BPPV (PSCBPPV) has more incidence and prevalence then Lateral, and Anterior Semicircular Canal BPPV (Alghwiri et al. Read More

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http://dx.doi.org/10.1007/s12070-018-1322-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6401006PMC
March 2019
1 Read

Update on HINTS Plus, With Discussion of Pitfalls and Pearls.

Authors:
Jorge C Kattah

J Neurol Phys Ther 2019 Apr;43 Suppl 2 Supplement, Special Supplement: International Conference on Vestibular Rehabilitation:S42-S45

Neurology Department, University of Illinois College of Medicine at Peoria.

Background And Purpose: The team that manages acute vertigo in patients requires multispecialty skills. This special interest article offers a simplified list of common pitfalls to be avoided when applying the HINTS (Head-Impulse, Nystagmus, Test-of-Skew) Plus examination protocol in patients with acute vertigo. Benign paroxysmal positional vertigo is the most frequent cause of positional vertigo. Read More

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http://dx.doi.org/10.1097/NPT.0000000000000274DOI Listing

Impaired Calcium Metabolism in Benign Paroxysmal Positional Vertigo: A Topical Review.

J Neurol Phys Ther 2019 Apr;43 Suppl 2 Supplement, Special Supplement: International Conference on Vestibular Rehabilitation:S37-S41

Department of Neurology (S.-H.J.), Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea; Department of Neurology (J.-S.K.), Seoul National University College of Medicine, Seoul, Korea; Dizziness Center (J.-S.K.), Seoul National University Bundang Hospital, Seongnam, Korea.

Background And Purpose: Although acute attacks of benign paroxysmal positional vertigo (BPPV) may be treated with canalith repositioning maneuvers, there have been no well-designed prospective trials to prevent this highly prevalent and recurrent disorder. This topical review explores the evidence related to the association between deficient calcium metabolism and BPPV. We also describe the development of therapeutic options to prevent recurrences of BPPV and introduce results from a recent randomized controlled trial on the effect of vitamin D and calcium supplementation in preventing BPPV recurrences. Read More

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http://dx.doi.org/10.1097/NPT.0000000000000273DOI Listing
April 2019
3 Reads

Peripheral Downbeat Positional Nystagmus: Apogeotropic Posterior Canal or Anterior Canal BPPV.

J Neurol Phys Ther 2019 Apr;43 Suppl 2 Supplement, Special Supplement: International Conference on Vestibular Rehabilitation:S8-S13

Physical Therapy Program, Midwestern University, Downers Grove, Illinois.

Background And Purpose: Downbeat nystagmus (DBN) during the Dix-Hallpike test (DHT) suggests excitation of the anterior canal (AC) or inhibition of the posterior canal (PC) underlying benign paroxysmal positional vertigo (BPPV). This case series describes 2 individuals presenting with DBN in positional testing suggestive of a PC BPPV variant termed apogeotropic PC-BPPV and due to inhibition of the PC.

Case Descriptions: Case 1 illustrates a DBN during positional testing (PC inhibition) that changes to an upbeating nystagmus (PC excitation) representing the otoconial material changing location and direction of movement within the PC. Read More

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http://dx.doi.org/10.1097/NPT.0000000000000267DOI Listing

Difference in Serum Levels of Vitamin D Between Canalolithiasis and Cupulolithiasis of the Horizontal Semicircular Canal in Benign Paroxysmal Positional Vertigo.

Front Neurol 2019 1;10:176. Epub 2019 Mar 1.

Department of Otorhinolaryngology, Nagoya University, Nagoya, Japan.

In the horizontal canal benign paroxysmal positional vertigo (BPPV), cupulolithiasis shows apogeotropic direction changing nystagmus lasting more than 1 min, while canalolithiasis leads to geotropic direction changing nystagmus lasting < 1 min. The difference between cupulolithiasis and canalolithiasis is widely accepted to be the attachment of the displaced otoconia to the cupula of a semicircular canal. Several studies have shown a relationship between BPPV and vitamin D deficiency, but no studies have compared serum levels of vitamin D between canalolithiasis and cupulolithiasis patients. Read More

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http://dx.doi.org/10.3389/fneur.2019.00176DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405432PMC

Sitting Up Vertigo. Proposed Variant of Posterior Canal Benign Paroxysmal Positional Vertigo.

