New treatment strategy for apogeotropic horizontal canal benign paroxysmal positional vertigo

  • 9 de dezembro de 2016

Francisco Zuma e Maia

• Department of Neurotology, Clínica Maia, Canoas, RS, Brazil

 

Abstract

The apogeotropic variant of horizontal semicircular canal benign paroxysmal positional vertigo (HC-BPPV) is attributed to canalithiasis of the anterior arm or cupulolithiasis. Despite some therapeutic maneuvers, I propose a new treatment strategy for apogeotropic HCBPPV that is designed to detach both the otoconial debris from the anterior arm of the semicircular canal and the debris that is attached to the utricular side of the cupula using inertia and gravity and based on simulations with a 3D biomechanical model.

Keywords

Apogeotropic horizontal canal benign paroxysmal positional vertigo; vertigo; repositioning maneuver.

Link para o artigo: http://audiologyresearch.org/index.php/audio/article/view/163

Postagem relacionada

What does the dissociation between the results of video head impulse versus caloric testingreveal about the vestibular dysfunction in Ménière’s disease?

McGarvie LA1, Curthoys IS, MacDougall HG, Halmagyi GM. Author information 1Institute of Clinical Neurosciences, Royal Prince Alfred Hospital , Camperdown NSW , Australia. Abstract CONCLUSION: It is suggested that the different results of rotational (video head impulse – vHIT) and caloric tests in patients with Ménière’s disease (MD) may be a consequence of the physical […]

Sensitivity of caloric test and video head impulse as screening test for chronic vestibular complaints

Raquel Mezzalira,I,II,* Roseli Saraiva Moreira Bittar,I Marcia Maria do Carmo Bilécki-Stipsky,I,II Cibele Brugnera,I and Signe Schuster GraselI I Departamento de Otorrinolaringologia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR. II Clínica de Otorrinolaringologia do Instituto Penido Burnier, Campinas, SP, BR   Abstract OBJECTIVE: This study compared the results of the caloric […]