Diagnosis strategy and Yacovino maneuver for anterior canal-benign paroxysmal positional vertigo

Xu Yang, Xia Ling, Bo Shen, Yuan Hong, Kangzhi Li, Lihong Si, Ji-Soo Kim

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: To investigate the diagnosis strategy of anterior canal-benign paroxysmal positional vertigo (AC-BPPV) and the therapeutic effects of the Yacovino maneuver. Methods: The clinical data of 40 AC-BPPV patients were collected. The nystagmus characteristics induced by the Dix–Hallpike (D–H) and straight head-hanging (SHH) tests, the diagnostic methods used, and the effectiveness of the Yacovino maneuver for the treatment of AC-BPPV were all retrospectively analyzed. Results: Among the 40 cases analyzed, 19 patients had simple AC-BPPV, 11 patients had AC-posterior canal BPPV, and 10 patients had AC-horizontal canal BPPV. D–H and SHH tests showed down-beating nystagmus in 26 and 33 patients, respectively, and showed down-beating and torsional nystagmus in 14 and 7 patients, respectively. AC-BPPV was diagnosed in 15 patients based on the presence of typical BPPV in other canals, in 9 patients based on typical disease history and the results of position tests, in 6 patients based on effectiveness of the treatment with the Yacovino maneuver, in 4 patients based on the treatment effectiveness and the presence of typical BPPV in other canals, in 3 patients based on the treatment effectiveness and the follow-up outcome, in 2 patients based on the typical BPPV in other canals and occurrence of canal conversion, and in 1 patient based on the treatment effectiveness and occurrence of canal conversion. Thirteen patients with canalolithiasis and four patients with cupulolithiasis were cured after the initial Yacovino maneuver treatment. Twenty-one patients with canalolithiasis and seven patients with cupulolithiasis were cured following 1 week of treatment. Conclusions: The effectiveness of the Yacovino maneuver, the follow-up outcome, the presence of typical BPPV in other canals, and the occurrence of canal conversions contribute to AC-BPPV diagnosis. The Yacovino maneuver was found to be more effective in AC-BPPV patients with canalolithiasis than in those with cupulolithiasis.

Original languageEnglish
Pages (from-to)1674-1684
Number of pages11
JournalJournal of Neurology
Volume266
Issue number7
DOIs
StatePublished - 1 Jul 2019

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Benign Paroxysmal Positional Vertigo
Head
Therapeutic Uses
Routine Diagnostic Tests
Therapeutics

Keywords

  • Anterior semicircular canal
  • Benign paroxysmal positional vertigo
  • Diagnosis method
  • Nystagmus
  • Yacovino maneuver

Cite this

Yang, Xu ; Ling, Xia ; Shen, Bo ; Hong, Yuan ; Li, Kangzhi ; Si, Lihong ; Kim, Ji-Soo. / Diagnosis strategy and Yacovino maneuver for anterior canal-benign paroxysmal positional vertigo. In: Journal of Neurology. 2019 ; Vol. 266, No. 7. pp. 1674-1684.
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title = "Diagnosis strategy and Yacovino maneuver for anterior canal-benign paroxysmal positional vertigo",
abstract = "Objective: To investigate the diagnosis strategy of anterior canal-benign paroxysmal positional vertigo (AC-BPPV) and the therapeutic effects of the Yacovino maneuver. Methods: The clinical data of 40 AC-BPPV patients were collected. The nystagmus characteristics induced by the Dix–Hallpike (D–H) and straight head-hanging (SHH) tests, the diagnostic methods used, and the effectiveness of the Yacovino maneuver for the treatment of AC-BPPV were all retrospectively analyzed. Results: Among the 40 cases analyzed, 19 patients had simple AC-BPPV, 11 patients had AC-posterior canal BPPV, and 10 patients had AC-horizontal canal BPPV. D–H and SHH tests showed down-beating nystagmus in 26 and 33 patients, respectively, and showed down-beating and torsional nystagmus in 14 and 7 patients, respectively. AC-BPPV was diagnosed in 15 patients based on the presence of typical BPPV in other canals, in 9 patients based on typical disease history and the results of position tests, in 6 patients based on effectiveness of the treatment with the Yacovino maneuver, in 4 patients based on the treatment effectiveness and the presence of typical BPPV in other canals, in 3 patients based on the treatment effectiveness and the follow-up outcome, in 2 patients based on the typical BPPV in other canals and occurrence of canal conversion, and in 1 patient based on the treatment effectiveness and occurrence of canal conversion. Thirteen patients with canalolithiasis and four patients with cupulolithiasis were cured after the initial Yacovino maneuver treatment. Twenty-one patients with canalolithiasis and seven patients with cupulolithiasis were cured following 1 week of treatment. Conclusions: The effectiveness of the Yacovino maneuver, the follow-up outcome, the presence of typical BPPV in other canals, and the occurrence of canal conversions contribute to AC-BPPV diagnosis. The Yacovino maneuver was found to be more effective in AC-BPPV patients with canalolithiasis than in those with cupulolithiasis.",
keywords = "Anterior semicircular canal, Benign paroxysmal positional vertigo, Diagnosis method, Nystagmus, Yacovino maneuver",
author = "Xu Yang and Xia Ling and Bo Shen and Yuan Hong and Kangzhi Li and Lihong Si and Ji-Soo Kim",
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Diagnosis strategy and Yacovino maneuver for anterior canal-benign paroxysmal positional vertigo. / Yang, Xu; Ling, Xia; Shen, Bo; Hong, Yuan; Li, Kangzhi; Si, Lihong; Kim, Ji-Soo.

