Apogeotropic posterior semicircular canal benign paroxysmal positional vertigo: some clinical and therapeutic considerations

  • Paolo Vannucchi Department of Surgical Sciences and Translational Medicine, Unit of Audiology, Careggi Hospital, University of Florence, Italy.
  • Rudi Pecci | rudipecci@infinito.it Department of Surgical Sciences and Translational Medicine, Unit of Audiology, Careggi Hospital, University of Florence, Italy.
  • Beatrice Giannoni Department of Surgical Sciences and Translational Medicine, Unit of Audiology, Careggi Hospital, University of Florence, Italy.
  • Fabio Di Giustino Department of Surgical Sciences and Translational Medicine, Unit of Audiology, Careggi Hospital, University of Florence, Italy.
  • Rossana Santimone Department of Surgical Sciences and Translational Medicine, Unit of Audiology, Careggi Hospital, University of Florence, Italy.
  • Arianna Mengucci Department of Surgical Sciences and Translational Medicine, Unit of Audiology, Careggi Hospital, University of Florence, Italy.

Abstract

We lately reported the cases of patients complaining positional vertigo whose nystagmic pattern was that of a peripheral torsional vertical positional down beating nystagmus originating from a lithiasis of the non-ampullary arm of the posterior semicircular canal (PSC). We considered this particular pathological picture the apogeotropic variant of PSC benign paroxysmal positional vertigo (BPPV). Since the description of the pilot cases we observed more than 150 patients showing the same clinical sign and course of symptoms. In this paper we describe, in detail, both nystagmus of apogeotropic PSC BPPV (A-PSC BPPV) and symptoms reported by patients trying to give a reasonable explanation for these clinical features. Moreover we developed two specific physical therapies directed to cure A-PSC BPPV. Preliminary results of these techniques are related.

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Published
2015-03-31
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Section
Neurotology
Keywords:
positional vertigo, down beating nystagmus, apogeotropic variant, demi Semont, 45° forced prolonged position.
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How to Cite
Vannucchi, P., Pecci, R., Giannoni, B., Di Giustino, F., Santimone, R., & Mengucci, A. (2015). Apogeotropic posterior semicircular canal benign paroxysmal positional vertigo: some clinical and therapeutic considerations. Audiology Research, 5(1). https://doi.org/10.4081/audiores.2015.130