Benign paroxysmal positional vertigo historical perspective: Difference between revisions
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==Overview== | ==Overview== | ||
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* Brandt and Daroff suggested a maneuver consisting of laying down on each side for 30 seconds. | * Brandt and Daroff suggested a maneuver consisting of laying down on each side for 30 seconds. | ||
* Semont and Sterkes described liberatory maneuver (semont maneuver). In this maneuver patient lays down to the provocative side looking downward. When nystagmus stops the Doctor should rapidly moved the patient head 90 degree on the other side. | * Semont and Sterkes described liberatory maneuver (semont maneuver). In this maneuver patient lays down to the provocative side looking downward. When nystagmus stops the Doctor should rapidly moved the patient head 90 degree on the other side. | ||
* The newest treatment strategy is to perform Dix Hallpike test to diagnos and induce the vertigo and then performing CRP maneuver. | * The newest treatment strategy is to perform [[Dix-Hallpike test|Dix Hallpike test]] to diagnos and induce the vertigo and then performing CRP (Epley) maneuver. | ||
For more information about Dix Hallpike maneuvers, [[Benign paroxysmal positional vertigo diagnostic study of choice|click here]]. | |||
For more information about Epley maneuvers, [[Benign paroxysmal positional vertigo medical therapy|click here]]. | |||
===Famous Cases=== | ===Famous Cases=== |
Revision as of 18:52, 25 February 2019
Benign paroxysmal positional vertigo Microchapters |
Differentiating Benign Paroxysmal Positional Vertigo from other Diseases |
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Diagnosis |
Treatment |
Case Studies |
Benign paroxysmal positional vertigo historical perspective On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];
Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
Overview
Historical Perspective
Discovery
- BPPV was first dicribed by Adler and Barany, who described it as a problem in the otolith organs.
- In 1952, Margaret Dix and Charles Hallpike named it positional nystagmus of the benign positional type.
- They noted nystagmus and vertigo with different head movements.
- Hallpike also defined it as a peripheral problem rather than central (brain) problem.
- In 1824 Marie-Jean Flourens concluded that semicircular canals are not a hearing organ but a balance-related organ.
- In 1962 Harold Schuknecht described theory of detached utricular otoconia (cupulolithiasis)
- Hall et al and Epley described the theory of free floating particle (canalithiasis)
Landmark Events in the Development of Treatment Strategies
- The first treatment strategy suggested for BPPV treatment was cawthorne's exercise (repeatitive head movement which cause vertigo in order to reach central adaption)
- Brandt and Daroff suggested a maneuver consisting of laying down on each side for 30 seconds.
- Semont and Sterkes described liberatory maneuver (semont maneuver). In this maneuver patient lays down to the provocative side looking downward. When nystagmus stops the Doctor should rapidly moved the patient head 90 degree on the other side.
- The newest treatment strategy is to perform Dix Hallpike test to diagnos and induce the vertigo and then performing CRP (Epley) maneuver.
For more information about Dix Hallpike maneuvers, click here.
For more information about Epley maneuvers, click here.
Famous Cases
The following are a few famous cases of BPPV:
- Arthur Black, writer and former CBC radio host
- Lebron James, NBA
- Crown Princess Mette-Marit of Norway