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Treatment of horizontal canal BPPV : Pathophysiology, available maneuvers, and recommended treatment
Author(s) -
Oron Yahav,
CohenAtsmoni Smadar,
Len Assaf,
Roth Yehudah
Publication year - 2015
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.25138
Subject(s) - pathophysiology , medicine
Objectives/Hypothesis To describe the pathophysiology of horizontal canal benign paroxysmal positional vertigo, the available maneuvers for its management, and the recommended treatment. Data Sources PubMed, Cochrane library. Review Methods Review of the available literature. Results Two theories of pathophysiology underlying the disease are described, along with available maneuvers reflecting those theories; and videos of the maneuvers are provided. A comparison of available treatments is made. Conclusion A variety of maneuvers is available related to the pathophysiology underlying the disease. The treatment chosen should be appropriate to the patients' ages, general conditions, and other diseases they may have. No treatment was found to be superior over the others regarding the success rate. In the case of geotropic nystagmus, the Gufoni maneuver is superior in its ease of performance. When it comes to apogeotropic nystagmus, the Barbecue and Gufoni maneuvers have comparable success rates. Laryngoscope , 125:1959–1964, 2015