Otol Neurotol 2019 Apr;40(4):497-503

Institute of Neuroscience, Favaloro Foundation University Hospital, Buenos Aires, Argentina.

Objective: To describe a variant of posterior canal benign paroxysmal positional vertigo (BPPV).

Study Design: Retrospective case review.

Setting: Tertiary referral center. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002157DOI Listing
April 2019
6 Reads

[Benign paroxysmal positional vertigo is an overlooked complication of head trauma].

Ugeskr Laeger 2019 Mar;181(10)

Head trauma can cause benign paroxysmal positional vertigo (BPPV) and may be an overlooked complication. This is a review of the literature on BPPV following head trauma. Studies indicate, that 11-57% of patients with vertigo after head trauma can be diagnosed with BPPV. Read More

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March 2019
2 Reads

[Benign paroxysmal positional vertigo as a complication of head trauma].

Ugeskr Laeger 2019 Mar;181(10)

Head trauma is the most frequent cause of benign paroxysmal positional vertigo (BPPV) in patients younger than 50 years, and finding the aetiology of post-traumatic dizziness can be challenging. This case report presents a 45-year-old male patient suffering from positional dizziness after head trauma. He was diagnosed in a reposition chair, after manual manoeuvres had failed to provide the diag-nosis. Read More

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March 2019
2 Reads

Comparison of acute vertigo diagnosis and treatment practices between otolaryngologists and non-otolaryngologists: A multicenter scenario-based survey.

PLoS One 2019 7;14(3):e0213196. Epub 2019 Mar 7.

Division of General Internal Medicine, St. Luke's International Hospital, Tokyo Japan.

Acute vertigo is a common problem in emergency departments. However, clinical strategies of acute vertigo care vary among care providers. The aim of the study was to investigate differences in diagnosis [Dix-Hallpike test, the head impulse, nystagmus, and the test of skew (HINTS) procedure, and imaging modalities] and treatment (pharmacological treatments and the Epley maneuver) by otolaryngologists and non-otolaryngologists in emergency medicine settings. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213196PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405109PMC
March 2019
7 Reads

Increased risk of benign paroxysmal positional vertigo in osteoporosis: a nationwide population-based cohort study.

Sci Rep 2019 Mar 5;9(1):3469. Epub 2019 Mar 5.

Department of Occupational and Environmental Medicine, Hanyang University, Seoul, Korea.

Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo, which results from dislodged vestibular otoliths. Because the otoliths are mainly composed of calcium carbonate, it has been suggested that BPPV may be associated with osteoporosis. We aimed to assess the incidence and recurrence of BPPV in osteoporosis patients using a nationwide population-based cohort study with matched control. Read More

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http://dx.doi.org/10.1038/s41598-019-39830-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6401187PMC
March 2019
1 Read

Benign paroxysmal positional vertigo.

Laryngoscope Investig Otolaryngol 2019 Feb 14;4(1):116-123. Epub 2018 Dec 14.

Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry Western University, London Health Sciences Centre London Ontario Canada.

Objectives: Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular end-organ disease. This article aims to summarize research findings and key discoveries of BPPV. The pathophysiology, diagnosis, nonsurgical, and surgical management are discussed. Read More

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http://dx.doi.org/10.1002/lio2.230DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383320PMC
February 2019
9 Reads

Association Between Serum Uric Acid Levels and Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-Analysis of Observational Studies.

Front Neurol 2019 15;10:91. Epub 2019 Feb 15.

Department of Geriatric Neurology, First Affiliated Hospital of Kunming Medical University, Kunming, China.

