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Benign Paroxysmal Positional Vertigo

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Double-blind randomized controlled trial on efficacy of cupulolith repositioning maneuver for treatment of apogeotropic horizontal canal benign paroxysmal positional vertigo.

Tae Hoon Kong, Mee Hyun Song, Jin Wook Kang, Dae Bo Shim,

Backgrounds: Although various therapeutic maneuvers have been proposed, it is still unclear which maneuver is better to treat apogeotropic horizontal canal benign paroxysmal positional vertigo (HC-BPPV).Objectives: This study aimed to assess the therapeutic efficacy of the cupulolith repositioning maneuver (CuRM) in apogeotropic HC-BPPV in comparison with the therapeutic head-shaking maneuver ... Read more >>

Acta Otolaryngol. (Acta oto-laryngologica)
[2020, :1-6]

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Unusual Locations of Benign Paroxysmal Positional Vertigo: Rare Entity or Regular Occurrence?

Léa Fath, Hella Vuong-Chaney, Dominique Rohmer, Michael Lamy, Daniel Baumgartner, François Simon, Christian Debry, Anne Charpiot,

INTRODUCTION:According to the literature and our recent experience, even if patients present with symptoms strongly suggestive of benign paroxysmal positional vertigo (BPPV), the observed positional nystagmus does not always correspond to any previously described typical location. The aim of this multicentric study was to evaluate the frequency of both typical ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2020, :]

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Mood Disorders are Associated With Increased Risk of BPPV: A National Sample Cohort.

Sung Kyun Kim, Seok Min Hong, Il-Seok Park, Hyo-Jung Lee, Bumjung Park, Hyo Geun Choi,

OBJECTIVES:Few studies have reported that mood disorders increase the risk of benign paroxysmal positional vertigo (BPPV). The purpose of our study was to demonstrate whether the incidence of BPPV in those with mood disorders differs from that in a matched control group. STUDY DESIGN:Nationwide cohort observational study. METHODS:Korean Health Insurance ... Read more >>

Laryngoscope (The Laryngoscope)
[2020, :]

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[Dizziness and vertigo in a tertiary ENT emergency department].

L Comolli, M Goeldlin, J Gaschen, C Kammer, T C Sauter, M D Caversaccio, R Kalla, U Fischer, G Mantokoudis,

BACKGROUND:Although vestibular symptoms are amongst the most frequent reasons for seeking emergency medical help, many patients remain undiagnosed. OBJECTIVE:In this cross-sectional study, we investigated the spectrum of vertigo and dizziness in a tertiary ear, nose, and throat (ENT) emergency department (ED). Furthermore, we investigated the attendant symptoms, clinical signs, and the ... Read more >>

HNO (HNO)
[2020, :]

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Reply to: "Clinical features and outcomes of benign recurrent vertigo".

Qi Pan, Yixin Zhang, Shanshan Zhang, Weiheng Wang, Huahua Jiang, Yulan Fan, Jiying Zhou,

Recurrent vertigo is common in clinical work. As early as 1979, Slater firstly used benign recurrent vertigo (BRV) to describe that some adult patients present with recurrent vertigo without neurologic or any auditory symptoms (2). In subsequent studies, some scholars found that BRV was closely related to migraine (3,4). But ... Read more >>

Acta Neurol. Scand. (Acta neurologica Scandinavica)
[2020, :]

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Clinical features and outcomes of benign recurrent vertigo.

Roeland B van Leeuwen, Tjasse D Bruintjes,

Acta Neurol. Scand. (Acta neurologica Scandinavica)
[2020, :]

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A Possible Role of Video-Head Impulse Test in Detecting Canal Involvement in Benign Paroxysmal Positional Vertigo Presenting With Positional Downbeat Nystagmus.

