Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Häufige urologisch-sexualmedizinische Themen in der Praxis sind das Thema des MMW-Webinars am 5. Juni von 17.30 bis 19 Uhr. Konkret geht es um die Frage, wann bei Harnwegsinfektionen auf Antibiotika verzichtet werden kann, und um ein Update zur Therapie von Libido- und Potenzstörungen des Mannes. Der dritte Vortrag behandelt sexuell übertragbare Krankheiten. Stellen Sie Ihre Fragen an die Experten und sammeln Sie 2 CME-Punkte. Jetzt gleich anmelden!
Erweiterte Suche
Anmelden
nach oben
Indian Journal of Otolaryngology and Head & Neck Surgery
Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery 1/2022

02.01.2021 | Other Articles

Diagnostic Positional Tests and Therapeutic Maneuvers in the Management of Benign Paroxysmal Positional Vertigo

verfasst von: Swathi Vadlamani, Srinivas Dorasala, Sunil Narayan Dutt

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Sonderheft 1/2022

Einloggen, um Zugang zu erhalten

Abstract

Benign Paroxysmal Positional Vertigo (BPPV), the most common vestibular disorder characterized by recurrent, brief episodes of vertigo, is attributed to the presence of otoconia in the semicircular canals. Two mechanisms contribute to its cause-canalolithiasis (otoconia freely mobile in the semicircular canal) and cupulolithiasis (otoconia adherent to the cupula). Posterior semicircular canal is the most common canal involved. Although the occurrence of BPPV in lateral and superior semicircular canal is rare, with the advancement in diagnostic techniques, their incidence is being reported in the past few years. Various diagnostic tests and therapeutic maneuvers have been described in the management of BPPV. The present report is a comprehensive review of the tests and maneuvers for BPPV written as a guide intended to help the clinicians in the accurate diagnosis and application of a canal-specific treatment maneuver for BPPV. A simplified algorithmic approach (“The Bangalore BPPV Algorithm”) for the management of BPPV is described.
Literatur
1.
Von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T et al (2006) Epidemiology of benign paroxysmal positional vertigo: a population based study. J NeurolNeurosurg Psychiatry 78:710–715
2.
Schuknecht HF (1969) Cupulolithiasis. Arch Otolaryngol-Head Neck Surg 90:765–778
3.
Kao WT, Parnes LS, Chole RA (2017) Otoconia and otolithic membrane fragments within the posterior semicircular canal in benign paroxysmal positional vertigo. Laryngoscope 127(3):709–714CrossRefPubMed
4.
Parnes LS, Agrawal SK, Atlas J (2003) Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ 169(7):681–693PubMedPubMedCentral
5.
Shim DB, Song CE, Jung EJ, Ko KM, Park JW, Song MH (2014) Benign paroxysmal positional vertigo with simultaneous involvement of multiple semicircular canals. Korean J Audiol 18:126PubMedPubMedCentral
6.
Bhattacharyya N, Baugh RF, Orvidas L, Barrs D, Bronston LJ, Cass S et al (2008) Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo. Otolaryngol Head Neck Surg. 139(5_suppl):47–81
7.
Furman JM, Cass SP (1999) Benign paroxysmal positional vertigo. N Engl J Med 341(21):1590–1596PubMed
8.
Whitney SL, Marchetti GF, Morris LO (2005) Usefulness of the dizziness handicap inventory in the screening for benign paroxysmal positional vertigo. Otology & Neurotology 26(5):1027–1033
9.
Dix MR, Hallpike CS (1952) LXXVIII The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Ann OtolRhinolLaryngol 61(4):987–1016
10.
Herdman SJ (1997) Advances in the treatment of vestibular disorders. PhysTher 77(6):602–618
11.
Macias JD, Lambert KM, Massingale S, Ellensohn A, Ann FJ (2000) Variables affecting treatment in benign paroxysmal positional vertigo. The Laryngoscope 110(11):1921–1924PubMed
12.
Cohen HS (2004) Side-lying as an alternative to the dix-hallpike test of the posterior canal. Otology & Neurotology 25(2):130–134
13.
Haynes DS, Resser JR, Labadie RF, Girasole CR, Kovach BT, Scheker LE et al (2002) Treatment of benign positional vertigo using the semont maneuver: efficacy in patients presenting without nystagmus. The Laryngoscope 112(5):796–801PubMed
14.
Blatt P, Georgakakis G, Herdman S, Clendaniel R, Tusa R (2000) The effect of the canalith repositioning maneuver on resolving postural instability in patients with benign paroxysmal positional vertigo. Am J Otolaryngol 21(3):356–363
15.
Von Brevern M, Bertholon P, Brandt T, Fife T, Imai T, Nuti D et al (2015) Benign paroxysmal positional vertigo: Diagnostic criteria: Consensus document of the committee for the classification of vestibular disorders of the bárány society. VES 25(3,4):105–117
16.
Shim DB, Kim JH, Park KC, Song MH, Park HJ (2012) Correlation between the head-lying side during sleep and the affected side by benign paroxysmal positional vertigo involving the posterior or horizontal semicircular canal. Laryngoscope 122(4):873–876PubMed
17.
Karlberg M, Hall K, Nicole Q (2000) What inner ear diseases cause benign paroxysmal positional vertigo? ActaOtolaryngol 120(3):380–385
18.
Lee N-H, Ban J-H, Lee K-C, Kim SM (2010) Benign paroxysmal positional vertigo secondary to inner ear disease. Otolaryngol Head Neck Surg 143(3):413–417PubMed
19.
Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife T et al (2017) Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngol Head Neck Surg 156(3_suppl):47
20.
McClure JA (1985) Horizontal canal BPV. J Otolaryngol 14(1):30–35PubMed
21.
Imai T, Ito M, Takeda N, Uno A, Matsunaga T, Sekine K et al (2005) Natural course of the remission of vertigo in patients with benign paroxysmal positional vertigo. Neurology 64(5):920–921PubMed
22.
Fife TD (1998) Recognition and management of horizontal canal benign positional vertigo. Am J Otol. 19(3):345–351PubMed
23.
Honrubia V, Baloh RW, Harris MR, Jacobson KM (1999) Paroxysmal positional vertigo syndrome. Am J Otol 20(4):465–470PubMed
24.
Bertholon P (2002) Positional down beating nystagmus in 50 patients: cerebellar disorders and possible anterior semicircularcanalithiasis. J NeurolNeurosurg Psychiatry 72(3):366–372