The objective of the present study was to meta-analyze relevant literature to gain a comprehensive understanding of the potential relationship between serum uric acid levels and risk of benign paroxysmal positional vertigo (BPPV). The databases of PubMed, Web of Science, Embase, Chinese National Knowledge Infrastructure, Wanfang, and SinoMed were systematically searched for observational case-control studies of the association between BPPV and serum uric acid levels published up to October 2018. Data from eligible studies were meta-analyzed using Stata 12. Read More

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http://dx.doi.org/10.3389/fneur.2019.00091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385523PMC
February 2019
2 Reads

The Eight Years' War: Court Sides With TMA in Long-Running Chiropractic Case on Vestibular Testing.

Authors:
Joey Berlin

Tex Med 2019 Feb 1;115(2):32-33. Epub 2019 Feb 1.

In a split victory, TMA once again prevailed in November 2018 when the Third Court of Appeals upheld a trial court's decision that chiropractors don't have the authority to perform vestibular-ocular-nystagmus testing (VONT). However, a recent change to state law caused the appeals court to find in the Texas Board of Chiropractic Examiners' favor on the use of the word "diagnosis" in the board's administrative rules - meaning chiropractors can diagnose, but only within their scope of practice. Read More

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February 2019
2 Reads

Use of the Bárány Society criteria to diagnose benign paroxysmal positional vertigo.

J Vestib Res 2019 Feb 19. Epub 2019 Feb 19.

From the Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Background: Benign paroxysmal positional vertigo (BPPV) is the most common vestibular disorder affecting about 20% of patients. Early diagnosis and treatment can improve the quality of life for patients.

Objective: We reviewed the classifications of different subtypes of benign paroxysmal positional vertigo and the problems we encountered using the diagnostic criteria of the Bárány Society. Read More

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http://dx.doi.org/10.3233/VES-190648DOI Listing
February 2019
2 Reads

Serum Vitamin D and Long-Term Outcomes of Benign Paroxysmal Positional Vertigo.

Authors:
Gu Il Rhim

Clin Exp Otorhinolaryngol 2019 Mar 1. Epub 2019 Mar 1.

One Otorhinolaryngology Clinic, Paju, Korea.

Objectives.: The purpose of the present study was to examine the effect of serum vitamin D concentrations on the longterm recurrence rates of benign paroxysmal positional vertigo (BPPV) patients.

Methods. Read More

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http://dx.doi.org/10.21053/ceo.2018.00381DOI Listing
March 2019
1 Read

[An analysis of biochemical markers of bone metabolism in patients with idiopathic benign paroxysmal positional vertigo].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Mar;33(3):237-241

Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing Institute of Otolaryngology,Key Laboratory of Otolaryngology Head and Neck Surgery, Ministry of Education, Beijing, 100730, China.

To analyze the biochemical markers of bone metabolism in patients with idiopathic benign paroxysmal positional vertigo(iBPPV). The study included 38 patients with iBPPV. Thirty-two healthy persons were collected as control group. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.03.013DOI Listing
March 2019
2 Reads

[Analysis of clinical features of secondary benign paroxysmal positional vertigo].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Mar;33(3):220-224

Center of Vertigo Clinic Research of Aerospace, General Hospital of PLA Air Force, Beijing, 100142, China.

To analyze the clinical features of secondary benign paroxysmal positional vertigo (BPPV) and provide evidence for its precise diagnosis and treatment. There were 942 patients with vertigo related to BPPV, including 204 patients with primary BPPV, 592 patients with vestibular migraine (VM), 83 patients with Meniere's disease (MD), 48 patients with vestibular neuronitis (VN), and 15 patients with sudden sensorineural hearing loss (SSNHL) accompanied by vertigo.There were 127 patients with BPPV secondary to vertigo in MD, VN, VM, and SSNHL. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.03.009DOI Listing
March 2019
1 Read

[Rapid screening questionnaire based on clinical symptoms of patientswith benign paroxysmal positional vertigo].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Mar;33(3):209-212

Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital Affiliated to Capital Medical University, Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery[Ministry of Education], Beijing, 100005, China.

