Journal ArticleDOI
The management of horizontal-canal paroxysmal positional vertigo.
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TLDR
FPP was successful in more than 70% of patients; the barbecue rotation had slightly less successful but more immediate results; both methods enable otoconial debris to migrate into the posterior canal.Abstract:
Horizontal-canal paroxysmal positional vertigo (HC-PPV) is a vestibular syndrome due to canalolithiasis of the horizontal canal. The more common posterior-canal paroxysmal positional vertigo has a well defined and effective therapy, while there have been few reports on physical therapy for HC-PPV, and these have been tried in relatively few patients. We report the results of two different types of treatment of HC-PPV in 92 patients. A group of 21 untreated patients acted as a control group. One method, known as forced prolonged position (FPP), proposes liberating the affected canal by gravitation, and involves having the patient lie on the healthy side for many hours. The other method (the barbecue rotation) is a liberatory manoeuvre which proposes to expel the otoconia from the canal by rotating the patient 270° around the longitudinal axis of the body in rapid steps of 90°. FPP was successful in more than 70% of our patients; the barbecue rotation had slightly less successful but more immediate results....read more
Citations
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Journal ArticleDOI
Clinical practice guideline: Benign paroxysmal positional vertigo
Neil Bhattacharyya,Reginald F. Baugh,Laura J. Orvidas,David M. Barrs,Leo J. Bronston,Stephen P. Cass,Ara A. Chalian,Alan L. Desmond,Jerry M. Earll,Terry D. Fife,Drew C. Fuller,James O. Judge,Nancy R. Mann,Richard M. Rosenfeld,Linda T. Schuring,Robert William Prasaad Steiner,Susan L. Whitney,Jenissa Haidari +17 more
TL;DR: This guideline provides evidence-based recommendations on managing benign paroxysmal positional vertigo (BPPV), which is the most common vestibular disorder in adults, with a lifetime prevalence of 2.4 percent.
Journal ArticleDOI
Benign paroxysmal positional vertigo.
Joseph M. Furman,Stephen P. Cass +1 more
TL;DR: Although many patients with positionally provoked vertigo have typical benign paroxysmal positional vertigo, physicians should be aware of nonbenign variants.
Journal ArticleDOI
Practice Parameter: Therapies for benign paroxysmal positional vertigo (an evidence-based review) : Report of the Quality Standards Subcommittee of the American Academy of Neurology
Terry D. Fife,D. J. Iverson,T. Lempert,Joseph M. Furman,Robert W. Baloh,R. J. Tusa,T. C. Hain,T. C. Hain,Susan J. Herdman,M. J. Morrow,Gary S. Gronseth +10 more
TL;DR: AAN = American Academy of Neurology; BPPV = benign paroxysmal positional vertigo; CONSORT = Consolidated Standards of Reporting Trials; CRP = canalith repositioning procedure; NNT = number needed to treat.
Journal ArticleDOI
The treatment of horizontal canal positional vertigo: our experience in 66 cases.
TL;DR: The effects of different methods according to each different form of HSC‐PPV after a precise definition of the nystagmic and clinical features are studied.
Journal ArticleDOI
Is posttraumatic benign paroxysmal positional vertigo different from the idiopathic form
TL;DR: The nature and severity of the traumas causing t-BPPV are diverse, ranging from minor head injuries to more severe head and neck trauma with brief loss of consciousness, and it appears that t- BPPV is more difficult to treat than i-BBPV, and also has a greater tendency to recur.
References
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Journal ArticleDOI
The canalith repositioning procedure : For treatment of benign paroxysmal positional vertigo
TL;DR: The results of the Canalith Repositioning Procedure support an alternative theory that the densities that impart gravity-sensitivity to a semicircular canal in BPPV are free in the canal, rather than attached to the cupula.
Journal Article
Horizontal canal BPV.
TL;DR: Seven patients with a clinical picture consistent with horizontal canal BPV are reported on, finding brief vertigo and horizontal nystagmus precipitated by head movement into or out of one of the lateral positions.
Journal ArticleDOI
Horizontal semicircular canal variant of benign positional vertigo
TL;DR: The clinical features and results of quantitative eye-movement testing in patients with episodic positional vertigo and nonfatiguing direction-changing horizontal positional nystagmus support a peripheral localization of the lesion.
Journal ArticleDOI
A Positional Maneuver for Treatment of Horizontal‐Canal Benign Positional Vertigo
Thomas Lempert,K. Tiel-Wilck +1 more
TL;DR: The rapid cessation of positional vertigo and nystagmus adds evidence that HC‐BPV is caused by dense particles that move within the canal whenever its orientation toward gravity is changed.
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A Positional Maneuver for Treatment of Horizontal‐Canal Benign Positional Vertigo
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