25.
Cawthorne T (1944) The Physiological Basis for Head Exercises. J Chartered SocPhysiother 30:106
26.
Brandt T, Daroff RB (1980) Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol Head Neck Surg 106(8):484–485
27.
Epley JM (1992) Thecanalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 107(3):399–404PubMed
28.
Epley JM (2006) Human Experience with canalith repositioning maneuvers. Ann N Y AcadSci 942(1):179–191
29.
Li JC (1995) Mastoid oscillation: a critical factor for success in canalith repositioning procedure. Otolaryngol Head Neck Surg 112(6):670–675 PubMed
30.
Semont A, Freyss G, Vitte E. Curing the BPPV with a Liberatory Maneuver. In: Barany Society, Pirodda E, editors. Advances in Oto-Rhino-Laryngology [Internet]. S. Karger AG; 1988 [cited 2020 Sep 15]. p. 290–3.
31.
32.
Herdman SJ, Tusa RJ, Zee DS, Proctor LR, Mattox DE (1993) Single treatment approaches to benign paroxysmal positional vertigo. Arch Otolaryngol Head Neck Surg 119(4):450–454PubMed
33.
Lempert T, Tiel-Wilck K (1996) A positional maneuver for treatment of horizontal-canal benign positional vertigo. Laryngoscope 106(4):476–478PubMed
34.
Appiani GC, Catania G, Gagliardi M (2001) A Liberatory Maneuver for the Treatment of Horizontal Canal Paroxysmal Positional Vertigo. Otology and Neurotology 22(1):66–69
35.
Casani AP, Vannucci G, Fattori B, Berrettini S (2002) The treatment of horizontal canal positional vertigo: our experience in 66 cases. The Laryngoscope 112(1):172–178PubMed
36.
Kim J-S, Oh S-Y, Lee S-H, Kang J-H, Kim DU, Jeong S-H et al (2012) Randomized clinical trial for apogeotropic horizontal canal benign paroxysmal positional vertigo. Neurology 78(3):159–166PubMed
37.
Appiani GC, Catania G, Gagliardi M, Cuiuli G (2005) Repositioning Maneuver for the Treatment of the Apogeotropic Variant of Horizontal Canal Benign Paroxysmal Positional Vertigo. Otology Neurotology 26(2):257–260
38.
Vannucchi P, Asprella GL, Gufoni M (2005) The physical treatment of lateral semicircular canal canalolithiasis. Audiologic Med 3:52–56
39.
Choung YH, 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(10):1776–1781PubMed
40.
Nuti D, Agus G, Barbieri MT, Passali D (1998) The management of horizontal-canal paroxysmal positional vertigo. ActaOtolaryngol 118(4):455–460
41.
Lee JB, Han DH, Choi SJ, Park K, Park HY, Sohn IK et al (2010) Efficacy of the “bow and lean test” for the management of horizontal canal benign paroxysmal positional vertigo. The Laryngoscope 120(11):2339–2346PubMed
42.
Asprella LG (2005) Diagnostic and treatment strategy of lateral semicircular canal canalolithiasis. ActaOtorhinolaryngolItal 25(5):277–283
43.
Zuma e Maia F (2016) New treatment strategy for apogeotropic horizontal canal benign paroxysmal positional vertigo. Audiol Res 6(2):163PubMed
44.
Bronstein AM (2003) Vestibular reflexes and positional manoeuvres. J NeurolNeurosurg Psychiatry 74(3):289–293 
45.
Anagnostou E, Kouzi I, Spengos K (2015) Diagnosis and treatment of anterior-canal benign paroxysmal positional vertigo: a systematic review. J ClinNeurol 11(3):262
46.
Yacovino DA, Hain TC, Gualtieri F (2009) New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo. J Neurol 256(11):1851–1855PubMed
47.
Crevits L (2004) Treatment of anterior canal benign paroxysmal positional vertigo by a prolonged forced position procedure. J NeurolNeurosurg Psychiatry 75(5):779–781
48.
Rahko T (2002) The test and treatment methods of benign paroxysmal positional vertigo and an addition to the management of vertigo due to the superior vestibular canal (BPPV-SC). ClinOtolaryngol 27(5):392–395
49.
Kim YK, Shin JE, Chung JW (2005) The effect of canalith repositioning for anterior semicircular canal canalithiasis. ORL J OtorhinolaryngolRelat Spec 67(1):56–60
50.
Han BI, Song HS, Kim JS (2011) Vestibular rehabilitation therapy: review of indications, mechanisms, and key exercises. J ClinNeurol 7(4):184–196
51.
Chang W-C, Yang Y-R, Hsu L-C, Chern C-M, Wang R-Y (2008) Balance improvement in patients with benign paroxysmal positional vertigo. ClinRehabil 22(4):338–347
52.
Radtke A, von Brevern M, Tiel-Wilck K, Mainz-Perchalla A, Neuhauser H, Lempert T (2004) Self-treatment of benign paroxysmal positional vertigo: Semontmaneuver vs Epley procedure. Neurology 63(1):150–152PubMed
53.
Lynn S, Pool A, Rose D, Brey R, Suman V (1995) Randomized trial of the canalith repositioning procedure. Otolaryngol Head Neck Surg 113:712–720PubMed
54.
Asawavichianginda S, Isipradit P, Snidvongs K, Supiyaphun P (2000) Canalith repositioning for benign paroxysmal positional vertigo: a randomized, controlled trial. Ear Nose Throat J 79:732–737PubMed
55.
Froehling DA, Bowen JM, Mohr DN et al (2000) The canalith repositioning procedure for the treatment of benign paroxysmal positional vertigo: a randomized controlled trial. Mayo ClinProc 75:695–700
56.
Reinink H, Wegner I, Stegeman I et al (2014) Rapid systematic review of repeated application of the epleymaneuver for treating posterior BPPV. Otolaryngol Head Neck Surg 151:399–406PubMed
57.
Parnes LS, McClure JA (1990) Posterior semicircular canal occlusion for intractable benign paroxysmal positional vertigo. Ann OtolRhinolLaryngol 99(5):330–334
58.
Kisilevsky V, Bailie NA, Dutt SN, Rutka JA (2009) Lessons learned from the surgical management of benign paroxysmal positional vertigo: the university health network experience with posterior semicircular canal occlusion surgery (1988–2006). J Otolaryngol Head Neck Surg 38(2):212–221PubMed
Metadaten
Titel
Diagnostic Positional Tests and Therapeutic Maneuvers in the Management of Benign Paroxysmal Positional Vertigo
verfasst von
Swathi Vadlamani
Srinivas Dorasala
Sunil Narayan Dutt
Publikationsdatum
02.01.2021
Verlag
Springer India
Erschienen in
Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe Sonderheft 1/2022
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-020-02292-z