To fomulate a rapid screening questionnaire for benign paroxysmal positional vertigo (BPPV) according to the symptoms of patients with BPPV. A total of 276 patients with dizziness participated in this study, and 219 cases were included in the questionnaire validity evaluation except for 48 patients who participated in the revision of the questionnaire and 9 patients with inconsistent diagnosis. Subjects were divided into BPPV group and non-BPPV group according to the diagnostic criteria. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.03.006DOI Listing
March 2019
1 Read

[The value of lean nystagmus and sitting to supine positioning nystagmus in the diagnosis of horizontal semicircular canal benign paroxysmal positional vertigo].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Feb;33(2):106-109

Department of Otorhinolaryngology, Tianjin Union Medical Center, Tianjin, 300121, China.

To explore the value of 1ean nystagmus and sitting to supine positioning nystagmus in the diagnosis of horizontal semicircular canal benign paroxysmal positional vertigo. One hundred cases of patients with definitive diagnosis of horizontal semicircular canal benign paroxysmal positional vertigo were tested by 1ean nystagmus and sitting to supine positioning nystagmus and supine roll test. The affected side was recorded according to the nystagmus direction. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.02.004DOI Listing
February 2019
1 Read

Sitting Up Vertigo. Proposed Variant of Posterior Canal Benign Paroxysmal Positional Vertigo.

Otol Neurotol 2019 Feb 16. Epub 2019 Feb 16.

Institute of Neuroscience, Favaloro Foundation University Hospital, Buenos Aires, Argentina.

Objective: To describe a variant of posterior canal benign paroxysmal positional vertigo (BPPV).

Study Design: Retrospective case review.

Setting: Tertiary referral center. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002157DOI Listing
February 2019

Dynamic visual acuity in benign paroxysmal positional vertigo.

Acta Otolaryngol 2018 Nov;138(11):987-992

a Department of ORL and HNS , Anadolu Medical Center , Kocaeli , Turkey.

Background: Head motions cause transient vertigo in patients with benign paroxysmal positional vertigo (BPPV) and may reduce visual ability.

Objectives: The aim is to investigate the clinical utility of dynamic visual acuity (DVA) test in those patients.

Material And Methods: Thirty patients, 11 with lateral canal BPPV (6 geotropic and 5 ageotropic), and 19 with posterior canal BPPV, were evaluated with DVA test during rapid horizontal (left and right) and vertical (up and down) head movements. Read More

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http://dx.doi.org/10.1080/00016489.2018.1498595DOI Listing
November 2018
1 Read

Neurologic Conditions: Dizziness and Vertigo.

FP Essent 2019 Feb;477:29-39

University of South Alabama College of Medicine Department of Family Medicine, 1601 Center Street, 2N Mobile, AL 36604.

Dizziness is seen frequently in patients in the family medicine and emergency department settings. The differential diagnosis of dizziness can be expansive but with a targeted history and physical examination, a correct diagnosis often can be established and appropriate treatment offered. Common etiologies of dizziness include hypotension, benign paroxysmal positional vertigo (BPPV), and Meniere disease. Read More

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February 2019
8 Reads

Acute Dizziness.

Semin Neurol 2019 02 11;39(1):27-40. Epub 2019 Feb 11.

Deparment of Emergency Medicine, Harvard Medical School, Boston, Massachusetts.

Dizziness is a common chief complaint with an extensive differential diagnosis that includes both benign and serious conditions. Physicians must distinguish the majority of patients who suffer from self-limiting conditions from those with serious illnesses that require acute treatment. The preferred approach to the diagnosis of an acutely dizzy patient emphasizes different aspects of the history to guide a focused physical examination, with the goal of differentiating benign peripheral vestibular conditions from dangerous posterior circulation strokes. Read More

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http://dx.doi.org/10.1055/s-0038-1676857DOI Listing
February 2019
2 Reads

[Clinical analysis for 16 cases with atypical nystagmus of posterior semicircular canal benign paroxysmal positional vertigo].

Authors:
Z J Zhu Q Liu

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Nov;32(22):1687-1690;1695

Department of Otolaryngology Head and Neck Surgery,Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Ji'nan,250001,China.

