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Sitting-up vertigo and trunk retropulsion in patients with benign positional vertigo but without positional nystagmus


Büki, B; Simon, L; Garab, S; Lundberg, Y W; Jünger, H; Straumann, D (2011). Sitting-up vertigo and trunk retropulsion in patients with benign positional vertigo but without positional nystagmus. Journal of Neurology, Neurosurgery, and Psychiatry, 82(1):98-104.

Abstract

Seven of the 20 patients had trunk oscillations during the act of sitting up and for a short time immediately afterwards. Based on their findings, the authors propose a new type of BPPV, the so-called Type 2 BPPV (typical complaints of BPPV, no nystagmus in Dix-Hallpike positions but short vertigo spell while sitting up), which may be the result of chronic canalolithiasis within the short arm of a posterior canal. Furthermore, the authors suggest that Type 2 BPPV, which could be identical to sBPPV or constitute a major subgroup of it, occurs frequently among patients with vertigo. For therapy, the authors recommend repetitive sit-ups from the Dix-Hallpike positions to liberate the short arm of the posterior canal from canaloliths.

Seven of the 20 patients had trunk oscillations during the act of sitting up and for a short time immediately afterwards. Based on their findings, the authors propose a new type of BPPV, the so-called Type 2 BPPV (typical complaints of BPPV, no nystagmus in Dix-Hallpike positions but short vertigo spell while sitting up), which may be the result of chronic canalolithiasis within the short arm of a posterior canal. Furthermore, the authors suggest that Type 2 BPPV, which could be identical to sBPPV or constitute a major subgroup of it, occurs frequently among patients with vertigo. For therapy, the authors recommend repetitive sit-ups from the Dix-Hallpike positions to liberate the short arm of the posterior canal from canaloliths.

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13 citations in Web of Science®
20 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Neurology
04 Faculty of Medicine > Neuroscience Center Zurich
04 Faculty of Medicine > Center for Integrative Human Physiology
Dewey Decimal Classification:570 Life sciences; biology
610 Medicine & health
Language:English
Date:2011
Deposited On:10 Mar 2011 07:25
Last Modified:05 Apr 2016 14:37
Publisher:BMJ Publishing Group
ISSN:0022-3050
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:10.1136/jnnp.2009.199208
PubMed ID:20660923
Permanent URL: http://doi.org/10.5167/uzh-43015

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