Rico-Romero BY, Ishiwara-Niembro JK, Sánchez-Pérez Y

Language: Spanish
References: 18
Page: 119-125
PDF size: 188.72 Kb.

ABSTRACT

Benign paroxysmal positional vertigo is characterized by brief episodes of mild to severe episodes of vertigo, accompanied by nistagmus, which is provoked by positional changes and can be reproduced by adopting the triggered position. The benign paroxysmal positional vertigo of horizontal semicircular canal (BPPV-HSC) has an incidence ranging from 5 to 15%. It is the most difficult one for treatment. There are several maneuvers which are very useful for the treatment of BPPV-HCS like the Barbecue maneuver, Gufoni, Vannucchi, Vannucchi-Asprella. We report the case of a 74 year old man with a history of 6 months of recurrent episodes of disabling rotatory vertigo, lasting seconds, triggered with postural head movements to the left, accompanied by nausea, sweating, vomiting, tachycardia and improved by visual afference. A hearing test and a videonystagmography were requested. It detects a left horizontal nystagmus with the left roll-test diagnostic maneuver. Repositioning canalith maneuvers were performed with consequent resolution of the clinical picture.

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