Cargando…

Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo: Zuma e Maia Maneuver versus Appiani Variant of Gufoni

Benign paroxysmal positional vertigo (BPPV) is one of the most common disorders that causes dizziness. The incidence of horizontal semicircular canal (HSC) BPPV ranges from 5% to 40.5% of the total number of BPPV cases diagnosed. Several studies have focused on establishing methods to treat BPPV cau...

Descripción completa

Detalles Bibliográficos
Autores principales: Alvarez de Linera-Alperi, Marta, Garaycochea, Octavio, Calavia, Diego, Terrasa, David, Pérez-Fernández, Nicolas, Manrique-Huarte, Raquel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9220154/
https://www.ncbi.nlm.nih.gov/pubmed/35735368
http://dx.doi.org/10.3390/audiolres12030035
_version_ 1784732302631239680
author Alvarez de Linera-Alperi, Marta
Garaycochea, Octavio
Calavia, Diego
Terrasa, David
Pérez-Fernández, Nicolas
Manrique-Huarte, Raquel
author_facet Alvarez de Linera-Alperi, Marta
Garaycochea, Octavio
Calavia, Diego
Terrasa, David
Pérez-Fernández, Nicolas
Manrique-Huarte, Raquel
author_sort Alvarez de Linera-Alperi, Marta
collection PubMed
description Benign paroxysmal positional vertigo (BPPV) is one of the most common disorders that causes dizziness. The incidence of horizontal semicircular canal (HSC) BPPV ranges from 5% to 40.5% of the total number of BPPV cases diagnosed. Several studies have focused on establishing methods to treat BPPV caused by the apogeotropic variant of the HSC, namely, the Appiani maneuver (App). In 2016, a new maneuver was proposed: the Zuma e Maia maneuver (ZeM), based on inertia and gravity. The aim of this study is to analyze the efficacy of App versus ZeM in the resolution of episodes of BPPV produced by an affectation of the horizontal semicircular canal with apogeotropic nystagmus (Apo-HSC). A retrospective, quasi-experimental study was conducted. Patients attended in office (November 2014–February 2019) at a third-level hospital and underwent a vestibular otoneurology assessment. Those who were diagnosed with Apo-HSC, treated with App or ZeM, were included. To consider the efficacy of the maneuvers, the presence of symptoms and/or nystagmus at the first follow up was studied. Patients classified as “A” were those with no symptoms, no nystagmus; “A/N+”: no symptoms, nystagmus present during supine roll test; “S”: symptoms present. Previous history of BPPV and/or otic pathology and calcium levels were also compiled. From the 54 patients included, 74% were women. The average age was 69. Mean follow-up: 52.51 days. In those patients without previous history of BPPV (n = 35), the probability of being group “A” was 63% and 56% (p = 0.687) when treated with App and ZeM, respectively, while being “A/N+” was 79% and 87% for App and ZeM (p = 0.508). Of the 19 patients who had previous history of BPPV, 13% and 64% were group “A” when treated with App and ZeM (p = 0.043), and 25% and 82% were “A/N+” after App and ZeM, respectively (p = 0.021). In conclusion, for HSC cupulolithiasis, ZeM is more effective than App in those cases in which there is a history of previous episodes of BPPV (“A”: 64% (p = 0.043); “A/N+”: 82% (p = 0.021)).
format Online
Article
Text
id pubmed-9220154
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-92201542022-06-24 Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo: Zuma e Maia Maneuver versus Appiani Variant of Gufoni Alvarez de Linera-Alperi, Marta Garaycochea, Octavio Calavia, Diego Terrasa, David Pérez-Fernández, Nicolas Manrique-Huarte, Raquel Audiol Res Article Benign paroxysmal positional vertigo (BPPV) is one of the most common disorders that causes dizziness. The incidence of horizontal semicircular canal (HSC) BPPV ranges from 5% to 40.5% of the total number of BPPV cases diagnosed. Several studies have focused on