Immediate and Short-Term Therapeutic Results Between Direction-Changing Positional Nystagmus with Short- and Long-Duration Groups.

Abstract:

OBJECTIVES:Clinicians sometimes treat patients with relatively long-duration geotropic direction-changing positional nystagmus (DCPN), without latency. Recently, the concept of a "light cupula" in the lateral canal that reveals persistent geotropic DCPN has been introduced. In the present study, we investigated the immediate and short-term therapeutic findings in long-duration DCPN. DESIGN:The authors prospectively compared the therapeutic efficacy of a canalith-repositioning procedure (CRP) in short- and long-duration geotropic DCPN. RESULTS:In patients with long-duration DCPN, the authors found no immediate therapeutic effect, and the number of patients showing short-term effects (on the next day) was very low compared with the comparable figure among those with short-duration DCPN. In addition, no cases exhibited canal conversion after the CRP. CONCLUSION:Our results suggest that CRP is not useful in patients with long-duration geotropic DCPN, and the pathogenesis of long-duration geotropic DCPN may not originate from free-floating debris but from deflection of the cupula.

journal_name

Ear Hear

journal_title

Ear and hearing

authors

Ban JH,Kim MB,Hong SM

doi

10.1097/AUD.0000000000000232

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

243-6

issue

2

eissn

0196-0202

issn

1538-4667

journal_volume

37

pub_type

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