Andrea Castellucci, Pasquale Malara, Silvia Delmonte, Angelo Ghidini,

OBJECTIVE:To describe the possible diagnostic role of video-head impulse test (vHIT) in patients presenting with positional downbeat nystagmus (PDN) due to benign paroxysmal positional vertigo (BPPV) involving the anterior canal (AC) or the non-ampullary arm of the posterior canal (PC). PATIENTS:Three patients presenting with positional vertigo, PDN, symmetrical cervical and ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2020, 41(3):386-391]

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Educational Approach of Blended Learning in Teaching Benign Paroxysmal Positional Vertigo in an Emergency Department.

Khalid Bashir, Stephan Thomas,

OBJECTIVE:To investigate the efficacy of blended learning (BL) in emergency medical resident education related to the diagnosis and treatment of benign paroxysmal positional vertigo. STUDY DESIGN:A mixed-method study. PLACE AND DURATION OF STUDY:Emergency Department of Hamad General Hospital, Doha, Qatar from 1st to 31st January 2018. METHODOLOGY:Participating emergency medical residents ... Read more >>

J Coll Physicians Surg Pak (Journal of the College of Physicians and Surgeons--Pakistan : JCPSP)
[2020, 30(3):299-303]

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Is drug consumption correlated with benign paroxysmal positional vertigo (BPPV) recurrence?

Pasqualina Maria Picciotti, Tiziana Di Cesare, Laura Tricarico, Eugenio De Corso, Jacopo Galli, Gaetano Paludetti,

BACKGROUND:Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo and its recurrence is fairly common. Several studies correlated the pathophysiological role of different comorbidities-such as diabetes, osteoporosis, vascular, psychiatric and autoimmune diseases-in the development and recurrence of BPPV. The aim of this study is to analyse ... Read more >>

Eur Arch Otorhinolaryngol (European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery)
[2020, :]

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Determinants for bedside lateralization of benign paroxysmal positional vertigo involving the horizontal semicircular canal.

Seo-Young Choi, Se-Won Oh, Hyo-Jung Kim, Ji-Soo Kim,

OBJECTIVES:This study aimed to define the factors affecting accuracy of bedside determination of the involved side in HC-BPPV. INTERVENTIONS:We developed 44 video clips including the nystagmus induced during supine head-roll test from patients with apogeotropic (n = 23) or geotropic (n = 21) HC-BPPV. The intensity of nystagmus was also quantified using video-oculography. Each ... Read more >>

J. Neurol. (Journal of neurology)
[2020, :]

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Can Benign Paroxysmal Positional Vertigo Be Treated in a One Session?

Vanesa Pérez-Guillén, Virginia Franco-Gutiérrez, Maria Teresa Gil-Aguilar, Enrique García- Zamora, Paz Pérez-Vázquez,

OBJECTIVE:To determine the reliability and safety of posterior canal BPPV (pc-BPPV) treatment with subsequent assessment of the effectiveness of the maneuver in a single session, compared to the classic weekly procedure. METHOD:A prospective study of two randomized groups of unilateral pc-BPPV was performed: a weekly management group (27 patients) and ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2020, :]

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Can Osteopenia Induce Residual Dizziness After Treatment of Benign Paroxysmal Positional Vertigo?

Kang Duk Suh, Seung Ri Oh, Hyunkyu Chae, Sei Young Lee, Munyoung Chang, Seog-Kyun Mun,

OBJECTIVE:This study aimed to determine whether there is an association between osteopenia and residual dizziness after successful treatment of benign paroxysmal positional vertigo (BPPV). METHODS:In all, 62 patients with canalolithiasis-type BPPV were included in the study. Patients were divided into two groups according to the presence of residual dizziness after ... Read more >>

Otol. Neurotol. (Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology)
[2020, :]

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Cardiovascular Risk Factors and Benign Paroxysmal Positional Vertigo in Community Otolaryngology-Head and Neck Surgery.