To study clinical features and evaluate the efficacy of manual reduction in treatment of atypical nystagmus in patients with posterior semicircular canal benign paroxysmal positional vertigo(PSC-BPPV). Sixteen cases of atypical nystagmus in patients with PSC-BPPV were retrospectively analyzed. The results were compared with 28 patients of typical nystagmus with PSC-BPPV. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.22.001DOI Listing
November 2018
1 Read

Otolith dysfunction in recurrent benign paroxysmal positional vertigo after mild traumatic brain injury.

Acta Otolaryngol 2019 Jan 2;139(1):18-21. Epub 2019 Feb 2.

b Department of Neurosurgery , Shandong Provincial Hospital Affiliated to Shandong University , Jinan , China.

Background: The pathogenesis of recurrence of traumatic benign paroxysmal positional vertigo (BPPV) is poorly understood by far.

Objectives: To evaluate the value of secondary otolith dysfunction using vestibular evoked myogenic potential (VEMP) test in the pathogenesis of recurrence of BPPV after mild traumatic brain injury (mTBI).

Material And Methods: We reviewed 42 patients with BPPV after mTBI. Read More

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http://dx.doi.org/10.1080/00016489.2018.1562214DOI Listing
January 2019
4 Reads

Correlations of Calcium Voltage-Gated Channel Subunit Alpha1 A (CACNA1A) Gene Polymorphisms with Benign Paroxysmal Positional Vertigo.

Med Sci Monit 2019 Feb 2;25:946-951. Epub 2019 Feb 2.

Department of Neurology, Baotou Central Hospital, Baotou, Inner Mongolia, China (mainland).

BACKGROUND The aim of this study was to investigate the correlations of calcium voltage-gated channel subunit alpha1 A (CACNA1A) gene polymorphisms with benign paroxysmal positional vertigo (BPPV). MATERIAL AND METHODS A total of 120 BPPV patients and 60 healthy controls were enrolled according to the diagnostic criteria in the Guideline of Diagnosis and Treatment of Benign Paroxysmal Positional Vertigo (2017). Clinical and biochemical data were collected, the rs2074880 (T/G) polymorphisms in the CACNA1A gene were detected using TaqMan-MGB probe method, and the correlations of BPPV with predisposing factors were analyzed through logistic analysis. Read More

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https://www.medscimonit.com/abstract/index/idArt/912359
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http://dx.doi.org/10.12659/MSM.912359DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368824PMC
February 2019
12 Reads

Features of the clinical picture in patients of middle age with essential hypertension.

Ter Arkh 2018 Sep;90(9):15-26

Federal State Autonomous Educational Institution of the higher eduction Evdokimov Moscow State Medical-Stomatological University of the Ministry of Health of Russia, Moscow, Russia.

Aim: To evaluate the presence and the severity of the complaints (headache, dizziness, memory loss, concentration of attention, sleep disturbances, decreased mood, increased anxiety), the state of cognitive functions, emotional status and quality of night sleep in treatment-naïve middle-aged patients with mild to moderate EAH compared to healthy volunteers of the same age.

Materials And Methods: 103 treatment-naïve patients with EAH aged 40-59 years at the enrollment, who met the inclusion/exclusion criteria and provided written informed consent (46 men, mean age 53.6±0. Read More

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http://dx.doi.org/10.26442/terarkh201890915-26DOI Listing
September 2018
4 Reads

Diagnosis and treatment choices of suspected benign paroxysmal positional vertigo: current approach of general practitioners, neurologists, and ENT physicians.

Eur Arch Otorhinolaryngol 2019 Apr 29;276(4):985-991. Epub 2019 Jan 29.

Clinic of Neurology and Neurosurgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Purpose: Benign paroxysmal positional vertigo (BPPV) is a frequently underdiagnosed cause of vertigo, potentially due to the underuse of diagnostic and therapeutic canalith repositioning procedures (CRPs). We aimed to investigate self-reported use of the diagnostic and therapeutic approach to BPPV patients by Lithuanian neurologists, ear, nose, and throat (ENT) physicians, and general practitioners (GPs), and to explore potential reasons for the underuse of the maneuvers.

