Spontaneous inversion of nystagmus without a positional change in the horizontal canal variant of benign paroxysmal positional vertigo

被引：8

作者：

Ogawa, Yasuo ^{[1
]}

Ichimura, Akihide ^{[1
]}

Otsuka, Koji ^{[1
]}

Hagiwara, Akira ^{[1
]}

Inagaki, Taro ^{[1
]}

Shimizu, Shigetaka ^{[1
]}

Nagai, Noriko ^{[1
]}

Itani, Shigeto ^{[1
]}

Suzuki, Mamoru ^{[1
]}

机构：

[1] Tokyo Med Univ, Dept Otorhinolaryngol, Tokyo 1608402, Japan

来源：

JOURNAL OF VESTIBULAR RESEARCH-EQUILIBRIUM & ORIENTATION | 2015年 / 25卷 / 3-4期

关键词：

Horizontal canal BPPV; lateral canal BPPV; positional nystagmus; benign paroxysmal vertigo;

D O I：

10.3233/VES-150552

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

OBJECTIVE: We investigated the neuro-otological findings, including nystagmus, and the clinical course of patients with the horizontal canal variant of benign paroxysmal positional vertigo (HC-BPPV), who showed spontaneous inversion of nystagmus without a positional change. Furthermore, we speculated on the possible mechanism of spontaneous inversion of nystagmus without a positional change. PATIENTS AND METHODS: The characteristics of spontaneous inversion of positional nystagmus without a positional change were analyzed in 7 patients with HC-BPPV. RESULTS: All patients were diagnosed as having HC-BPPV. During the positional test, the spontaneous inversion of nystagmus was observed in the same head position in all patients. Spontaneous inversion was observed on both sides in 5 patients, and only on 1 side in 2 patients. All patients presented with geotropic nystagmus in the first phase, and ageotropic nystagmus in the second phase. CONCLUSIONS: The coexistence of cupulolithiasis and canalolithiasis appears to be a possible mechanism of the spontaneous inversion of positional nystagmus.

引用

页码：169 / 175

页数：7

共 45 条

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