A Case of Lateral Semicircular Canal Cupulolithiasis Treated with New Cupulolith Repositioning Maneuver.
- Author:
Bo Seung KANG
1
;
Tae Ho IM
;
Sung Man BAE
Author Information
1. Department of Emergency Medicine, School of Medicine, Hanyang University, Seoul, Korea. emergency@empal.com
- Publication Type:Case Report
- Keywords:
BPPV;
Semicircular canals
- MeSH:
Emergency Service, Hospital;
Humans;
Semicircular Canals*;
Vertigo
- From:Journal of the Korean Society of Emergency Medicine
2002;13(3):354-358
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Benign paroxysmal positional vertigo (BPPV) is a commonly presenting problem at the emergency department. Three types have been recognized based on the pathogenesis of BPPV. The first is posterior-canal canalolithiasis, the second is horizontal-canal canalolithiasis, and the last is horizontal-canal cupulolithiasis. With the first two types of BPPV, an otolith-repositioning manuever can be performed quickly at the bedside with rapid results, often providing much satisfaction to both patient and physician. However, in the case of horizontal-canal cupulolithiasis, no established repositioning maneuver existed until recently. In 2000, Jo et al. developed a new repositioning maneuver and reported excellent results. We report a case of BPPV horizontal-canal cupulolithiasis that immediately responded to the maneuver of Jo et al. and strongly recommend use of this repositioning maneuver at the emergency department.
