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Article

Apogeotropic Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo: Some Clinical and Therapeutic Considerations

Department of Surgical Sciences and Translational Medicine, Unit of Audiology, Careggi Hospital, University of Florence, Italy
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Author to whom correspondence should be addressed.
Audiol. Res. 2015, 5(1), 130; https://doi.org/10.4081/audiores.2015.130
Submission received: 15 January 2015 / Revised: 19 March 2015 / Accepted: 19 March 2015 / Published: 31 March 2015

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.
Keywords: positional vertigo; down beating nystagmus; apogeotropic variant; demi Semont; 45° forced prolonged position positional vertigo; down beating nystagmus; apogeotropic variant; demi Semont; 45° forced prolonged position

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MDPI and ACS Style

Vannucchi, P.; Pecci, R.; Giannoni, B.; Di Giustino, F.; Santimone, R.; Mengucci, A. Apogeotropic Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo: Some Clinical and Therapeutic Considerations. Audiol. Res. 2015, 5, 130. https://doi.org/10.4081/audiores.2015.130

AMA Style

Vannucchi P, Pecci R, Giannoni B, Di Giustino F, Santimone R, Mengucci A. Apogeotropic Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo: Some Clinical and Therapeutic Considerations. Audiology Research. 2015; 5(1):130. https://doi.org/10.4081/audiores.2015.130

Chicago/Turabian Style

Vannucchi, Paolo, Rudi Pecci, Beatrice Giannoni, Fabio Di Giustino, Rossana Santimone, and Arianna Mengucci. 2015. "Apogeotropic Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo: Some Clinical and Therapeutic Considerations" Audiology Research 5, no. 1: 130. https://doi.org/10.4081/audiores.2015.130

APA Style

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), 130. https://doi.org/10.4081/audiores.2015.130

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