دورية أكاديمية
Positional nystagmus is observed in the vast majority of healthy individuals.
| العنوان: | Positional nystagmus is observed in the vast majority of healthy individuals. |
|---|---|
| المؤلفون: | Rasmussen MB; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark. m.bolding@rn.dk.; Balance and Dizziness Centre, Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Aalborg University Hospital, Havrevangen 1, Aalborg, Denmark. m.bolding@rn.dk., Sørensen R; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.; Balance and Dizziness Centre, Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Aalborg University Hospital, Havrevangen 1, Aalborg, Denmark., Hougaard DD; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.; Balance and Dizziness Centre, Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Aalborg University Hospital, Havrevangen 1, Aalborg, Denmark. |
| المصدر: | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2024 Jul; Vol. 281 (7), pp. 3499-3507. Date of Electronic Publication: 2024 Feb 01. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer International Country of Publication: Germany NLM ID: 9002937 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1434-4726 (Electronic) Linking ISSN: 09374477 NLM ISO Abbreviation: Eur Arch Otorhinolaryngol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Heidelberg : Springer International, c1990- |
| مواضيع طبية MeSH: | Benign Paroxysmal Positional Vertigo*/diagnosis , Benign Paroxysmal Positional Vertigo*/epidemiology , Nystagmus, Physiologic*/physiology, Humans ; Male ; Female ; Cross-Sectional Studies ; Adult ; Prospective Studies ; Middle Aged ; Aged ; Healthy Volunteers ; Prevalence ; Young Adult ; Vestibular Function Tests/methods |
| مستخلص: | Introduction: Benign paroxysmal positional vertigo (BPPV) is a vestibular disease characterized by brief positional vertigo. When examined, characteristic patterns of positional nystagmus (PN) are found with specific head position changes. Previous studies have shown a high prevalence of PN among vestibular healthy subjects. Considering the current diagnostic criteria of BPPV and the potentially high prevalence of PN in healthy individuals, this raises the question of potential over diagnosing BPPV, if diagnostics are based exclusively upon objective findings. This study aims to determine the prevalence of PN within a healthy, adult population and furthermore include a characterization of the PN observed. Methods: This is a prospective cross-sectional study. 78 subjects were included. The subjects underwent four standardized positional tests for BPPV in a mechanical rotational chair while using a VNG-goggle to monitor and record eye movements. Results: Positional nystagmus was recorded in 70.5% (55/78) of the subjects. Of the 55 subjects, who presented with PN, 81.8% (45/55) had upbeating PN. The 95th percentile of the maximum a-SPV was found to be 10.4 degrees per second, with a median of 4. Five subjects (6.4%) in total presented with PN mimicking BPPV. Conclusion: This study found PN to be a common finding within a healthy, adult population based on the high prevalence of PN in the study population. Upbeating PN mimicking posterior canalolithiasis was found in numerous subjects. The authors recommend a cautious approach when diagnosing BPPV, especially in cases of purely vertical PN (without a torsional component) and if no vertiginous symptoms are present during Dix-Hallpike and Supine Roll Test examinations. (© 2024. The Author(s).) |
