A cupulolith repositioning maneuver in the treatment of horizontal canal cupulolithiasis

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Authors: Sung Huhn Kim ; Sung-Woo Jo ; Woon-Kyo Chung ; Hyung Kwon Byeon ; Won-Sang Lee

MeSH: Adult ; Aged ; Aged, 80 and over ; Craniocerebral Trauma/physiopathology ; Craniocerebral Trauma/rehabilitation* ; Female ; Follow-Up Studies ; Head Movements ; Humans ; Male ; Meniere Disease/physiopathology ; Meniere Disease/rehabilitation* ; Middle Aged ; Nystagmus, Pathologic/physiopathology ; Nystagmus, Pathologic/rehabilitation ; Otolithic Membrane/physiopathology* ; Patient Positioning* ; Physical Therapy Modalities* ; Posture* ; Recurrence ; Retreatment ; Saccule and Utricle/physiopathology ; Semicircular Canals/physiopathology ; Semicircular Ducts/physiopathology ; Treatment Outcome ; Vertigo/physiopathology ; Vertigo/rehabilitation* ; Vestibular Neuronitis/physiopathology ; Vestibular Neuronitis/rehabilitation*

Keywords: Benign paroxysmal positional vertigo ; Horizontal semicircular canal ; Cupulolithiasis ; Treatment

Abstract: OBJECTIVE: We evaluated outcomes and their significance of a new treatment method for horizontal canal cupulolithiasis that could be applied regardless of the side of the cupula where otoliths are attached.

METHODS: Consecutive 78 patients who showed persistent apogeotropic horizontal canal positional vertigo (horizontal canal cupulolithiasis) were enrolled, and they were treated with the new cupulolith repositioning maneuver.

RESULTS: Horizontal semicircular canal cupulolithiasis was alleviated in 97.4% of patients, after an average of 2.1 repetitions of the maneuver. Otoliths were suspected to be attached to the canal side of the cupula in 30 cases and the utricular side in 44 cases.

CONCLUSION: The cupulolith repositioning maneuver is an effective method for treating horizontal canal cupulolithiasis. It may also provide an insight into the side of the cupula where otoliths are attached.

Full Text: http://www.sciencedirect.com/science/article/pii/S0385814611001374

Appears in Collections:: 1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers

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