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Research in Vestibular Science > Volume 13(1); 2014 > Article
Research in Vestibular Science 2014;13(1): 1-6.
여러 반고리관을 동시에 침범하는 양성돌발두위현훈
, , 정지연1, 김효정2, 김지수3
1조선대학교병원 신경과, 2경동대학교 임상병리학과, 3서울대학교 의과대학 신경과학교실, 분당서울대학교병원 신경과
Benign Paroxysmal Positional Vertigo Involving Multiple Semicircular Canals
Ji Yeon Chung, Hyo Jung Kim, Ji Soo Kim
1Department of Neurology, Chosun University Hospital, Chosun University School of Medicine, Gwangju, Korea.
2Department of Biomedical Laboratory Science, Kyungdong University, Goseong, Korea.
3Department of Neurology, Seoul National University Bundang Hospital, Seoul National University College Medicine, Seongnam, Korea. jisookim@snu.ac.kr
Even though benign paroxysmal positional vertigo (BPPV) mostly affects a single semicircular canal (SCC), BPPV simultaneously involving more than one SCC is not rare. This multi-canal BPPV may either involve the same canals on both sides or simultaneously affect different canals on the same or on both sides. Since the SCCs can be involved in various combinations in one or both ears, multi-canal BPPVs pose diagnostic and therapeutic challenges. The different patterns of nystagmus induced during each positional maneuver should be differentiated from positional vertigo and nystagmus due to central lesions. It remains unknown which canal should be treated first and which maneuver should be adopted for multi-canal BPPVs. Furthermore, the optimal interval from treatment of a canal to another should be determined. The response to canalith repositioning maneuvers and recurrences do not differ between multi- and single canal BPPVs in spite of more frequent involvement of multiple canals in traumatic cases.
Keywords: Benign paroxysmal positional vertigo; Nystagmus; Semicircular canal
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