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J Korean Bal Soc > Volume 3(1); 2004 > Article
Journal of the Korean Balance Society 2004;3(1): 180-183.
치료중 여러 가지 유형으로 변화한 복합형 양성 돌발성 두위 현훈
, , , , 김명찬1,2, 김지선1,2, 오양희3 , 정상용3, 이정구1,2
단국대학교 의과대학 이비인후-두경부외과학교실1, 의학레이저연구센터2 제주대학교 의과대학 이비인후-두경부외과학 교실3
A Case of Complicated BPPV(Benign Paroxismal Positional Vertigo)
Myoung Chan Kim, Ji Sun Kim, Yang Hee Oh, Sang Yong Chung, Chung Ku Rhee
1Department of Otolaryngology-Head & Neck Surgery, Dankook University, College of Medicine, Korea. taejung@dku.net
2Medical laser Research Center, Dankook University, College of Medicine, Korea.
3Department of Otolaryngology-Head & Neck Surgery, Jeju University, College of Medicine, Jeju, Korea.
Canalith repositioning maneuver is effective to treat benign paroxysmal positional vertigo(BPPV). This case showed complicated form of the BPPV such as changes of canalolithiasis to cupulolithiasis, involvement of one canal to two canals and from unilateral to bilateral involvement during the reposition maneuver. This patient was diagnosed as left lateral canalolithiasis at first. After left barbecue maneuver, the type was changed to the right posterior cupulolithiasis. Semont maneuver was performed and then the type of BPPV was changed to combined type with right posterior canalolithiasis and left lateral canalolithiasis. We performed left barbecue maneuver and right Epley maneuver. Then the type of BPPV was changed to left lateral cupulolithiasis. After Brandt-Daroff maneuver and left barbecue maneuver, nystagmus and dizziness disappeared finally.
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