J Korean Bal Soc.  2002 Jun;1(1):113-117.

A New Treatment Strategy of Ageotrophic Horizontal Canal Benign Paroxysmal Positional Vertigo

Affiliations
  • 1Gachon Medical College, Gil Medical Center, Dept. of Otolaryngology, Incheon Korea. han@ghil.com
  • 2Gachon Medical College, Vestibular Rehabilitation Research Center, Incheon Korea.

Abstract

BACKGROUND AND OBJECTIVES : Ageotrophic nystagmus in the horizontal canal BPPV has been explained as a result of cupulolithiasis theory, and has been reported to have the less therapeutic response to conservative rehabilitations than the other type BPPV . Though methods to detach the debris with vibrator have been introduced, the effect has been questioned and it's not physiologic. MATERIALS AND METHOD : We introduce a new head shaking-forced prolonged position method as a more convenient method, and report typical 2 cases of ageotrophic horizontal canal BPPV managed with it and analyzed results of 25 cases all told.
RESULTS
AND CONCLUSION : The average number of rehabilitation was less than two, and loss of direction changing positional nystagmus could be observed immediately after rehabilitation.

Keyword

Cupulolithiasis; Horizontal canal; BPPV; Rehabilitation

MeSH Terms

Head
Nystagmus, Physiologic
Rehabilitation
Vertigo*
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