Immediate repeated testing (IRT) for BPPV: A cost‐effective examination

OBJECTIVE: To show that a negative Dix‐Hallpike test or Pagnini‐McClure test may convert into positive after head shaking in cases of semicircular canalith jam. METHODS: This is a retrospective study, where 768 cases of BPPV were studied of which 36 were found to have canalith jam. RESULTS: Thirty‐s...

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Autores principales: H. Mella, Mariam, Al Hakim, Elena, Khoury, Jihad, Fata, Fouad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2022
Materias:
Otology, Neurotology, and Neuroscience
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9195032/
https://www.ncbi.nlm.nih.gov/pubmed/35734064
http://dx.doi.org/10.1002/lio2.800
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author H. Mella, Mariam
Al Hakim, Elena
Khoury, Jihad
Fata, Fouad
author_facet H. Mella, Mariam
Al Hakim, Elena
Khoury, Jihad
Fata, Fouad
author_sort H. Mella, Mariam
collection PubMed
description OBJECTIVE: To show that a negative Dix‐Hallpike test or Pagnini‐McClure test may convert into positive after head shaking in cases of semicircular canalith jam. METHODS: This is a retrospective study, where 768 cases of BPPV were studied of which 36 were found to have canalith jam. RESULTS: Thirty‐six patients (4.7%) presented with canalith jam; 4.8% of posterior canal BPPV and 3.7% of lateral canal BPPV were attributed to canalith jam. CONCLUSION: Immediate repeated testing for BPPV allows us to identify undiagnosed cases of BPPV where canalith jam has occurred. It is a cost‐effective technique that provides benefits for clinicians, patients, and the healthcare system.
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spelling pubmed-91950322022-06-21 Immediate repeated testing (IRT) for BPPV: A cost‐effective examination H. Mella, Mariam Al Hakim, Elena Khoury, Jihad Fata, Fouad Laryngoscope Investig Otolaryngol Otology, Neurotology, and Neuroscience OBJECTIVE: To show that a negative Dix‐Hallpike test or Pagnini‐McClure test may convert into positive after head shaking in cases of semicircular canalith jam. METHODS: This is a retrospective study, where 768 cases of BPPV were studied of which 36 were found to have canalith jam. RESULTS: Thirty‐six patients (4.7%) presented with canalith jam; 4.8% of posterior canal BPPV and 3.7% of lateral canal BPPV were attributed to canalith jam. CONCLUSION: Immediate repeated testing for BPPV allows us to identify undiagnosed cases of BPPV where canalith jam has occurred. It is a cost‐effective technique that provides benefits for clinicians, patients, and the healthcare system. John Wiley & Sons, Inc. 2022-04-22 /pmc/articles/PMC9195032/ /pubmed/35734064 http://dx.doi.org/10.1002/lio2.800 Text en © 2022 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Otology, Neurotology, and Neuroscience
H. Mella, Mariam
Al Hakim, Elena
Khoury, Jihad
Fata, Fouad
Immediate repeated testing (IRT) for BPPV: A cost‐effective examination
title Immediate repeated testing (IRT) for BPPV: A cost‐effective examination
title_full Immediate repeated testing (IRT) for BPPV: A cost‐effective examination
title_fullStr Immediate repeated testing (IRT) for BPPV: A cost‐effective examination
title_full_unstemmed Immediate repeated testing (IRT) for BPPV: A cost‐effective examination
title_short Immediate repeated testing (IRT) for BPPV: A cost‐effective examination
title_sort immediate repeated testing (irt) for bppv: a cost‐effective examination
topic Otology, Neurotology, and Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9195032/
https://www.ncbi.nlm.nih.gov/pubmed/35734064
http://dx.doi.org/10.1002/lio2.800
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