Benign paroxysmal positional vertigo historical perspective
|
Benign paroxysmal positional vertigo Microchapters |
|
Differentiating Benign Paroxysmal Positional Vertigo from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Benign paroxysmal positional vertigo historical perspective On the Web |
|
American Roentgen Ray Society Images of Benign paroxysmal positional vertigo historical perspective |
|
FDA on Benign paroxysmal positional vertigo historical perspective |
|
CDC on Benign paroxysmal positional vertigo historical perspective |
|
Benign paroxysmal positional vertigo historical perspective in the news |
|
Blogs on Benign paroxysmal positional vertigo historical perspective |
|
Risk calculators and risk factors for Benign paroxysmal positional vertigo historical perspective |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
Overview
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 1962 Harold Schuknecht described theory of detached utricular otoconia (cupulolithiasis). Hall et al and Epley described the theory of free floating particle (canalithiasis). The first treatment strategy suggested for BPPV treatment was cawthorne's exercise (repeatitive head movement which cause vertigo in order to reach central adaption). The newest treatment strategy is to perform Dix Hallpike test to diagnos and induce the vertigo and then performing CRP (Epley) maneuver.
Historical Perspective
Discovery
- BPPV was first dicribed by Adler and Barany, who described it as a problem in the otolith organs.[1][2][3][4]
- 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).[5][6][7][8]
- 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 diagnose 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
References
- ↑ DIX MR, HALLPIKE CS (December 1952). "The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system". Ann. Otol. Rhinol. Laryngol. 61 (4): 987–1016. doi:10.1177/000348945206100403. PMID 13008328.
- ↑ SCHUKNECHT HF (1962). "Positional vertigo: clinical and experimental observations". Trans Am Acad Ophthalmol Otolaryngol. 66: 319–32. PMID 13909445.
- ↑ Hall SF, Ruby RR, McClure JA (April 1979). "The mechanics of benign paroxysmal vertigo". J Otolaryngol. 8 (2): 151–8. PMID 430582.
- ↑ Flourens, P., 1824. Recherches sur les conditions fondamentales de l’audition. Memoires de la Société (Royale) des Sciences.
- ↑ Brandt T, Daroff RB (August 1980). "Physical therapy for benign paroxysmal positional vertigo". Arch Otolaryngol. 106 (8): 484–5. PMID 7396795.
- ↑ Semont A, Freyss G, Vitte E (1988). "Curing the BPPV with a liberatory maneuver". Adv. Otorhinolaryngol. 42: 290–3. PMID 3213745.
- ↑ Viirre, Erik; Purcell, Ian; Baloh, Robert W. (2005). "The Dix-Hallpike Test and The Canalith Repositioning Maneuver". The Laryngoscope. 115 (1): 184–187. doi:10.1097/01.mlg.0000150707.66569.d4. ISSN 0023-852X.
- ↑ Ruckenstein, Michael J. (2001). "Therapeutic Efficacy of the Epley Canalith Repositioning Maneuver". The Laryngoscope. 111 (6): 940–945. doi:10.1097/00005537-200106000-00003. ISSN 0023-852X.