Δευτέρα 25 Ιανουαρίου 2021

Lateral semicircular canal-BPPV: Prospective randomized study on the efficacy of four repositioning maneuvers

xlomafota13 shared this article with you from Inoreader

Message:

https://link.springer.com/article/10.1007/s12070-019-01737-4#:~:text=BPPV%20originating%20from%20stimulation%20of,lateral%20canal%20instead%20of%20the



Lateral Semicircular Canal BPPV…Are We Still Ignorant?
Jaskaran Singh & Bhanu Bhardwaj
Indian Journal of Otolaryngology and Head & Neck Surgery volume 72, pages175–183(2020)Cite this article

137 Accesses

Metricsdetails

Abstract
Benign Paroxysmal Vertigo is one of the most common causes of vertigo. The most common semicircular canal involved in pathogenesis of BPPV is Posterior semicircular canal. However anterior and lateral semicircular canals can also sometimes be responsible for BPPV but their involvement in pathogenesis is still underrated. The incidence of lateral semicircular canal BPPV is in literature is around 10–12% while anterior canal is about 3%. The main objective of this study was to provide the database for incidence of lateral canal BPPV from a tertiary care hospital with the aim that more clinicians incorporate this entity into their differential diagnosis when their cases of posterior canal BPPV are refractory. This was an observational cross-sectional study of 300 patients of BPPV who were coming in ENT OPD as primum or as referral. All the patients underwent both the Dix–Hallpike maneuver as well as the supine roll test. The patients who were having upbeating torsional vertical nyst agmus on Dix–Hallpike were treated on lines of posterior canal BPPV whereas those with horizontal nystagmus on supine roll test were treated on lines of lateral canal BPPV. The data was tabulated and analysed for the incidence of lateral canal BPPV. Out of 300 patients; 188 were males and 122 were females. Most commonly affected age group by BPPV was 40–50 years. Out of 300 cases 260 cases (86.6%) had posterior BPPV and 37 cases (12.3%) had lateral canal BPPV. 3 cases (1%) also had anterior canal BPPV. 30/37 cases of lateral BPPV had geotropic nystagmus while 7 cases had apo-geotropic nystagmus. Posterior canal BPPv was treated by Epleys maneuver. Superior canal BPPV was treated by Yacovino maneuver. The cases of lateral canal BPPV were treated by either Vannucchi-asprella; Gufoni; Lempert maneuver or by the combination of two maneuvers. Lateral canal BPPV is an important diagnosis to consider in all cases of BPPV. Its true incidence is still under blanket as many clinicians are not using supine roll test routinely in their practice while diagnosing BPPV. Many refractory cases of BPPV can be cured if the involvement of other canals in its pathogenesis is kept in the mind so that correct diagnostic and repositioning maneuvers can be applied. We also encourage more institutional studies on lateral canal BPPV so that a standard treatment protocol with clear indications can be designed for this entity as is available for BPPV.

This is a preview of subscription content, access via your institution.

References
1.
Hotson JR, Baloh RW (1998) Acute vestibular syndrome. N Engl J Med 339:680–685

CAS

Article

Google Scholar


2.
Bertholon P, Tringali S, Faye MB, Antoine JC, Martin C (2006) Prospective study of positional nystagmus in 100 consecutive patients. Ann Otol Rhinol Laryngol 115:587–594

Article

Google Scholar


3.
Barany R (1921) Diagnose von krankheitserscheinungen im. Bereiche des otolithenapparates. Acta Otolaryngol 2:434–437

Article

Google Scholar


4.
Dix MR, Hallpike CS (1952) The pathology symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 45:341–354

CAS

PubMed

PubMed Central

Google Scholar


5.
Schuknecht HF (1969) Cupulolithiasis. Arch Otolaryngol 90:765–778

CAS

Article

Google Scholar


6.
Parnes LS, McClure JA (1992) Free-floating endolymph particles: a new operative finding during posterior semicircular canal occlusion. Laryngoscope 102:988–992

CAS

Article

Google Scholar


7.
McClure JA (1985) Horizontal canal BPV. J Otolaryngol 14:305

Google Scholar


8.
Casani AP, Vannucci G, Fattori B, Berrettini S (2002) The treatment of horizontal canal positional vertigo: our experience in 66 cases. Laryngoscope 112:172–178

Article

Google Scholar


9.
Anagnostou E, Kouzi I, Spengos K (2015) Diagnosis and treatment of anterior-canal benign paroxysmal positional vertigo: a systematic review. J Clin Neurol 11(3):262–267

