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Subjective BPPV revisited: identification of positional nystagmus with a new maneuver

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Data availability

Anonymized data will be shared by request from any qualified investigator.

References

  1. Kim JS, Zee DS (2014) Clinical practice. Benign paroxysmal positional vertigo. N Engl J Med 370(12):1138–1147. https://doi.org/10.1056/NEJMcp1309481

    Article  CAS  PubMed  Google Scholar 

  2. Kim HJ, Lee JO, Choi JY, Kim JS (2020) Etiologic distribution of dizziness and vertigo in a referral-based dizziness clinic in South Korea. J Neurol 267(8):2252–2259. https://doi.org/10.1007/s00415-020-09831-2

    Article  PubMed  Google Scholar 

  3. Moon SY, Kim JS, Kim BK et al (2006) Clinical characteristics of benign paroxysmal positional vertigo in Korea: a multicenter study. J Korean Med Sci 21(3):539–543. https://doi.org/10.3346/jkms.2006.21.3.539

    Article  PubMed  PubMed Central  Google Scholar 

  4. Imai T, Takeda N, Ito M et al (2009) 3D analysis of benign positional nystagmus due to cupulolithiasis in posterior semicircular canal. Acta Otolaryngol 129(10):1044–1049. https://doi.org/10.1080/00016480802566303

    Article  PubMed  Google Scholar 

  5. von Brevern M, Bertholon P, Brandt T et al (2015) Benign paroxysmal positional vertigo: diagnostic criteria. J Vestib Res 25(3–4):105–117. https://doi.org/10.3233/VES-150553

    Article  Google Scholar 

  6. Büki B, Mandalà M, Nuti D (2014) Typical and atypical benign paroxysmal positional vertigo: literature review and new theoretical considerations. J Vestib Res 24:415–423

    Article  PubMed  Google Scholar 

  7. Kim JM, Lee SH, Kim HJ, Kim JS (2022) Less talked variants of benign paroxysmal positional vertigo. J Neurol Sci 442:120440

    Article  PubMed  Google Scholar 

  8. Büki B, Mandalà M, Nuti D (2014) Typical and atypical benign paroxysmal positional vertigo: literature review and new theoretical considerations. J Vestib Res 24(5–6):415–423. https://doi.org/10.3233/VES-140535

    Article  PubMed  Google Scholar 

  9. Harmat K, Tamás LT, Schubert MC, Gerlinger I, Komoly S, Büki B (2022) Prevalence of and theoretical explanation for type 2 benign paroxysmal positional vertigo. J Neurol Phys Ther 46(2):88–95. https://doi.org/10.1097/NPT.0000000000000383

    Article  PubMed  Google Scholar 

  10. Haynes DS, Resser JR, Labadie RF et al (2002) Treatment of benign positional vertigo using the semont maneuver: efficacy in patients presenting without nystagmus. Laryngoscope 112(5):796–801. https://doi.org/10.1097/00005537-200205000-00006

    Article  PubMed  Google Scholar 

  11. Moreno JLB, Muñoz RC, Matos YR, Balboa IV, Puértolas OC, Ortega JA (2021) Responses to the Dix-Hallpike test in primary care: a comparison between subjective and objective benign paroxysmal positional vertigo. Aten Primaria 53(8):102023. https://doi.org/10.1016/j.aprim.2021.102023

    Article  PubMed  PubMed Central  Google Scholar 

  12. Alvarenga GA, Barbosa MA, Porto CC (2011) Benign paroxysmal positional vertigo without nystagmus: diagnosis and treatment. Braz J Otorhinolaryngol 77(6):799–804. https://doi.org/10.1590/S1808-86942011000600018

    Article  PubMed  Google Scholar 

  13. Vats AK, Kothari S, Khamesra R, Vats S (2023) Inversion test and sitting-up oculomotor patterns in patients with graviceptive heavy posterior cupula—a case series. Ann Indian Acad Neurol 26(5):769–773. https://doi.org/10.4103/aian.aian_379_23

    Article  PubMed  PubMed Central  Google Scholar 

  14. Scocco DH, Barreiro MA, García IE (2022) Sitting-up vertigo as an expression of posterior semicircular canal heavy cupula and posterior semicircular canal short arm canalolithiasis. J Otol 17(2):101–106. https://doi.org/10.1016/j.joto.2022.02.001

    Article  PubMed  PubMed Central  Google Scholar 

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Funding

This study was supported by the National Research Foundation of Korea (NRF) grant funded by the Ministry of Science and ICT (No. NRF-2021R1F1A1061527).

Author information

Authors and Affiliations

Authors

Contributions

Kim HJ analyzed and interpreted the data and wrote the manuscript. Gil YE analyzed and interpreted the data and revised the manuscript. Kim JS designed and conceptualized the study, interpreted the data, and revised the manuscript.

Corresponding author

Correspondence to Ji-Soo Kim.

Ethics declarations

Conflicts of interest

Dr. J. S. Kim serves as an associate editor of Frontiers in Neuro-otology and on the editorial boards of Frontiers in Neuro-ophthalmology, Journal of Neuro-ophthalmology, Journal of Vestibular Research, and Clinical and Translational Neuroscience. The other authors have nothing to disclose.

Ethical standard

This study followed the tenets of the Declaration of Helsinki and was performed according to the guidelines of the Institutional Review Board of Chungbuk National University Hospital (CBNUH 2023-12-006).

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary figure. Result of video head impulse test. Video head impulse tests were normal for all the six semicircular canals. Video 1. The patient shows no nystagmus during the right Dix-Hallpike and half Dix-Hallpike maneuvers and on sitting upright from the right half Dix-Hallpike maneuver and head bending forward while sitting, but exhibits upbeat and clockwise torsional beating nystagmus during the augmented half Dix-Hallpike maneuver. (JPG 275 KB)

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Kim, HJ., Gil, YE. & Kim, JS. Subjective BPPV revisited: identification of positional nystagmus with a new maneuver. J Neurol (2024). https://doi.org/10.1007/s00415-024-12347-8

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  • DOI: https://doi.org/10.1007/s00415-024-12347-8

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