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Long-Term Efficacy of Repositioning Maneuvers in Benign Paroxysmal positional vertigo

International Journal of Clinical Medicine 2011年第2期2卷 171-177页

作者： Erika Barioni Mantello Ana Paula do Rego Andre Nathali Singaretti Moreno Miguel Angelo Hyppolito Julio Cesar Moriguti Department of Ophthalmology Otorhinolaryngology and Head and Neck SurgeryFaculty of Medicine of Ribeirao PretoUniversity of Sao PauloRibeirao PretoBrazil(HCFMRP-USP) University of Franca Sao PauloBrazil Department of Internal Medicine Faculty of Medicine of Ribeirao PretoUniversity of Sao PauloRibeirao PretoBrazil(HCFMRP-USP)

To determine the characteristics of 12 patients with a diagnosis of benign paroxysmal positional vertigo (BPPV) treated by the repositioning maneuver during a 24-month follow-up period after the initial discharge a longitudinal clinical study was performed in which a questionnaire for the assessment of discomfort caused by dizziness was applied at the first visit, at the last visit after treatment and 2 years after the initial discharge. Repositioning treatment was again offered to patients who suffered relapses. In 10 cases (83.34%) there was no recurrence of symptoms and 2 patients (16.66%) presented symptoms exactly 2 years after the original discharge showing that treatment of BPPV by repositioning manuevers is effective in the long term, but new studies in larger populations are needed to determine the pattern of the rates of recurrence of BPPV.

关键词： positional vertigo Dizziness Recurrence Omponen

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Light Cupula:To Be Or Not to Be?

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Current Medical Science 2020年第3期40卷 455-462页

作者： Su-lin ZHANG E TIAN Wen-chao XU Yu-ting ZHU Wei-jia KONG Department of Otorhinolaryngology Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan430022China Institute of Otorhinolaryngology Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan430022China Key Laboratory of Neurological Disorders of Education Ministry Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan430022China

Benign paroxysmal positional vertigo(BPPV)represents the most common form of positional *** is caused by dislodged otoconia that freely float in the semicircular canals(canalolithiasis)or attach to the cupula(cupulolithiasis).A cupulolithiasis-type(or a heavy cupula-type)of BPPV implicating the lateral semicircular canal(LSCC)exhibits persistent ageotropic direction-changing positional nystagmus(DCPN)in a head-roll ***,in some cases,unlike any type of BPPV,persistent geotropic DCPN cannot be explained by any mechanisms of BPPV,and don’t fit the current ***,the notion of light cupula has been introduced to refer to the persistent geotropic *** this study,we looked at the clinical features of light cuplula and discussed the possible mechanisms and therapeutic strategies of the *** notion of light cupula is a helpful addition to the theory of peripheral positional vertigo and nystagmus.

关键词： positional vertigo direction-changing positional nystagmus light cupula head-roll test null plane lateral semicircular canal ampulla

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