Weitere Artikel der Sonderheft 1/2022

Indian Journal of Otolaryngology and Head & Neck Surgery 1/2022 Zur Ausgabe

Original Article

Endoscopic Cartilage Butterfly Tympanoplasty: A Two-Handed Technique with Endoscope Holder

Original Article

Hearing Impairment in Stroke Patients- Findings from a Pilot Study Conducted in India

Original Article

Comparison of Glycerol Test, ECochG and VEMP Findings in Patients with Meniere’s Disease

Original Article

Labyrinthine Fistula-Our Experience at a Tertiary Hospital

Original Article

A Simple Technique to Obliterate Canal Wall Down Mastoid Cavity Concurrently in Squamosal Otitis Media: Our Experience

Original Article

Comparison of Outcomes in Unilateral and Bilateral Pediatric Cochlear Implants: Our Experience

Neu im Fachgebiet HNO

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

29.05.2024 Larynxkarzinom Nachrichten

Fast ein Viertel der Personen mit mäßig dysplastischen Stimmlippenläsionen entwickelt einen Kehlkopftumor. Solche Personen benötigen daher eine besonders enge ärztliche Überwachung.

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

29.05.2024 Hörstörungen Nachrichten

Hört jemand im Alter schlecht, nimmt das Hirn- und Hippocampusvolumen besonders schnell ab, was auch mit einem beschleunigten kognitiven Abbau einhergeht. Und diese Prozesse scheinen sich unabhängig von der Amyloidablagerung zu ereignen.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

16.05.2024 Pädiatrische Allergologie Nachrichten

Die große Mehrheit der vermeintlichen Penicillinallergien sind keine. Da das „Etikett“ Betalaktam-Allergie oft schon in der Kindheit erworben wird, kann ein frühzeitiges Delabeling lebenslange Vorteile bringen. Ein Team von Pädiaterinnen und Pädiatern aus Kanada stellt vor, wie sie dabei vorgehen.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen
Bildnachweise