| Diagnostic and treatment strategy of lateral semicircular canal canalolithiasis. | |
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MedLine Citation:
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PMID: 16602326 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A new strategy for the diagnosis and treatment both of geotropic and apogeotropic Lateral Semicircular Canal Benign Paroxysmal Positional Vertigo is proposed. To this end, a new strategy of approach to Lateral Semicircular Canal Benign Paroxysmal Positional Vertigo is described in order to rapidly highlight both the side and the affected canal. Thus, in the first treatment session, using the so-called "strategy of the minimum stimulus", a large percentage of cases are successfully treated, with the lowest number of vertigos for the patient. Following a review of the literature, 269 case studies, personally observed over a 4-year period, are described. The diagnostic strategy is performed by a single manoeuvre to determine whether the posterior semicircular canal or the lateral canal is affected. In the latter case, it is possible to highlight the affected sides both of the geotropic and apogeotropic forms. The therapeutic strategy comprises several liberatory manoeuvres, barbecue rotation techniques (Vannucchi-Asprella, Lempert), and Gufoni manoeuvre by continuously monitoring the ampullofugal movement of the otoliths. Almost 98% of cases are successfully treated at the first treatment diagnostic-therapeutic session. This approach to Lateral Semicircular Canal Benign Paroxysmal Positional Vertigo allows a two-fold goal to be achieved, i.e., to effect both diagnosis and treatment at the first examination. Furthermore, thanks to the philosophy of the approach to Benign Paroxysmal Positional Vertigo, called the "Strategy of the minimum stimulus", patient compliance is very good since a very small number of vertigos are produced, and few neuro-vegetative disorders. |
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Authors:
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G Asprella Libonati |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale Volume: 25 ISSN: 0392-100X ISO Abbreviation: Acta Otorhinolaryngol Ital Publication Date: 2005 Oct |
Date Detail:
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Created Date: 2006-04-10 Completed Date: 2006-05-05 Revised Date: 2010-09-14 |
Medline Journal Info:
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Nlm Unique ID: 8213019 Medline TA: Acta Otorhinolaryngol Ital Country: Italy |
Other Details:
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Languages: eng Pagination: 277-83 Citation Subset: IM |
Affiliation:
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Unit of Audiology-Vestibology and Phoniatrics, Department of Otorhinolaryngology and Head-Neck Surgery, "Madonna delle Grazie" Hospital, Matera, Italy. giacintoasprella1@tin.it |
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| MeSH Terms | |
Descriptor/Qualifier:
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Follow-Up Studies Humans Nystagmus, Pathologic Nystagmus, Physiologic Otolithic Membrane* Patient Compliance Posture Rotation Semicircular Canals* / physiopathology Time Factors Treatment Outcome Vertigo / diagnosis*, physiopathology, therapy* |
| Comments/Corrections | |
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