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1 "Nystagmus, Pathological"
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Case Report
Extremely Long Latency Benign Paroxysmal Positional Vertigo
Emil Riis Abrahamsen, Dan Dupont Hougaard
Res Vestib Sci. 2017;16(2):64-68.   Published online June 15, 2017
DOI: https://doi.org/10.21790/rvs.2017.16.2.64
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AbstractAbstract PDF
Case history of a 67-year-old man diagnosed with posterior benign paroxysmal positional vertigo (BPPV) with extremely long latencies after holding the Dix-Hallpike position for five minutes. Additional vestibular assessment indicated partial unilateral hypofunction. The patient had a history compatible with classic BPPV. This patient, however, did not have any positional nystagmus after doing standard positional testing. With extremely prolonged Dix-Hallpike testing (five minutes), the patient experienced nausea and vertigo. Concomitantly classic peripheral nystagmus was observed. After a total of seventeen treatments in a reposition chair a total relief of symptoms was obtained. The extremely long latencies observed in this patient were ascribed to otoconial adherence and/or otoconial size. This type of BPPV has not previously been described.

Citations

Citations to this article as recorded by  
  • Upbeat and Direction-Changing Torsional Nystagmus While Straight Head Hanging: A New Sign of Benign Paroxysmal Positional Vertigo Involving Bilateral Posterior Semicircular Canals
    Hyun-Jae Kim, Sang Jin Park, Ji-Soo Kim
    Journal of Clinical Neurology.2024; 20(1): 100.     CrossRef

Res Vestib Sci : Research in Vestibular Science