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The effective clinical outcomes of the Gufoni maneuver used to treat 91 vertigo patients with apogeotropic direction-changing positional nystagmus (apo-DCPN)

This study aimed to observe and analyze the effects and outcomes of patients with apogeotropic direction-changing positional nystagmus (apo-DCPN) who received Gufoni maneuver. A total of 91 patients with positional vertigo admitted to the specialized dizziness clinic in Zhejiang Provincial People�...

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Autores principales: Shi, Tianming, Yu, Lihua, Yang, Yi, Wang, Yiqi, Shao, Yanqi, Wang, Meiping, Geng, Yu, Shi, Zongjie, Yin, Xiaojun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181626/
https://www.ncbi.nlm.nih.gov/pubmed/30278514
http://dx.doi.org/10.1097/MD.0000000000012363
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author Shi, Tianming
Yu, Lihua
Yang, Yi
Wang, Yiqi
Shao, Yanqi
Wang, Meiping
Geng, Yu
Shi, Zongjie
Yin, Xiaojun
author_facet Shi, Tianming
Yu, Lihua
Yang, Yi
Wang, Yiqi
Shao, Yanqi
Wang, Meiping
Geng, Yu
Shi, Zongjie
Yin, Xiaojun
author_sort Shi, Tianming
collection PubMed
description This study aimed to observe and analyze the effects and outcomes of patients with apogeotropic direction-changing positional nystagmus (apo-DCPN) who received Gufoni maneuver. A total of 91 patients with positional vertigo admitted to the specialized dizziness clinic in Zhejiang Provincial People's Hospital from February 2014 to August 2017 were included. The immediate treatment responses to the Gufoni maneuver were observed and recorded. The patients in whom the treatment was ineffective were followed up for 4 weeks to observe the outcome of apo-DCPN. In 21 patients, the apo-DCPN was transformed after Gufoni maneuver, and 7 patients developed transformation within 4 weeks of follow-up. Spontaneous remission of apo-DCPN within the follow-up period was observed in 55 patients who were unresponsive to the Gufoni maneuver. The prevalence of migraine was significantly higher in the early remission group (P < .05) and the period between the initial visit and nystagmus remission was significantly shorter in the group of patients with migraine history (P < .05). This study demonstrates that the immediate treatment efficacy of the Gufoni maneuver is poor in positional vertigo patients with apo-DCPN. We believe that the reason for the low efficacy is that the Gufoni maneuver is only effective for some patients with apo-DCPN type HSC-BPPV. In patients with early spontaneous remission and a history of migraine, central positional nystagmus of probable vestibular migraine (VM) or benign recurrent vertigo should be considered for the mechanisms of apo-DCPN generation.
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spelling pubmed-61816262018-10-15 The effective clinical outcomes of the Gufoni maneuver used to treat 91 vertigo patients with apogeotropic direction-changing positional nystagmus (apo-DCPN) Shi, Tianming Yu, Lihua Yang, Yi Wang, Yiqi Shao, Yanqi Wang, Meiping Geng, Yu Shi, Zongjie Yin, Xiaojun Medicine (Baltimore) Research Article This study aimed to observe and analyze the effects and outcomes of patients with apogeotropic direction-changing positional nystagmus (apo-DCPN) who received Gufoni maneuver. A total of 91 patients with positional vertigo admitted to the specialized dizziness clinic in Zhejiang Provincial People's Hospital from February 2014 to August 2017 were included. The immediate treatment responses to the Gufoni maneuver were observed and recorded. The patients in whom the treatment was ineffective were followed up for 4 weeks to observe the outcome of apo-DCPN. In 21 patients, the apo-DCPN was transformed after Gufoni maneuver, and 7 patients developed transformation within 4 weeks of follow-up. Spontaneous remission of apo-DCPN within the follow-up period was observed in 55 patients who were unresponsive to the Gufoni maneuver. The prevalence of migraine was significantly higher in the early remission group (P < .05) and the period between the initial visit and nystagmus remission was significantly shorter in the group of patients with migraine history (P < .05). This study demonstrates that the immediate treatment efficacy of the Gufoni maneuver is poor in positional vertigo patients with apo-DCPN. We believe that the reason for the low efficacy is that the Gufoni maneuver is only effective for some patients with apo-DCPN type HSC-BPPV. In patients with early spontaneous remission and a history of migraine, central positional nystagmus of probable vestibular migraine (VM) or benign recurrent vertigo should be considered for the mechanisms of apo-DCPN generation. Wolters Kluwer Health 2018-09-28 /pmc/articles/PMC6181626/ /pubmed/30278514 http://dx.doi.org/10.1097/MD.0000000000012363 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Research Article
Shi, Tianming
Yu, Lihua
Yang, Yi
Wang, Yiqi
Shao, Yanqi
Wang, Meiping
Geng, Yu
Shi, Zongjie
Yin, Xiaojun
The effective clinical outcomes of the Gufoni maneuver used to treat 91 vertigo patients with apogeotropic direction-changing positional nystagmus (apo-DCPN)
title The effective clinical outcomes of the Gufoni maneuver used to treat 91 vertigo patients with apogeotropic direction-changing positional nystagmus (apo-DCPN)
title_full The effective clinical outcomes of the Gufoni maneuver used to treat 91 vertigo patients with apogeotropic direction-changing positional nystagmus (apo-DCPN)
title_fullStr The effective clinical outcomes of the Gufoni maneuver used to treat 91 vertigo patients with apogeotropic direction-changing positional nystagmus (apo-DCPN)
title_full_unstemmed The effective clinical outcomes of the Gufoni maneuver used to treat 91 vertigo patients with apogeotropic direction-changing positional nystagmus (apo-DCPN)
title_short The effective clinical outcomes of the Gufoni maneuver used to treat 91 vertigo patients with apogeotropic direction-changing positional nystagmus (apo-DCPN)
title_sort effective clinical outcomes of the gufoni maneuver used to treat 91 vertigo patients with apogeotropic direction-changing positional nystagmus (apo-dcpn)
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181626/
https://www.ncbi.nlm.nih.gov/pubmed/30278514
http://dx.doi.org/10.1097/MD.0000000000012363
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