In: Journal of Neurology, Vol. 266, No. 7, 01.07.2019, p. 1674-1684.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Diagnosis strategy and Yacovino maneuver for anterior canal-benign paroxysmal positional vertigo

AU - Yang, Xu

AU - Ling, Xia

AU - Shen, Bo

AU - Hong, Yuan

AU - Li, Kangzhi

AU - Si, Lihong

AU - Kim, Ji-Soo

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Objective: To investigate the diagnosis strategy of anterior canal-benign paroxysmal positional vertigo (AC-BPPV) and the therapeutic effects of the Yacovino maneuver. Methods: The clinical data of 40 AC-BPPV patients were collected. The nystagmus characteristics induced by the Dix–Hallpike (D–H) and straight head-hanging (SHH) tests, the diagnostic methods used, and the effectiveness of the Yacovino maneuver for the treatment of AC-BPPV were all retrospectively analyzed. Results: Among the 40 cases analyzed, 19 patients had simple AC-BPPV, 11 patients had AC-posterior canal BPPV, and 10 patients had AC-horizontal canal BPPV. D–H and SHH tests showed down-beating nystagmus in 26 and 33 patients, respectively, and showed down-beating and torsional nystagmus in 14 and 7 patients, respectively. AC-BPPV was diagnosed in 15 patients based on the presence of typical BPPV in other canals, in 9 patients based on typical disease history and the results of position tests, in 6 patients based on effectiveness of the treatment with the Yacovino maneuver, in 4 patients based on the treatment effectiveness and the presence of typical BPPV in other canals, in 3 patients based on the treatment effectiveness and the follow-up outcome, in 2 patients based on the typical BPPV in other canals and occurrence of canal conversion, and in 1 patient based on the treatment effectiveness and occurrence of canal conversion. Thirteen patients with canalolithiasis and four patients with cupulolithiasis were cured after the initial Yacovino maneuver treatment. Twenty-one patients with canalolithiasis and seven patients with cupulolithiasis were cured following 1 week of treatment. Conclusions: The effectiveness of the Yacovino maneuver, the follow-up outcome, the presence of typical BPPV in other canals, and the occurrence of canal conversions contribute to AC-BPPV diagnosis. The Yacovino maneuver was found to be more effective in AC-BPPV patients with canalolithiasis than in those with cupulolithiasis.

AB - Objective: To investigate the diagnosis strategy of anterior canal-benign paroxysmal positional vertigo (AC-BPPV) and the therapeutic effects of the Yacovino maneuver. Methods: The clinical data of 40 AC-BPPV patients were collected. The nystagmus characteristics induced by the Dix–Hallpike (D–H) and straight head-hanging (SHH) tests, the diagnostic methods used, and the effectiveness of the Yacovino maneuver for the treatment of AC-BPPV were all retrospectively analyzed. Results: Among the 40 cases analyzed, 19 patients had simple AC-BPPV, 11 patients had AC-posterior canal BPPV, and 10 patients had AC-horizontal canal BPPV. D–H and SHH tests showed down-beating nystagmus in 26 and 33 patients, respectively, and showed down-beating and torsional nystagmus in 14 and 7 patients, respectively. AC-BPPV was diagnosed in 15 patients based on the presence of typical BPPV in other canals, in 9 patients based on typical disease history and the results of position tests, in 6 patients based on effectiveness of the treatment with the Yacovino maneuver, in 4 patients based on the treatment effectiveness and the presence of typical BPPV in other canals, in 3 patients based on the treatment effectiveness and the follow-up outcome, in 2 patients based on the typical BPPV in other canals and occurrence of canal conversion, and in 1 patient based on the treatment effectiveness and occurrence of canal conversion. Thirteen patients with canalolithiasis and four patients with cupulolithiasis were cured after the initial Yacovino maneuver treatment. Twenty-one patients with canalolithiasis and seven patients with cupulolithiasis were cured following 1 week of treatment. Conclusions: The effectiveness of the Yacovino maneuver, the follow-up outcome, the presence of typical BPPV in other canals, and the occurrence of canal conversions contribute to AC-BPPV diagnosis. The Yacovino maneuver was found to be more effective in AC-BPPV patients with canalolithiasis than in those with cupulolithiasis.

KW - Anterior semicircular canal

KW - Benign paroxysmal positional vertigo

KW - Diagnosis method

KW - Nystagmus

KW - Yacovino maneuver

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DO - 10.1007/s00415-019-09312-1

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