Methods: Neurologists, ENT physicians, and GPs were invited to complete a written questionnaire focused on diagnostic and therapeutic practices related to BPPV. Read More

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http://dx.doi.org/10.1007/s00405-019-05313-yDOI Listing
April 2019
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Poor Treatment Outcomes Following Repositioning Maneuvers in Younger and Older Adults With Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-analysis.

J Am Med Dir Assoc 2019 Feb;20(2):224.e1-224.e23

School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.

Objective: This systematic review aimed to methodically review the available evidence on poor treatment outcomes after repositioning maneuver treatments in adults with BPPV and whether there are differences in the outcomes for older and younger adults.

Data Sources: Embase, CINAHL, Scopus, PsycINFO (Ovid), Central Register of Controlled Trials (CENTRAL), and PubMed.

Review Methods: Studies were included if they were prospective experimental or observational studies with a minimal follow-up of 1 month; the subjects were at least 18 years old, had BPPV, and were treated with repositioning maneuvers. Read More

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http://dx.doi.org/10.1016/j.jamda.2018.11.019DOI Listing
February 2019
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Analysis of cost and effectiveness of treatment in benign paroxysmal positional vertigo.

Chin Med J (Engl) 2019 02;132(3):342-345

Department of Neurology, the Northern Area of Suzhou Municipal Hospital, Suzhou, Jiangsu 215000, China.

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http://dx.doi.org/10.1097/CM9.0000000000000063DOI Listing
February 2019
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Association Between Migraine and Benign Paroxysmal Positional Vertigo Among Adults in South Korea.

JAMA Otolaryngol Head Neck Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine, Anyang, South Korea.

Importance: Patients with migraine often experience various types of vertigo, and several studies have suggested an epidemiologic and physiologic association of migraine and vertigo with vestibule. However, few researchers have investigated the association between migraine and benign paroxysmal positional vertigo (BPPV).

Objective: To determine the incidence of BPPV in individuals with migraine in a large national population-based sample. Read More

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http://dx.doi.org/10.1001/jamaoto.2018.4016DOI Listing
January 2019
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Effects of treatment on anxiety levels among patients with benign paroxysmal positional vertigo.

Eur Arch Otorhinolaryngol 2019 Mar 21;276(3):711-718. Epub 2019 Jan 21.

Department of Emergency Medicine, Keçiören Education and Research Hospital, Ankara, Turkey.

Purpose: The association of vertigo with anxiety disorders is well known. Herein, we aimed to determine the relationship between pre-treatment and post-treatment anxiety levels, assessed with Beck anxiety inventory, with educational status among patients diagnosed with and treated for Benign paroxysmal positional vertigo (BPPV), and to evaluate the effect of treatment on the sub-parameters of the Beck anxiety inventory.

Methods: Our study included a total of 33 patients that presented to the otorhinolaryngology outpatient clinic with acute vertigo and were diagnosed to have posterior canal BPPV. Read More

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http://dx.doi.org/10.1007/s00405-019-05297-9DOI Listing
March 2019
3 Reads

Isolated horizontal canal hypofunction differentiating a canalith jam from an acute peripheral vestibular loss.

Am J Otolaryngol 2019 Mar - Apr;40(2):319-322. Epub 2018 Dec 7.

ENT & Audiology Unit, Department of Experimental Diagnostic and Specialty Medicine (DIMES), S. Orsola - Malpighi University Hospital, Via Massarenti 9, 40138 Bologna, Italy.

Objectives: To describe a unique case of acute vertigo presenting with spontaneous horizontal nystagmus (SHN) and a clinical picture consistent with right acute peripheral vestibular loss (APVL) in which an isolated hypofunction of a horizontal semicircular canal (HSC) permitted to detect a spontaneous canalith jam and treat the patient accordingly.

Methods: Case report and literature review.

Results: A 74-year old woman presented with acute vertigo, left-beating SHN and a clinical picture consistent with right APVL. Read More

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http://dx.doi.org/10.1016/j.amjoto.2018.12.005DOI Listing
December 2018
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Comparative evaluation of the diagnostic value of the VHIT and Dix-Hallpike test in patients with balance system disorders in out-patient healthcare practice and expertise preparation.