Article

Google Scholar


10.
Imai T, Takeda N, Ikezono T, Shigeno K, Asai M, Watanabe Y et al (2017) Classification, diagnostic criteria and management of benign paroxysmal positional vertigo. Auris Nasus Larynx 44:1–6

Article

Google Scholar


11.
Mandala M (2017) How to diagnose and treat BPPV. In: 3rd Congress of the European Academy of Neurology. Amsterdam

12.
Dix MR, Hallpike CS (1952) The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Ann Otol Rhinol Laryngol 61(4):987–1016

CAS

Article

Google Scholar


13.
Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife T, Holmberg JM, Mahoney K, Hollingsworth DB, Roberts R, Seidman MD, Prasaad Steiner RW, Tsai Do B, Voelker CC, Waguespack RW, Corrigan MD (2017) Clinical practice guideline: benign paroxysmal positional vertigo (update) executive summary. Otolaryngol Head Neck Surg 156(3):403–416

Article

Google Scholar


14.
Ranalli P (2019) An overview of central vertigo disorders. Adv Otorhinolaryngol 82:127–133

PubMed

Google Scholar


15.
Balatsouras DG, Koukoutsis G, Ganelis P, Korres GS, Kaberos A (2011) Diagnosis of single- or multiple-canal benign paroxysmal positional vertigo according to the type of nystagmus. Int J Otolaryngol 2011:483965. https://doi.org/10.1155/2011/483965

Article

PubMed

PubMed Central

Google Scholar


16.
Steddin S, Ing D, Brandt T (1996) Horizontal canal benign paroxysmal positioning vertigo (h-BPPV): transition of canalolithiasis to cupulolithiasis. Ann Neurol 40:918–922

CAS

Article

Google Scholar


17.
Shin JE, Jeong KH, Ahn SH et al (2017) Change of nystagmus direction during a head-roll test in lateral semicircular canal cupulolithiasis. Auris Nasus Larynx 44:227–231

Article

Google Scholar


18.
Choung Y, Shin YR, Kahng H, Park K, Choi SJ (2006) 'Bow and lean test' to determine the affected ear of horizontal canal benign paroxysmal positional vertigo. Laryngoscope 116:1776–1781

Article

Google Scholar


19.
Lee JB, Han DH, Choi SJ, Park K, Park HY, Sohn IK, Choung Y (2010) Efficacy of the "bow and lean test" for the management of horizontal canal benign paroxysmal positional vertigo. Laryngoscope 120:2339–2346

Article

Google Scholar


20.
Korres SG, Balatsouras DG, Papouliakos S, Ferekidis E (2007) Benign paroxysmal positional vertigo and its management. Med Sci Monit 13(6):275–282

Google Scholar


21.
Califano L, Salafia F, Mazzone S, Melillo MG, Califano M (2014) Anterior canal BPPV and apogeotropic posterior canal BPPV: two rare forms of vertical canalolithiasis. Acta Otorhinolaryngol Ital 34(3):189–197

CAS

PubMed

PubMed Central

Google Scholar


22.
Epley JM (1992) The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 107(3):399–404

CAS

Article

Google Scholar


23.
Lempert T, Tiel-Wilck K, Positional A (1996) Maneuver for treatment of horizontal-canal benign positional vertigo. Laryngoscope 106(4):476–478

CAS

Article

Google Scholar


24.
Asprella Libonati G (2005) Diagnostic and treatment strategy of lateral semicircular canal canalolithiasis. Acta Otorhinolaryngol Ital 25(5):277–283

Google Scholar


25.
Gufoni M, Mastrosimone L, Di Nasso F (1998) Repositioning maneuver in benign paroxysmal vertigo of horizontal semicircular canal. Acta Otorhinolaryngol Ital 18(6):363–367

CAS

PubMed

Google Scholar


26.
Casani AP, Vannucci G, Fattori B et al (2002) The treatment of horizontal canal positional vertigo: our experience in 66 cases. Laryngoscope 112:172–178

Article

Google Scholar


27.
Fife TD (1998) Recognition and management of horizontal canal benign paroxysmal positional vertigo. Am J Otol 19:345–351

CAS

Article

Google Scholar


28.
Steenerson RL, Cronin GW, Marbach PM (2005) Effectiveness of treatment techniques in 923 cases of benign paroxysmal positional vertigo. Laryngoscope 115:226–231

Article

Google Scholar


29.
Honrubia V, Baloh RW, Harris MR et al (1999) Paroxysmal positional vertigo syndrome. Am J Otol 20:465–470

CAS

PubMed

Google Scholar


30.
Macias JD, Lambert KM, Massingale S et al (2000) Variables affecting treatment in benign paroxysmal positional vertigo. Laryngoscope 110:1921–1924