| References: | You P, Instrum R, Parnes L (2019) Benign paroxysmal positional vertigo. Laryngoscope Investig Otolaryngol 4(1):116–123. (PMID: 10.1002/lio2.23030828628) Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife T et al (2017) Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update) Executive Summary. Otolaryngol - Head Neck Surg (United States) 156(3):403–416. (PMID: 10.1177/0194599816689660) Von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T et al (2007) Epidemiology of benign paroxysmal positional vertigo: A population based study. J Neurol Neurosurg Psychiatry 78(7):710–715. (PMID: 10.1136/jnnp.2006.100420) Roberts RA, Abrams H, Sembach MK, Lister JJ, Gans RE, Chisolm TH (2009) Utility measures of health-related quality of life in patients treated for benign paroxysmal positional vertigo. Ear Hear 30(3):369–376. (PMID: 10.1097/AUD.0b013e31819f316a19322083) Jones SM, Jones TA, Mills KN, Gaines GC. Anatomical and Physiological Considerations in Vestibular Dysfunction and Compensation. Semin Hear [Internet]. 2009 Nov 21;30(4):231–41. Available from: http://www.thieme-connect.de/DOI/DOI? https://doi.org/10.1055/s-0029-1241124. Von Brevern M, Bertholon P, Brandt T, Fife T, Imai T, Nuti D et al (2015) Benign paroxysmal positional vertigo: Diagnostic criteria. J Vestib Res Equilib Orientat 25(3–4):105–117. (PMID: 10.3233/VES-150553) Martens C, Goplen FK, Nordfalk KF, Aasen T, Nordahl SHG (2016) Prevalence and Characteristics of Positional Nystagmus in Normal Subjects. Otolaryngol - Head Neck Surg (United States) 154(5):861–867. (PMID: 10.1177/0194599816629640) Schuricht A, Hougaard DD. Is a Mechanical Rotational Chair Superior to Manual Treatment Maneuvers on an Examination Bed in the Treatment of Benign Paroxysmal Positional Vertigo? Otol Neurotol [Internet]. 2022;43(2):E235–42. Available from: https://journals-lww-com.auh.aub.aau.dk/otology-neurotology/Fulltext/2022/02000/Is_a_Mechanical_Rotational_Chair_Superior_to.29.aspx. Abdulovski S, Klokker M. Repositioning Chairs in the Diagnosis and Treatment of Benign Paroxysmal Positional Vertigo - A Systematic Review. J Int Adv Otol [Internet]. 2021;17(4):353–60. Available from: https://www.embase.com/search/results?subaction=viewrecord&id=L635721383&from=export. Mcauley JR, David Dickman J, Mustain W, Anand VK (1996) Positional nystagmus in asymptomatic human subjects. Otolaryngol neck surgery 114(4):545–553. (PMID: 10.1016/S0194-59989670245-0) Hougaard DD, Abrahamsen ER. Testing of all Six Semicircular Canals with Video Head Impulse Test Systems. J Vis Exp [Internet]. 2019;(146). Available from: https://www.jove.com/t/59012/testing-all-six-semicircular-canals-with-video-head-impulse-test. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG (2009) Research electronic data capture (REDCap)-A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42(2):377–381. (PMID: 10.1016/j.jbi.2008.08.01018929686) Levo H, Aalto H, Hirvonen TP (2004) Nystagmus measured with video-oculography: Methodological aspects and normative data. Orl 66(3):101–104. (PMID: 10.1159/00007932715316228) Geisler C, Bergenius J, Brantberg K (2000) Nystagmus findings in healthy subjects examined with infrared videonystagmoscopy. Orl 62(5):266–269. (PMID: 10.1159/00002775710965262) Schneider TL. The Incidence of Positional Nystagmus in Healthy Participants Revisited. 2002. Sunami K, Tochino R, Zushi T, Yamamoto H, Tokuhara Y, Iguchi H et al (2004) Positional and positioning nystagmus in healthy subjects under videonystagmoscopy. Acta Oto-Laryngologica, Suppl 124(554):35–37. (PMID: 10.1080/03655230410018408) Bisdorff AR, Sancovic S, Debatisse D, Bentley C, Gresty MA, Bronstein AM (2000) Positional nystagmus in the dark in normal subjects. Neuro-Ophthalmology 24(1):283–290. (PMID: 10.1076/0165-8107(200008)2411-VFT283) Svandelkova I. Prevalence of positional nystagmus during static positional testing in normal healthy population. University of Southampton; 2010. Barber HO, Wright G (1973) Positional Nystagmus in Normals 19:276–285. Papadopoulou AM et al (2022) The impact of Vascular Loops in the Cerebellopontine Angle on Audio-Vestibular Symptoms: A Systematic Review. Audiology and Neurotology 27:200–207. (PMID: 10.1159/00052179235176744) |
| فهرسة مساهمة: | Keywords: Benign paroxysmal positional vertigo; Healthy population; Mechanical rotational chair; Positional nystagmus |
| تواريخ الأحداث: | Date Created: 20240201 Date Completed: 20240627 Latest Revision: 20240728 |
| رمز التحديث: | 20240729 |
| مُعرف محوري في PubMed: | PMC11211168 |
| DOI: | 10.1007/s00405-024-08453-y |
| PMID: | 38300312 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1434-4726 |
|---|---|
| DOI: | 10.1007/s00405-024-08453-y |