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BPPV - Crossref

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Last Updated: 24 April 2022

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Rapid Systematic Review of Repeated Application of the Epley Maneuver for Treating Posterior BPPV

Objectivist posterior benign paroxysmal vertigo Patients with repeated application of the Epley technique on patient-reported symptom relief and resolution of nystagmus in patients with persistent benign paroxysmal positional vertigo. Original study findings were included in studies that included original study findings. The first treatment session was fruitful for 32% to 90% of patients. Patient success percentages climbed from 40% to 100% after the second session, 67% to 98% after the third session, 87% to 100% after the fourth session, and 100% in the studies in which patients were treated to 5 sessions. After 2 maneuvers and 92% after three maneuvers, one study examining the impact of multiple maneuvers in a single session showed a rise in success percentages from 84% for 1 maneuver to 90% after two maneuvers and 92% after three maneuvers. Multiple studies with moderate RoB show a beneficial result of multiple sessions of the Epley procedure in p-BPPV patients who are not completely clear of symptoms following the first session.

Source link: https://doi.org/10.1177/0194599814536530


Betahistine alleviates benign paroxysmal positional vertigo (BPPV) through inducing production of multiple CTRP family members and activating the ERK1/2-AKT/PPARy pathway

However, the role of complement C1q/TNF-like proteins with a C-terminal globular domain in BPPV is unclear, so we investigated the change in CTRPs in betahistine treated BPPV. Methods We treated BPPV patients for four weeks with Betahistine and analyzed the clinical integrity and expression of CTRP family members in BPPV patients. Adenoviral vectors for CTRP expression vector and small interfering RNA were administered into mice by intratympanic injection and revealed the expression of CTRP family members, phosphorylation levels of ERK and AKT, and the expression of PPAR. We also found that Betahistine improved the accuracy of air righting reflex, reduced the time of contact righting reflex, and the results of head tilt and swimming activity in gentamicin-treated mice and Sloop mutant mice, and in Slc26a4 loop/loop mutant mice.

Source link: https://doi.org/10.1186/s40659-022-00385-3


Failure of Gan CRM Overcome by Successful Semont Manoeuvre in BPPV Post Head Trauma: A Case Study

Objective: Benign paroxysmal vertigo is one of common peripheral vestibular disorders, according to the fact that head injury is one of common pediatric disorders. In the majority of BPPV cases such as Epley's manoeuvre, Gan Canal repositioning Manoeuvrer, and Semont manoeuvre, there is an optimum specific manoeuvre that provides curative therapy. If Epley's and Gan CRM's case came to an end, Semont manoeuvre is one of the most popular manoeuvre in the posterior BBPV case, but less frequent among our physicians is due to a lack of exposure. BAL EX Foam test Modified Dix Hallpike Test performed for in-depth physical and balance analysis. During the left DHT, there is rotatory upbeat nystagmus before it starts with GRM three-time, 1 session on the previous day and 2 session on the new day, but it was unsuccessful. There are no nystagmus after ten minutes of manoeuvre, modified DHT done and show negative result.

Source link: https://doi.org/10.12970/2311-1917.2021.09.02


Pain and other symptoms in patients with chronic benign paroxysmal positional vertigo (BPPV)

Abstract Background and purpose The aim of this article is to establish a diagnosis of chronic paroxysmal positional vertigo by rapid shifts in head position relative to gravity, which is based on brief cases of rotatory vertigo and concomitant nystagmus. The authors' observations reveal that the most common complaints among patients with chronic BPPV are nautical vertigo or dizziness with other signs such as neck pain, migraine, widespread musculoskeletal pain, exhaustion, and visual disturbances. Trauma is believed to be the leading cause of BPPV in women under the age of 50 years. Chronic BPPV infection has been attributed to high morbidity. BPPV diagnosis : a specific pattern of vertigo/dizziness evoked by acceleration/deceleration, nystagmus in the first position of otolith repositioning tools, and the presence of nystagmus during repositioning procedures has persisted for at least six months; the disorder has persisted for at least six months. In all patients, BPPV was present in more than one semicircular canal. The Dizziness Handicap Inventory median score was 55. 5. The majority of patients described pain as a common symptom: neck pain, headache, and widespread pain. Conclusion This observational research shows a strong correlation between chronic BPPV and the following signs: nautical vertigo/dizziness, neck pain, headache, widespread pain, visual impairments, nausea, and tinnitus. Implications Patients with chronic musculoskeletal pain and nausea should be screened with the Dizziness Handicap Inventory - questionnaire, which can reveal treatable balance disorders in patients with chronic musculoskeletal pain.