CAS

Article

Google Scholar


31.
Korres SG, Balatsouras DG (2004) Diagnostic, pathophysiologic, and therapeutic aspects of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 131:438–444

Article

Google Scholar


32.
Korres S, Balatsouras DG, Kaberos A, Economou C, Kandiloros D, Ferekidis E (2002) Occurrence of semicircular canal involvement in benign paroxysmal positional vertigo. Otol Neurotol 23(6):926–932

Article

Google Scholar


33.
Nuti D, Vannucchi P, Pagnini P (2005) Lateral canal BPPV: which is the affected side? Audiol Med 3(1):16–20

Article

Google Scholar


34.
Bertholon P, Faye MB, Tringali S et al (2002) Benign paroxysmal positional vertigo of the horizontal canal. Clinical features in 25 patients. Ann Otolaryngol Chir Cervicofac 119:73–80

CAS

PubMed

Google Scholar


35.
Waespe W (1997) Benign positional vertigo and nystagmus of the horizontal semicircular canal. Schweiz Med Wochenschr 127:287–295

CAS

PubMed

Google Scholar


36.
Vannucchi P, Pecci R (2011) About nystagmus transformation in a case of apogeotropic lateral semicircular canal benign paroxysmal positional vertigo. Int J Otolaryngol 2011:4. https://doi.org/10.1155/2011/687921

Article

Google Scholar


37.
Kurtzer DA, Gans RE, McLeod H (2017) New horizontal canal benign paroxysmal positional vertigo treatment: kurtzer hybrid maneuver. Glob J Otol 6(3):555686. https://doi.org/10.19080/GJO.2017.06.555686

Article

Google Scholar


38.
Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife T, Corrigan MD (2017) Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngol Head Neck Surg 156(3):S1–S47

Article

Google Scholar


39.
Fife TD, Iverson DJ, Lempert T, Furman JM, Baloh RW, Tusa RJ et al (2008) Practice parameter: therapies for benign paroxysmal positional vertigo (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 70:2067–2074

CAS

Article

Google Scholar


40.
Nuti D, Mandalà M, Salerni L (2009) Lateral canal paroxysmal positional vertigo revisited. Ann NY Acad Sci 1164:316–323

Article

Google Scholar


41.
Tirelli G, Russolo M (2004) 360-Degree canalith repositioning procedure for the horizontal canal. Otolaryngol Head Neck Surg 131:740–746

Article

Google Scholar


42.
Chiou WY, Lee HL, Tsai SC, Yu TH, Lee XX (2005) A single therapy for all subtypes of horizontal canal positional vertigo. Laryngoscope 115:1432–1435

Article

Google Scholar


Download references

Author information
Affiliations
Sri Guru Ram Das Institute of Health Sciences and Research, Amritsar, India

Jaskaran Singh & Bhanu Bhardwaj

Mohali, India

Jaskaran Singh

Amritsar, India

Bhanu Bhardwaj

Corresponding author
Correspondence to Bhanu Bhardwaj.

Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.

Ethical Approval
Before starting the study Ethical Clearance was taken from the institutional ETHICAL Committee as per DECLARATION OF HELSINKI.

Informed consent
Informed consent was duly taken from all the patients.

Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions
Reprints and Permissions

About this article
Verify currency and authenticity via CrossMark
Cite this article
Singh, J., Bhardwaj, B. Lateral Semicircular Canal BPPV…Are We Still Ignorant?. Indian J Otolaryngol Head Neck Surg 72, 175–183 (2020). https://doi.org/10.1007/s12070-019-01737-4

Download citation

Received
06 September 2019

Accepted
09 September 2019

Published
26 September 2019

Issue Date
June 2020

DOI
https://doi.org/10.1007/s12070-019-01737-4

Keywords
Horizontal canal BPPV
Lateral canal BPPV
Geotropic nystagmus
Apo-geotropic nystagmus
Supine roll test
Bow and bean test
Vannucchi asprella maneuver
Gufoni maneuver
Lempert maneuver

1-s2.0-S0001651920X00082-cov150h.gif

Publication date: Available online 23 January 2021

Source: Acta Otorrinolaringológica Española

Author(s): Filipe Correia, Luís Castelhano, Pedro Cavilhas, Pedro Escada

View on the web

Δεν υπάρχουν σχόλια:

Δημοσίευση σχολίου

Δημοφιλείς αναρτήσεις