Benign positional paroxysmal vertigo: videonystagmographic study using rotatory test. 2003

F Mosca, and S Sicignano, and C A Leone
Department of Otolaryngology, V. Monaldi Hospital, Naples, Italy.

Benign Peripheral Paroxysmal Vertigo is a disease of the posterior labyrinth caused by endolymphatic debris, provoking vertigo with some movements of the head. Diagnosis is usually made by finding the positional nystagmus with appropriate manoeuvres. Spontaneous resolution is frequent and in these cases diagnosis is only probable and suspected from anamnesis. Aim of the present investigation was to establish more evaluation parameters in the study of Benign Peripheral Paroxysmal Vertigo. A series of 97 selected patients presenting Benign Peripheral Paroxysmal Vertigo, have been submitted to sinusoidal kinetic test. Patients have been studied during the acute phase of the condition and after recovery. Vestibulo-oculomotor reflex has been sought by stimulating the horizontal and vertical canals. Kinetic stimulus consisted in sinusoidal rotation at 0.12 Hz and 0.05 Hz. Evaluation parameters comprised preponderance, gain and phase of provoked nystagmus, recorded by means of an Ulmer videonystagmograph. Using this same technique of stimulation, 20 normal volunteers were studied in order to establish normal values for reference. Values obtained in the patient population of patients have been compared, by Student t test, with values obtained in the same cured patients and with those in normal subjects. In the patients with Benign Peripheral Paroxysmal Vertigo of the lateral canal a nystagmus preponderance toward the healthy side was observed, as well as an increase in the phase lead, also in the canals not affected by the condition. In cured patients, disappearance of the preponderance and persistence of the phase abnormalities are observed. These results suggest a multicanal pathogenesis of Benign Peripheral Paroxysmal Vertigo.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011187 Posture The position or physical attitude of the body. Postures
D004584 Electronystagmography Recording of nystagmus based on changes in the electrical field surrounding the eye produced by the difference in potential between the cornea and the retina. Electronystagmographies
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D012399 Rotation Motion of an object in which either one or more points on a line are fixed. It is also the motion of a particle about a fixed point. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Clinorotation,Clinorotations,Rotations

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