The efficacious algorithm for the diagnostics and treatment of benign paroxysmal positional vertigo

Abstract

The objective of the present study was to elucidate the prevalence of various forms of benign paroxysmal positional vertigo (BPPV) among the patients with the complaints of dizziness who had applied for the medical aid. The secondary objective was to evaluate the effectiveness of the newly developed algorithm for the diagnostics and treatment of various forms of the disease. A total of 195 patients with the verified BPPD diagnosis were available for the examination. The fraction of the patients visiting the otoneurologist's office with complaints of this conditions is estimated at 17.8%. It was shown that the women suffer from benign paroxysmal positional vertigo 1.8 times more frequently than the men. The mean age of the patients of either sex experiencing this problem is above 50 years. Most of them have idiopathic pathology. The relationship between benign paroxysmal positional vertigo and vascular neurological disorders or inner and middle ear diseases remains to be elucidated. The present study also included the assessment of the effectiveness of the combination of various repositioning maneuvers, self-assisted vestibular gymnastics in the domestic environment, and training in long lying on the unaffected side.

Benign Paroxysmal Positional Vertigo in Combination with Congenital Nystagmus: A Case Report

“…Выявление у пациента провокационного горизонтального нистагма без латентного периода длительностью до 50 секунд при проведении пробы Дикса -Холлпайка и пробы МакКлюра -Пагнини без фиксации взора с отсутствием П-образного спонтанного нистагма является диагностическим критерием купулолитиаза горизонтального полукружного канала слева [24,25].…”

Diagnostico de vértigo periférico para el médico de atención primaria

“…Se produce básicamente por cambios de posición y es desencadenado por canalolitiasis o cupulolitiasis. El VPPB es el desorden vestibular más frecuente a lo largo de la vida, más frecuente en mujeres entre la quinta y séptima décadas de vida (29). Los pacientes reportan episodios periódicos de vértigo que duran un minuto o menos, con movimientos cefálicos desencadenados.…”

Benign paroxysmal positional vertigo: modern concepts of its etiology and pathogenesis

“…щью позиционных тестов, а лечение -при помощи репозиционных маневров. Заболевание называется доброкачественным, так как возможно самопроизвольное купирование симптоматики, однако в части случаев ДППГ имеет непрерывное или рецидивирующее течение [7]. К настоящему моменту причины, лежащие в основе развития ДППГ, до конца не изучены.…”