Apogeotropic variant of horizontal semicircular canal benign paroxysmal positional vertigo: Where are the particles?

被引：20

作者：

Ramos, Bernardo Faria ^{[1
]}

Cal, Renato ^{[2
]}

Brock, Camila Martins ^{[3
]}

Mangabeira Albernaz, Pedro Luiz ^{[4
]}

Zuma e Maia, Francisco ^{[3
]}

机构：

[1] Univ Fed Espirito Santo, Dept Otorhinolaryngol, Av Saturnino de Brito 256, BR-29050385 Vitoria, ES, Brazil

[2] Para Fed Univ, Dept Otorhinolaryngol, Belem, Para, Brazil

[3] Pontificia Univ Catolica Rio Grande do Sul, Dept Otorhinolaryngol, Porto Alegre, RS, Brazil

[4] Univ Fed Sao Paulo, Sao Paulo, Brazil

来源：

AUDIOLOGY RESEARCH | 2019年 / 9卷 / 02期

关键词：

Apogeotropic horizontal canal benign paroxysmal positional vertigo; Vertigo; Repositioning maneuver; CANALOLITHIASIS; NYSTAGMUS;

D O I：

10.4081/audiores.2019.228

中图分类号：

R36 [病理学]; R76 [耳鼻咽喉科学];

学科分类号：

100104 ; 100213 ;

摘要：

The apogeotropic variant of horizontal semicircular canal benign paroxysmal positional vertigo (HC-BPPV) is attributed to free floating particles in the anterior arm of the lateral semicircular canal - particles attached to the cupula facing the canal or particles attached to the cupula facing the utricle. Zuma e Maia described a new treatment for both canalithiasis of the anterior arm of the horizontal semicircular canal (HC) and cupulolithiasis of the HC. Seventeen patients with apogeotropic HC-BPPV were enrolled and treated with Zuma's Maneuver. During the repositioning of the particles to the utricule, we observed the direction of the nystagmus evoked in each step of this maneuver in order to know where the otoliths were probably located. Eight patients were diagnosed with canalithiasis of the anterior arm, six patients with cupulolithiasis with the particles facing the canal and three patients with cupulolithiasis with the particles facing the utricle. Our data suggest that we can assume where the otoliths are probably located by observing the pattern of the nystagmus evoked in each step of the Zuma's Maneuver in patients with apogeotropic HC-BPPV.

引用

页码：23 / 26

页数：4

共 14 条

[1]

Asprella Libonati G, 2005, Acta Otorhinolaryngol Ital, V25, P277

[2]

Asprella-Libonati G, 2008, ACTA OTORHINOLARYNGO, V28, P73

[3] PERSISTENT DIRECTION-CHANGING POSITIONAL NYSTAGMUS - ANOTHER VARIANT OF BENIGN POSITIONAL NYSTAGMUS [J].

BALOH, RW ;

YUE, Q ;

JACOBSON, KM ;

HONRUBIA, V .

NEUROLOGY, 1995, 45 (07) :1297-1301

[4] Theoretical models for the mechanisms of benign paroxysmal positional vertigo [J].

House, MG ;

Honrubia, V .

AUDIOLOGY AND NEURO-OTOLOGY, 2003, 8 (02) :91-99

[5] A cupulolith repositioning maneuver in the treatment of horizontal canal cupulolithiasis [J].

Kim, Sung Huhn ;

Jo, Sung-Woo ;

Chung, Woon-Kyo ;

Byeon, Hyung Kwon ;

Lee, Won-Sang .

AURIS NASUS LARYNX, 2012, 39 (02) :163-168

[6]

MacDougall H., AVOR ANGULAR VESTIBU

[7]

Nuti D, 1996, J VESTIBUL RES-EQUIL, V6, P173, DOI 10.1016/0957-4271(95)02040-3

[8]

Nuti D., 2005, Audiol Med, V3, P16, DOI [10.1080/16513860510028275, DOI 10.1080/16513860510028275]

[9] BENIGN PAROXYSMAL VERTIGO OF THE HORIZONTAL CANAL [J].

PAGNINI, P ;

NUTI, D ;

VANNUCCHI, P .

ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY AND ITS RELATED SPECIALTIES, 1989, 51 (03) :161-170

[10]

Pagnini P, 1994, REV ONO, V31, P17

← 1 2 →