Otolaryngol Pol 2018 Sep;72(6):37-43

Department of Otolaryngology and Laryngological Oncology, Audiology and Phoniatrics II Chair of Otolaryngology, Medical University in Lodz, Poland.

Introduction: The aim of the paper was the comparative analysis of the diagnostic value of the Video Head Impulse Testing (VHIT) Ulmer I and Dix-Hallpike Test in patients with balance system disorders in out-patient practice and expertise preparation.

Material And Methods: The examination was performed in 63 patients aged 20-79, including 28 women aged 20-72 and 35 men aged 23-79, divided into two groups: Group I (study group) - 33 patients with mixed cause vertigo (on the basis of the Fitzgerald-Hallpike caloric test during the VNG examination), and Group II (reference group) - 30 healthy patients. After the ENT interview and physical examination, exclusion of pathological lesions in the external acoustic meatus and middle ear, each patient was subjected to a Fitzgerald-Hallpike caloric test during VNG examination, as well as a VHIT test and Dix-Hallpike test, with the evaluation of eyeball reaction during head rotation. Read More

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http://dx.doi.org/10.5604/01.3001.0012.5421DOI Listing
September 2018
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Probable Benign Paroxysmal Positional Vertigo Converts into Definite BPPV in One in Six Patients.

J Int Adv Otol 2018 Dec;14(3):456-458

Clinic of Neurology, Gelre ziekenhuizen, Apeldoorn, Netherlands.

Objective: Patients with positional vertigo who have a positive Dix-Hallpike (DH) test are diagnosed as having definite benign paroxysmal positional vertigo (BPPV), and those who have a negative DH test as having probable BPPV. Little is known about the course of the disease in the latter group. The aim of the present study was to assess how many patients with probable BPPV convert into having a positive DH test during follow-up. Read More

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http://dx.doi.org/10.5152/iao.2018.4862DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354532PMC
December 2018
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Clinical features of benign paroxysmal positional vertigo of the posterior semicircular canal.

SAGE Open Med 2019 2;7:2050312118822922. Epub 2019 Jan 2.

Audiology and ENT Clinic, University of Ferrara, Ferrara, Italy.

Objective: The aim of this study was to evaluate the relationship between age, gender and affected ear, in patients presenting benign paroxysmal positional vertigo.

Methods: This was a retrospective study. Data from benign paroxysmal positional vertigo clinical reports (January 2009-December 2014) were analysed. Read More

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http://dx.doi.org/10.1177/2050312118822922DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317147PMC
January 2019
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Increased Risk of Benign Paroxysmal Positional Vertigo in Patients With a History of Sudden Sensory Neural Hearing Loss: A Longitudinal Follow-up Study Using a National Sample Cohort.

Otol Neurotol 2019 Feb;40(2):e135-e141

Department of Laboratory Medicine, Hallym University College of Medicine, Anyang.

Objective: To evaluate the association between benign paroxysmal positional vertigo (BPPV) and sudden sensorineural hearing loss (SSNHL) using a national sample cohort from Korea.

Methods: Data from the years 2002 through 2013 were collected for individuals aged more than or equal to 20 years from the Korean National Health Insurance Service-National Sample Cohort. SSNHL was classified based on the International Classification of Disease-10 (ICD-10) code H91. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002084DOI Listing
February 2019
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Physical Therapy Management of Adults with Mild Traumatic Brain Injury.

Semin Speech Lang 2019 Feb 7;40(1):36-47. Epub 2019 Jan 7.

Physical Therapy Program, Mary Baldwin University, Staunton, Virginia.

Rehabilitation for individuals after mild traumatic brain injury (mTBI) or concussion requires emphasis on both cognitive and physical rest, with a gradual return to activity including sports. As the client becomes more active, the rehabilitation professional should pay close attention to symptoms associated with mTBI, such as headache, dizziness, nausea, and difficulty concentrating. The systematic approach to return to play provided by the Berlin Consensus Statement on Concussion in Sport can apply to adults with mTBI. Read More

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http://dx.doi.org/10.1055/s-0038-1676652DOI Listing
February 2019
5 Reads