Benign Paroxysmal Positional Vertigo

Parnes, Lorne S.; Agrawal, Sumit K.; Theriault, Jenna

doi:10.1007/978-3-642-23499-6_583

Cited by 4 publications

(9 citation statements)

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“…Im Bogengang verursachen sie Fehlinformationen und führen dadurch zu Schwindel. Wenn der Otolith frei im Bogengang schwimmt, spricht man von einer Canalolithiasis, haftet er an der Cupula an, spricht man von einer Cupulolithiasis 4 ( Abb. 2 ).…”

Section: Benigner Paroxysmaler Lagerungsschwindel (Bpls)unclassified

“…2 ). Gemäß Literatur ist der posteriore Bogengang mit 85 %–95 % viel häufiger betroffen 4 , 5 im Vergleich zum horizontalen Bogengang mit 5–15 % 4 , 5 , 6 , 7 , 8 . In meiner klinischen Praxis wird ein BPLS des horizontalen Bogenganges jedoch deutlich häufiger gefunden.…”

Section: Benigner Paroxysmaler Lagerungsschwindel (Bpls)unclassified

“…In meiner klinischen Praxis wird ein BPLS des horizontalen Bogenganges jedoch deutlich häufiger gefunden. Der Grund für das Ablösen der Otolithen ist in 50–70 % der Fälle idiopathisch 4 . Ein BPLS tritt gehäuft im Alter 9 , nach einer vestibulären Erkrankung 10 , 11 , 12 , 13 , 14 , nach einem Kopftrauma 10 , 12 , 15 , 16 , bei reduziertem Serum-Vitamin D 17 oder Osteoporose/Osteopenie 18 , 19 , 20 , 21 , 22 , 23 und bei traumatischer Rückenmarkverletzung, insbesondere des Zervikalmarks 24 , auf.…”

Section: Benigner Paroxysmaler Lagerungsschwindel (Bpls)unclassified

“…In der Anamnese berichten Patient*innen typischerweise über einen Drehschwindel beim sich Hinlegen, Aufsitzen, Drehen im Bett und großen Kopfbewegungen nach unten oder oben. Der Schwindel tritt in der Regel mit einer Verzögerung (Latenz) von 2–4 Sekunden auf und dauert 30–60 Sekunden mit einem Crescendo-Decrescendo-Charakter (Zu- und Abnahme) 4 , 25 , 26 .…”

Section: Benigner Paroxysmaler Lagerungsschwindel (Bpls)unclassified

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Nicht zervikogener Schwindel, sondern Benigner Paroxysmaler Lagerungsschwindel

Schädler¹

2022

MSK – Muskuloskelettale Physiotherapie

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ZusammenfassungPatient*innen, die sich mit der Diagnose „Zervikogener Schwindel“ in der physiotherapeutischen Praxis vorstellen, sind in einigen Fällen fehldiagnostiziert und leiden eigentlich unter einem gutartigen Lagerungsschwindel. Oft stellt sich dabei die Frage: Wie wird ein benigner paroxysmaler Lagerungsschwindel (BPLS) erkannt und erfolgreich behandelt? In diesem Artikel werden die Grundlagen des BPLS und des zervikogenen Schwindels dargestellt und aufgezeigt, wie diese differenziert werden können. Anhand dreier exemplarischer Fallbeispiele von Patient*innen mit der Diagnose „Zervikogener Schwindel“ wird dargelegt, wie Physiotherapeut*innen mittels Anamnese und hypothesengesteuerter Untersuchung einen BPLS identifizieren und mit entsprechendem Manöver erfolgreich behandeln können. Ein BPLS erfordert andere Behandlungstechniken als ein zervikogener Schwindel und benötigt in der Regel nur wenige Sitzungen.

