Zuma Modified Maneuver as a Treatment to Geotropic Lateral Semicircular Canal Benign Paroxysmal Positional Vertigo

Autor: Francisco Carlos Zuma e Maia, Renato Cal, Bernardo Faria Ramos, Pedro Luiz Mangabeira Albernaz, Camila Martins Brock
Rok vydání: 2020
Předmět:
Zdroj: International Archives of Otorhinolaryngology, Vol 25, Iss 02, Pp e255-e257 (2021)
International Archives of Otorhinolaryngology v.25 n.2 2021
International Archives of Otorhinolaryngology
Fundação Otorrinolaringologia (FORL)
instacron:FORL
International Archives of Otorhinolaryngology, Volume: 25, Issue: 2, Pages: 255-257, Published: 14 JUN 2021
ISSN: 1809-4864
1809-9777
DOI: 10.1055/s-0040-1712935
Popis: Introduction Benign Paroxysmal Positional Vertigo (BPPV) is the most common vestibular disorder, resulting from detached otoliths that migrate to one of the semicircular canals – canalolithiasis – or one of the cupulas – cupulolithiasis. The present study is related to lateral canal BPPVs, which may be either geotropic or apogeotropic. The geotropic variant of lateral semicircular canal benign paroxysmal positional vertigo (LC-BPPV) is attributed to free floating particles in the posterior arm of the lateral semicircular canal.Objectives To verify the possibility of employing the Zuma repositioning maneuver, with a brief modification, as an alternative treatment for geotropic LC-BPPV.Methods Seven patients with geotropic LC-BPPV were enrolled and treated with the Zuma modified maneuver. Patients were reevaluated 1 hour after a single maneuver, to confirm the resolution of vertigo and positional nystagmus.Results All seven patients achieved immediate resolution of vertigo and positional nystagmus as measured 1 hour after the application of the maneuver.Conclusion The Zuma modified maneuver was effective for geotropic LC-BPPV after a single application. The use of the Zuma maneuver for both apogeotropic and geotropic LC-BPPV may simplify the treatment of these patients.
Databáze: OpenAIRE