establishing methods to treat BPPV caused by the apogeotropic variant of the HSC, namely, the Appiani maneuver (App). In 2016, a new maneuver was proposed: the Zuma e Maia maneuver (ZeM), based on inertia and gravity. The aim of this study is to analyze the efficacy of App versus ZeM in the resolution of episodes of BPPV produced by an affectation of the horizontal semicircular canal with apogeotropic nystagmus (Apo-HSC). A retrospective, quasi-experimental study was conducted. Patients attended in office (November 2014–February 2019) at a third-level hospital and underwent a vestibular otoneurology assessment. Those who were diagnosed with Apo-HSC, treated with App or ZeM, were included. To consider the efficacy of the maneuvers, the presence of symptoms and/or nystagmus at the first follow up was studied. Patients classified as “A” were those with no symptoms, no nystagmus; “A/N+”: no symptoms, nystagmus present during supine roll test; “S”: symptoms present. Previous history of BPPV and/or otic pathology and calcium levels were also compiled. From the 54 patients included, 74% were women. The average age was 69. Mean follow-up: 52.51 days. In those patients without previous history of BPPV (n = 35), the probability of being group “A” was 63% and 56% (p = 0.687) when treated with App and ZeM, respectively, while being “A/N+” was 79% and 87% for App and ZeM (p = 0.508). Of the 19 patients who had previous history of BPPV, 13% and 64% were group “A” when treated with App and ZeM (p = 0.043), and 25% and 82% were “A/N+” after App and ZeM, respectively (p = 0.021). In conclusion, for HSC cupulolithiasis, ZeM is more effective than App in those cases in which there is a history of previous episodes of BPPV (“A”: 64% (p = 0.043); “A/N+”: 82% (p = 0.021)). MDPI 2022-06-19 /pmc/articles/PMC9220154/ /pubmed/35735368 http://dx.doi.org/10.3390/audiolres12030035 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Alvarez de Linera-Alperi, Marta
Garaycochea, Octavio
Calavia, Diego
Terrasa, David
Pérez-Fernández, Nicolas
Manrique-Huarte, Raquel
Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo: Zuma e Maia Maneuver versus Appiani Variant of Gufoni
title Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo: Zuma e Maia Maneuver versus Appiani Variant of Gufoni
title_full Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo: Zuma e Maia Maneuver versus Appiani Variant of Gufoni
title_fullStr Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo: Zuma e Maia Maneuver versus Appiani Variant of Gufoni
title_full_unstemmed Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo: Zuma e Maia Maneuver versus Appiani Variant of Gufoni
title_short Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo: Zuma e Maia Maneuver versus Appiani Variant of Gufoni
title_sort apogeotropic horizontal canal benign paroxysmal positional vertigo: zuma e maia maneuver versus appiani variant of gufoni
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9220154/
https://www.ncbi.nlm.nih.gov/pubmed/35735368
http://dx.doi.org/10.3390/audiolres12030035
work_keys_str_mv AT alvarezdelineraalperimarta apogeotropichorizontalcanalbenignparoxysmalpositionalvertigozumaemaiamaneuverversusappianivariantofgufoni
AT garaycocheaoctavio apogeotropichorizontalcanalbenignparoxysmalpositionalvertigozumaemaiamaneuverversusappianivariantofgufoni
AT calaviadiego apogeotropichorizontalcanalbenignparoxysmalpositionalvertigozumaemaiamaneuverversusappianivariantofgufoni
AT terrasadavid apogeotropichorizontalcanalbenignparoxysmalpositionalvertigozumaemaiamaneuverversusappianivariantofgufoni
AT perezfernandeznicolas apogeotropichorizontalcanalbenignparoxysmalpositionalvertigozumaemaiamaneuverversusappianivariantofgufoni
AT manriquehuarteraquel apogeotropichorizontalcanalbenignparoxysmalpositionalvertigozumaemaiamaneuverversusappianivariantofgufoni