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Symposium III
- Treatment of Horizontal Canal Benign Paroxysmal Positional Vertigo
- Sun-Young Oh
- Res Vestib Sci. 2013;12:S77-S81. Published online June 1, 2013
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Abstract
PDF - Several methods of physiotherapy have been advanced for benign paroxysmal positional vertigo involving horizontal semicircular canal (HC-BPPV). In this review article, the diagnosis and therapeutic maneuvers for HC-BPPV including recently published several randomized controlled trials are described.
Original Articles
- Factors Affecting Treatment of Benign Paroxysmal Positional Vertigo
- Yoon Kyoung So, Won Ho Chung, Sung Hyun Boo, Young Jun Chung, Hyun Seok Lee, Woo Young Lee, Ki Nam Park
- J Korean Bal Soc. 2005;4(2):230-237.
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- 21 Download
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Abstract
PDF
- al vestibular loss, accompanying sudden SNHL, underlying disease such as hypertension or diabetes, change of involved canal during treatment course and number of treatment visits. Statistical analysis using Pearson χ2 test was performed.
Results
Three hundred thirty-one patients with BPPV who received treatment were identified from 2001 to 2005. 85.2% required one treatment visit, 12.4% required a second treatment visit, and 98.2% were successfully treated after three treatment visits. Variables such as bilateral disease, anterior canal BPPV, post-traumatic BPPV, duration of symptom before treatment and change of involved canal during treatment were significantly related with number of treatments.
Conclusion
Patients with anterior semicircular canal BPPV or bilateral BPPV or with recent head trauma or longer duration of symptom are more likely to require multiple visits for canalith repositioning.
- Outcome of canalith repositioning maneuver in Benign Paroxysmal Positional Vertigo
- Young Jun Chung, Jong Yoon Choi, Won Ho Chung, Sung Hwa Hong
- J Korean Bal Soc. 2002;1(1):118-123.
- 2,019 View
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Abstract
PDF
- Background
and Objectives : Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of peripheral vestibular disorder and canalith repositioning procedure (CRP) has been popularly used as its treatment. While CRP has been advocated by some as a treatment of choice for BPPV, others have had less uniform results for this disorder. The purpose of this study is to evaluate the effectiveness of the CRP and to define the role of the CRP in BPPV. Materials and Methods : From January, 1999 to September, 2001, 123 patients diagnosed as BPPV were included in this study. Each patient was undergone by personal history taking and Dix-Hallpike maneuver and supine head turning test for diagnosis. CRP was applied on all the patients and the patients visited OPD 1week later for evaluation.
Results
: The mean age was 51.8 year old in males, and 52.7 year old in females. The most common cause of the disorder was idiopathic and the second common cause was post-traumatic. Posterior semicircular canal was the most common involved site and horizontal, anterior semicircular canal in order. After the initial CRP, successful results were obtained in 90 of the 123 patients (75.6%). Recurrence rate was 31 of the 123 patients and among them, 3patients recurred in different canal.
Conclusion
: Careful observation of the nystagmus is necessary for correct identification of the canal which is involved, and that to perform the appropriate treatment. Although BPPV is known as a self-limited disorder, CRP can help to induce remission of the vertiginous symptoms in short period.
- A New Treatment Strategy of Ageotrophic Horizontal Canal Benign Paroxysmal Positional Vertigo
- Gyu Cheol Han, Hyung Gyu Jeon, Jin Myung Huh
- J Korean Bal Soc. 2002;1(1):113-117.
- 1,972 View
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Abstract
PDF
- Background
and Objectives : Ageotrophic nystagmus in the horizontal canal BPPV has been explained as a result of cupulolithiasis theory, and has been reported to have the less therapeutic response to conservative rehabilitations than the other type BPPV . Though methods to detach the debris with vibrator have been introduced, the effect has been questioned and it’s not physiologic. Materials and Method : We introduce a new head shaking-forced prolonged position method as a more convenient method, and report typical 2 cases of ageotrophic horizontal canal BPPV managed with it and analyzed results of 25 cases all told.
Results
and conclusion : The average number of rehabilitation was less than two, and loss of direction changing positional nystagmus could be observed immediately after rehabilitation.
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