Jeffrey M Singh, William D Corser, Edwin M Monsell,

OBJECTIVE:Cardiovascular risk factors have been associated with benign paroxysmal positional vertigo (BPPV), possibly causing degeneration of the utricular epithelium and subepithelium, but supportive evidence is mixed. This is the first study to examine the association between cardiovascular risk factors and BPPV as they present in the community practice of comprehensive ... Read more >>

Otolaryngol Head Neck Surg (Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery)
[2020, 162(3):283-289]

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Efficacy of BPPV diagnosis and treatment system for benign paroxysmal positional vertigo.

Yue Lou, Miao Cai, Liangguo Xu, Yanwen Wang, Liying Zhuang, Xiaoli Liu,

OBJECTIVES:To evaluate the efficacy of automatic benign paroxysmal positional vertigo (BPPV) diagnosis and treatment system for BPPV compared with the manual repositioning group. METHODS:Two hundred thirty patients diagnosed as idiopathic BPPV who were admitted from August 2018 to July 2019 in Zhejiang Hospital were included. Among them, 150 patients of ... Read more >>

Am J Otolaryngol (American journal of otolaryngology)
[2020, :102412]

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Evaluation of cervical vestibular evoked myogenic potential measures using different stimulus types in patients with posterior canal benign paroxysmal positional vertigo.

Akif Gunes, Elif Karali, Ahmet Ural, Fatih Ruzgar,

Background: Cervical Vestibular Evoked Myogenic Potential (cVEMP) measurements still do not have standard normative values in posterior canal benign paroxysmal positional vertigo (BPPV).Aim/Objectives: We aimed to compare cVEMP recordings obtained with different stimuli applied in two different intensities in posterior canal BPPV patients.Methods: Thirty-four patients with unilateral posterior canal BPPV ... Read more >>

Acta Otolaryngol. (Acta oto-laryngologica)
[2020, :1-6]

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[Objective diagnostic possibility in the differentiation of idiopathic and secondary benign paroxysmal positional vertigo].

Stefani Maihoub, András Molnár, Zoltán Fent, László Tamás, Ágnes Szirmai,

Introduction: Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder. The most important symptom is vertigo, which is triggered by changes in head position and sometimes is accompanied by vegetative symptoms. Furthermore, etiology may be subcategorized into idiopathic and secondary (connected to other vestibular disorder, like Ménière's ... Read more >>

Orv Hetil (Orvosi hetilap)
[2020, 161(6):208-213]

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[Current aspects of vertigo and dizziness in advanced age].

L E Walther, A Blödow,

Vertigo and dizziness in advanced age are common complaints in daily clinical practice. The otorhinolaryngologist holds a central position in the differential diagnostic clarification. Age-related disorders (e.g. benign positional vertigo, presbyvestibulopathy, otholith functional disorders) arise due to a physiological, individually distinct and objectively detectable reduction in the sensitivity of sensory ... Read more >>

HNO (HNO)
[2020, 68(3):191-198]

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Bone Mineral Density in Patients Suffering from Ménière's Disease.

Avi Shupak, Nabil Faranesh,

INTRODUCTION:Previous studies have reported an association between reduced bone mineral density and the occurrence of benign paroxysmal positional vertigo, balance impairment, and saccular dysfunction. Furthermore, the results of recent animal studies have raised the possibility that vestibular dysfunction could affect bone remodeling and bone mass. The goal of the study ... Read more >>

Audiol. Neurootol. (Audiology & neuro-otology)
[2020, :1-6]

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Combination of head-up sleep and vertical recognition training may cure intractable motion-evoked dizziness with unknown origin.

Tadashi Kitahara, Akira Horinaka, Tomoyuki Shiozaki, Taeko Ito, Yoshiro Wada, Toshiaki Yamanaka, Kazuhiko Nario,

Background: It has been reported that head-up sleep (HUS) prevents free-floating otoliths from entering canals and that vertical recognition training (VRT) promotes vestibular compensation.Aims/objectives: We would like to assess HUS and VRT for intractable motion-evoked dizziness, including possible benign paroxysmal positional vertigo (BPPV).Materials and methods: 162 patients diagnosed with intractable ... Read more >>

Acta Otolaryngol. (Acta oto-laryngologica)
[2020, :1-6]

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Multiple Sclerosis Presenting as an Anterior Semicircular Canal Benign Paroxysmal Positional Vertigo: Case Report.

