New Dimensions of Benign Paroxysmal Positional Vertigo

@article{Epley1980NewDO,
  title={New Dimensions of Benign Paroxysmal Positional Vertigo},
  author={John M. Epley},
  journal={Otolaryngology–Head and Neck Surgery},
  year={1980},
  volume={88},
  pages={599 - 605}
}
  • J. Epley
  • Published 1 September 1980
  • Medicine
  • Otolaryngology–Head and Neck Surgery
Twenty-nine patients who demonstrated the classic nystagmus of benign paroxysmal positional vertigo in the provocative, ear-down position had a high incidence of concurrent symptoms. These included vertigo provoked by arising, bending over, head rotation, linear acceleration, and vertical oscillation. Some have not been reported previously in relation to this syndrome. Elimination of both concurrent and classic symptoms via singular neurectomy in nine patients indicates a common… 
View on SAGE
ncbi.nlm.nih.gov
163 Citations
Highly Influential Citations
5
Background Citations
41
Methods Citations
7
Results Citations
1

Figures and Tables from this paper

163 Citations

Citation Type

Citation Type

Treatment of Anterior Benign Paroxysmal Positional Vertigo by Canal Plugging: A Case Report
A 75-year-old man with incapacitating anterior canal benign paroxysmal positional vertigo (BPPV) was relieved of symptoms following anterior semicircular canal occlusion using a transmastoid…
Benign Paroxysmal Positioning Vertigo (BPPV)
Benign paroxysmal positional vertigo (preferably described as positioning vertigo) was initially described by Barany in 1921, and the term was coined by Dix and Hallpike (1952). In this condition…
Apogeotropic Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo: Some Clinical and Therapeutic Considerations
TLDR
Both nystagmus of apogeotropic PSC BPPV (A-PSC B PPV) and symptoms reported by patients trying to give a reasonable explanation for these clinical features are described and two specific physical therapies directed to cure A- PSC BPPVs are developed.
Clinical Study of Benign Paroxysmal Positional Vertigo
TLDR
A neurotic tendency was more evident in BPPV patients than in normal subjects, but less than in those with Meniere's disease, and physical exercise was very effective in the treatment of B PPV.
Benign Paroxysmal Positional Vertigo and Positional Vertigo Variants AIJOC
TLDR
The causes of positional vertigo and positional nystagmus of peripheral origin are reviewed and the differential diagnosis between otolithic and nonotolithic causes is discussed.
Paroxysmal positional vertigo
  • E. Mira, S. Mauri
  • Medicine, Psychology
    The Italian Journal of Neurological Sciences
  • 2004
TLDR
The aim of this review is to provide a complete and updated description of the two principal manifestations of the syndrome: posterior semicircular canal (PSC-PPV) and horizontal semicircULAR canal PPV (HSC- PPV).
Diagnosis and management of benign paroxysmal positional vertigo (BPPV).
TLDR
This work describes the various techniques for this manoeuvre, plus treatments for uncommon variants of BPPV such as that of the lateral canal, and says posterior canal occlusion surgery is a safe and highly effective procedure.
Benign Paroxysmal Positional Vertigo of Posterior Semicircular Canal: Results in 160 Cases Treated with Semont's Maneuver
TLDR
One hundred sixty patients affected by benign paroxysmal positional vertigo of the posterior semicircular canal were treated with Semont's maneuver, and almost all patients had recovered; only 8 needed another kind of rehabilitation.
The Epley maneuver for the treatment of benign paroxysmal positional vertigo
TLDR
The Epley maneuver (EM) was used in treating 30 cases of benign paroxysmal positional vertigo, with results similar to those reported in the literature for the EM and the Sémont maneuver.
Benign Paroxysmal Positional Vertigo and Positional Vertigo Variants
TLDR
The causes of positional vertigo and positional nystagmus of peripheral origin are reviewed and the differential diagnosis between otolithic and nonotolithic causes is discussed.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 28 REFERENCES
Physical therapy for benign paroxysmal positional vertigo.
TLDR
Sixty-six patients with the symptoms of benign paroxysmal positional vertigo were treated by challenging them with the precipitating head positions on a repeated and serial basis and one patient whose condition did not respond was found to have a perilymphatic fistula that mimicked BPPV.
The mechanics of benign paroxysmal vertigo.
TLDR
Division of BPV into two types (fatiguable and nonfatIGuable) will simplify and rationalize the management of this common complaint.
The mechanics of benign paroxysmal vertigo.
TLDR
Division of BPV into two types (fatiguable and nonfatIGuable) will simplify and rationalize the management of this common complaint.
Benign paroxysmal positional nystagmus.
  • F. Harbert
  • Medicine, Psychology
    Archives of ophthalmology
  • 1970
TLDR
In 40 cases of benign paroxysmal positional nystagmus, the author observed a characteristic change in the type of nyStagmus with change in direction of gaze that was usually up in the vertical nySTagmus and toward the lower ear in the rotary form.
Vestibular dysfunction associated with benign paroxysmal vertigo
TLDR
In a review of 1350 consecutive dizzy patients, there were 125 patients with BPV and of these, 33 underwent a quantitative rotational test of vestibular function, which showed reduced Vestibular system gain for these BPV patients.
Paroxysmal positional vertigo--a study of 255 cases.
TLDR
The clinical and electronystagmographic findings of 255 patients with paroxysmal positional vertigo are presented and it is concluded that the nystAGmus which occurs during the attack is generated by stimulation of the posterior semicircular canal of the lowermost ear.
XX Positional Vertigo after Stapedectomy
TLDR
Clinically, the types of trauma that caused most harm were pressure into the vestibule and suction and blood in the vestile and burring over the footplate did not instigate vertigo as much as did mechanical manipulations.
LVII Postural Vertigo Due to Unilateral Sudden Partial Loss of Vestibular Function
The main characteristics of this group have been a rapid onset of severe vertigo without deafness or signs of central nervous system disease followed by a gradual decrease in vertigo during the next…
Transection of the Posterior Ampullary Nerve for the Relief of Benign Paroxysmal Positional Vertigo
  • R. Gacek
  • Medicine
    The Annals of otology, rhinology, and laryngology
  • 1974
TLDR
Five patients with incapacitating benign paroxysmal positional vertigo for one year or longer were managed surgically by transection of the posterior ampullary nerve to relieve severe BPPV and add to the completeness of transcanal labyrinthectomy by denervating the inaccessible posterior canal crista.
XXXIX Positional Nystagmus
Our growing appreciation of positional nystagmus is in no small measure due to the fact that our attention has been repeatedly drawn to this subject by the writings of Nylen" of Uppsala and of your…
...
1
2
3
...