Source link: https://doi.org/10.1016/j.sjpain.2013.06.004


Benign Paroxysmal Positional Vertigo (BPPV)

When the head position changes against gravity and is followed by symptoms of nausea, vomiting, and cold sweats, the patient experiences the sensation of spinning and moving associated with nystagmus. BPPV is a condition of altered peripheral vestibular system in the patient. BPPV is characterized by sudden, brief episodes of vertigo caused by displacement of calcium-carbonate crystals or otoconia within the fluid-filled semicircular canals of the inner ear's fluid-filled semicircular canals. BPPV can be diagnosed through medical history as well as diagnostic procedures.

Source link: https://doi.org/10.54543/fusion.v2i02.146


Barriers and facilitators to ED physician use of the test and treatment for BPPV

Abstract Background: The investigation and treatment of benign paroxysmal positional vertigo are evidence-based procedures that are backed by clinical guideline findings. Methods: We carried out semi-structured in-person interviews with ED physicians who were recruited at annual ED society meetings in the United States. Using qualitative content analysis techniques, we analyzed data thematically. DHT/CRM findings were based on 50 interviews with ED physicians, barriers that contributed to infrequent use of DHT/CRM, prior negative experiences or not knowing how to perform them, or relying on the history of nystagmus to determine BPPV, or misattributing patterns of nystagmus. Conclusions: Interventions to increase the use of the DHT/CRM in the ED must avoid previous negative experiences with the DHT/CRM, overreliance on current disease, underutilization, and misattribution of nystagmus patterns.

Source link: https://doi.org/10.1212/cpj.0000000000000366


Diagnostic and Therapeutic Maneuvers for Anterior Canal BPPV Canalithiasis: Three-Dimensional Simulations

Anterior canal BPPV is a rare BPPV variant, with a rare BPPV variant. This study was designed to display otoconial debris migration within the anterior canal during diagnostic tests and various liberatory maneuvers. The supine head-hanging test for diagnosis of ac-BPPV were investigated. Results: The simulation revealed that the supine head-hanging test is a safe measure for diagnosing ac-BPPV in both labyrinths and showing why there is no inversion of nystagmus on sitting down. However, experiments revealed that the classical Yacovino maneuver caused a danger of canal transfer to the posterior canal. Conclusion: The 3D simulation of the movement of the otoconial debris here presented here can be used to determine the mechanism of action and the theoretical tenability of existing diagnostic tools and techniques, as well as the creation of new treatment techniques to optimize BPPV treatment.

Source link: https://doi.org/10.3389/fneur.2021.740599


Benign Paroxysmal Postural Vertigo (BPPV): A Review

Methodology: This article is based on findings obtained from various search engines, including Google Scholars, PubMed, Research Gate, and other journals on he respective topics, as well as the raw data obtained from various books on the subject. Conclusion : BPPV is a simple disorder that can be misdiagnosed if the history is not followed correctly or not implemented properly, but if the attack is triggered by daily activities like driving or crossing the road, or even climbing can result in dreaded complications.

Source link: https://doi.org/10.9734/jpri/2021/v33i60b34764


A Dynamic Model of Otolith for Determinants of a BPPV Reposition Maneuver with Its Simulation

Abstract Benign paroxysmal positional vertigo is a common cause of vertigo disease, and its treatment consists of many body movements to reposition the otolith. The paper outlines a new dynamic model of a single otolith's movement in a single semicircular canal, aiming to mimic the otolith's movement behavior. With simulation results of the otolith's movements, we determine two parameterized indices of the BPPV treatment procedures to determine their determinants, i. e. , rotational angular velocity, and pause time between operations.

Source link: https://doi.org/10.1088/1742-6596/1631/1/012044

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions