論文

査読有り
2017年2月1日

Classification, diagnostic criteria and management of benign paroxysmal positional vertigo

Auris Nasus Larynx
  • Takao Imai
  • ,
  • on behalf of Committee for Standards in Diagnosis of Japan Society for Equilibrium Research
  • ,
  • Noriaki Takeda
  • ,
  • Tetsuo Ikezono
  • ,
  • Kohichiro Shigeno
  • ,
  • Masatsugu Asai
  • ,
  • Yukio Watanabe
  • ,
  • Mamoru Suzuki

44
1
開始ページ
1
終了ページ
6
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.anl.2016.03.013
出版者・発行元
Elsevier Ireland Ltd

Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vertigo and the posterior and/or lateral semicircular canals are usually affected. BPPV is characterized by brief attacks of rotatory vertigo associated with positional and/or positioning nystagmus, which are elicited by specific head positions or changes in head position relative to gravity. In patients with the posterior-canal-type of BPPV, torsional nystagmus is induced by the Dix–Hallpike maneuver. In patients with the lateral-canal-type of BPPV, horizontal geotropic or apogeotropic nystagmus is induced by the supine roll test. The pathophysiology of BPPV is canalolithiasis comprising free-floating otoconial debris within the endolymph of a semicircular canal, or cupulolithiasis comprising otoconial debris adherent to the cupula. The observation of positional and/or positioning nystagmus is essential for the diagnosis of BPPV. BPPV is treated with the canalith repositioning procedure (CRP). Through a series of head position changes, the CRP moves otoconial debris from the affected semicircular canal to the utricle. In this review, we provide the classification, diagnostic criteria, and examinations for the diagnosis, and specific and non-specific treatments of BPPV in accordance with the Japanese practical guidelines on BPPV published by the Japan Society for Equilibrium Research.

リンク情報
DOI
https://doi.org/10.1016/j.anl.2016.03.013
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/27174206
ID情報
  • DOI : 10.1016/j.anl.2016.03.013
  • ISSN : 1879-1476
  • ISSN : 0385-8146
  • PubMed ID : 27174206
  • SCOPUS ID : 84965122429

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