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Section: Benigner Paroxysmaler Lagerungsschwindel (Bpls)unclassified

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Nicht zervikogener Schwindel, sondern Benigner Paroxysmaler Lagerungsschwindel

Schädler¹

2022

MSK – Muskuloskelettale Physiotherapie

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“…1 2 3 4 It can be defined as a mechanical peripheral vestibular disorder that is provoked by changes in head position relative to gravity; 1 5 BPPV is often accompanied by nausea, vomiting, and positional nystagmus. 1 5 6 Researchers have found that 27 to 38% of the symptoms related to BPPV resolve spontaneously without interventions. 7 8 Nevertheless, waiting for a spontaneous resolution of symptoms is not desired, as the nature of BPPV may be severely disabling.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Saudi Physicians and Physical Therapists' Adherence to the Updated Clinical Practice Guideline for Benign Paroxysmal Positional Vertigo: A Cross-Sectional Study

Alhakami

Almarwani

2022

Int Arch Otorhinolaryngol

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Introduction Variations in clinical practice regarding the management of benign paroxysmal positional vertigo (BPPV) among clinicians have been noted in previous studies. Such variations might be related to the different adherence to clinical practice guidelines. Objective To evaluate clinicians' adherence to BPPV guidelines and investigate the variations in the adherence between different specialties and qualifications. Methods This is a cross-sectional study with a vignettes-based survey conducted between June and August, 2020. We included clinicians engaged in managing BPPV that had at least one year of clinical experience. We excluded students, and clinicians who were not involved in the management of individuals with BPPV. Participants were asked to make their management choices based on four hypothetical patient vignettes. The sample ranged from 77 participants for the first vignette to 45 participants for the last vignette. Results We included 77 clinicians in the study, with the majority being Otolaryngologists (31.2%). The respondents' mean adherence to the guideline was of 63.3%. Result showed that Otolaryngologists' adherence was higher than that of clinicians from different specialties (p = 0.006, d = 0.72). Furthermore, clinicians with a postgraduate degree were more likely to adhere than those with a bachelor's degree only (p = 0.014, d = 0.58) and participants who were aware of the guideline were more likely to adhere to it (p < 0.001, d = 1.05). Lastly, regression analysis exhibited that adherence was affected by postgraduate degree and guideline awareness. Conclusion Otolaryngologists were more likely to adhere to the guideline than other specialties. Among all specialties, higher adherence was associated with guideline awareness and postgraduate degrees.

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Physical Therapy for the Horizontal Semicircular Cupulolithiasis: A Prospective Interventional Case Series from an Otoneurology Center in South Rajasthan, India

Vats¹,

Sharma²,

Ramchandani

2021

Annals of Otology and Neurotology

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Objective This article aims to study the effect of physical therapy in patients of horizontal semicircular cupulolithiasis with results audited in the short term. Design Nonrandomized prospective interventional study. Study Sample Four patients with horizontal semicircular cupulolithiasis. Results All four patients in whom diagnostic supine roll test (carried at least thrice to look for the sustainability as well as the polarity of the nystagmus) elicited apogeotropic horizontal positional nystagmus lasting more than 1 minute were subjected to therapeutic head-shaking maneuver (HSM). The results were audited immediately after the physical therapy, and at 1 hour. Follow-up by telephonic interviews for 4 weeks was done in all patients. Three out of four patients responded to HSM alone. One patient who did not respond to HSM was successfully treated with four other sequent physical therapies. Conclusion The response of physical therapy for horizontal semicircular cupulolithiasis occasionally indicates the side of the cupula to which otoconial debris is adherent (Cup-U or Cup-C). Occasionally, Cup-C variant of horizontal semicircular cupulolithiasis can be transformed by physical therapy to long posterior arm horizontal semicircular canalolithiasis—a disorder with better established treatment options.

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Benign Paroxysmal Positional Vertigo

Cited by 4 publications

References 0 publications

Nicht zervikogener Schwindel, sondern Benigner Paroxysmaler Lagerungsschwindel

Nicht zervikogener Schwindel, sondern Benigner Paroxysmaler Lagerungsschwindel

Assessment of Saudi Physicians and Physical Therapists' Adherence to the Updated Clinical Practice Guideline for Benign Paroxysmal Positional Vertigo: A Cross-Sectional Study

Physical Therapy for the Horizontal Semicircular Cupulolithiasis: A Prospective Interventional Case Series from an Otoneurology Center in South Rajasthan, India

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