Gabriela C Musat, Andreea A M Musat,

We present the case of a 31-year-old woman with isolated symptomatology accusing positional vertigo. The videonystagmography (VNG) including Dix-Hallpike testing we have performed, highlighted atypical eye movements. We have observed a positional downbeating nystagmus with characteristics that could be accounted for anterior semicircular canal benign paroxysmal positional vertigo. Furthermore, examining ... Read more >>

Ear Nose Throat J (Ear, nose, & throat journal)
[2020, :145561319897983]

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[THE SIGNIFICANCE OF TORSIONAL NYSTAGMUS ON THE ROLL REST].

Daniel Michael Kaplan, Mordechai Kraus, Sabri El-Saeid, Youval Slovik,

OBJECTIVES:To characterize a subgroup of patients that were diagnosed with benign paroxysmal positional vertigo of the posterior semicircular canal pBPPV, with findings of geotropic-torsional nystagmus on the roll rest (RT) that intensified on the Dix-Hallpike exam (DH). METHODS:The study population consisted of patients with the diagnosis of pBPPV. First, the ... Read more >>

Harefuah (Harefuah)
[2020, 159(1):103-106]

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Statistical inference of acupoint specificity: forward and reverse inference.

Ye-Chae Hwang, Ye-Seul Lee, Yeonhee Ryu, In-Seon Lee, Younbyoung Chae,

Background:The acupoint specificity has been considered important issue in acupuncture research. In clinical aspects, it is essential to identify which acupoints are associated specifically with a particular disease. The present study aimed to identify the specificity of acupoint selection (forward inference) and the specificity of acupoint indication (reverse inference) from ... Read more >>

Integr Med Res (Integrative medicine research)
[2020, 9(1):17-20]

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Differential diagnosis of acute vascular vertigo.

Seung-Han Lee, Ji-Soo Kim,

PURPOSE OF REVIEW:The current review covers recent advances in vascular vertigo in terms of diagnostic strategies, clinical/laboratory features, pathophysiology, and differential diagnosis. RECENT FINDINGS:Acute strokes presenting with isolated dizziness/vertigo without other obvious symptoms or signs of central nervous system involvements may be easily mistaken as peripheral vestibulopathy. For correct diagnosis ... Read more >>

Curr. Opin. Neurol. (Current opinion in neurology)
[2020, 33(1):142-149]

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Evaluation of the structure of the otoconial layer using micro-computed tomography.

Eriko Nishihara, Masahiro Okada, Takeshi Kiyoi, Masachika Shudou, Yuuki Imai, Naohito Hato,

OBJECTIVE:Estrogen deficiency caused by bilateral ovariectomy (OVX) has been reported to lead to morphological changes in otoconia. Thus, we examined the morphological changes in the otoconial layer after OVX. We also investigated whether micro-computed tomography (µCT) is useful for the detection of morphological changes in the otoconial layer. METHODS:The otic ... Read more >>

Auris Nasus Larynx (Auris, nasus, larynx)
[2020, :]

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Benign Paroxysmal Positional Vertigo: What We Do and Do Not Know.

Daniele Nuti, David S Zee, Marco Mandalà,

Benign paroxysmal positional vertigo (BPPV) is common, sometimes terrifying, but rarely portends serious disease. It is usually easily diagnosed and treated, and both the patient and the physician are immediately gratified. While much has been learned about the pathogenesis of BPPV in the past decades, many of its features remain ... Read more >>

Semin Neurol (Seminars in neurology)
[2020, 40(1):49-58]

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