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Доброкачественное пароксизмальное позиционное головокружение: клинические аспекты диагностики и лечения
Доброкачественное пароксизмальное позиционное головокружение: клинические аспекты диагностики и лечения
Пальчун В.Т., Гусева А.Л., Чистов С.Д. Доброкачественное пароксизмальное позиционное головокружение: клинические аспекты диагностики и лечения. Consilium Medicum. 2015; 3: 46–52.
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Аннотация
Доброкачественное пароксизмальное позиционное головокружение (ДППГ) является самым распространенным заболеванием периферического отдела вестибулярной системы и самой частой причиной головокружения системного характера. Диагностика его базируется на провокационных тестах, а лечение – на репозиционных маневрах. В статье рассматриваются этиология, эпидемиология, диагностика и дифференциальная диагностика ДППГ, представлены наиболее распространенные, простые в проведении провокационные пробы при различных типах ДППГ и эффективные лечебные маневры.
Ключевые слова: доброкачественное пароксизмальное позиционное головокружение, провокационные тесты, каналолитиаз, купулолитиаз, репозиционные маневры.
Key words: benign paroxysmal positional vertigo, positioning test, canalithiasis, cupulolithiasis, repositioning maneuver.
Ключевые слова: доброкачественное пароксизмальное позиционное головокружение, провокационные тесты, каналолитиаз, купулолитиаз, репозиционные маневры.
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Key words: benign paroxysmal positional vertigo, positioning test, canalithiasis, cupulolithiasis, repositioning maneuver.
Полный текст
Список литературы
1. Bhattacharyya N, Baugh R, Orvidas L et al. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2008; 139 (Suppl. 4): s47–81.
2. Von Brevern M, Radtke A, Lezius F et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiat 2007; 78: 710–5.
3. Пальчун В.Т., Кунельская Н.Л., Ротермель Е.В. Диагностика и лечение доброкачественного пароксизмального позиционного головокружения. Вестн. оториноларингологии. 2007; 1: 4–7. / Pal'chun V.T., Kunel'skaia N.L., Rotermel' E.V. Diagnostika i lechenie dobrokachestvennogo paroksizmal'nogo pozitsionnogo golovokruzheniia. Vestn. otorinolaringologii. 2007; 1: 4–7. [in Russian]
4. Furman J, Cass S. Benign paroxysmal positional vertigo. N Engl J Med 1999; 341: 1590–6.
5. Мельников О.А., Замерград М.В. Доброкачественное позиционное головокружение. Леч. врач. 2000; 1: 19–21. / Mel'nikov O.A., Zamergrad M.V. Dobrokachestvennoe pozitsionnoe golovokruzhenie. Lech. vrach. 2000; 1: 19–21. [in Russian]
6. Nunez R, Cass S, Furman J. Short- and long-term outcomes of canalith repositioning for benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2000; 122: 647–52.
7. Lopez-Escamez J, Gamiz M, Fernandez-Perez A, Gomez-Fiñana M. Longterm outcome and health-related quality of life in benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 2005; 262: 507–11.
8. Froehling D, Silverstein M, Mohr D et al. Benign positional vertigo: incidence and prognosis in a population-based study in Olmsted County, Minnesota. Mayo Clin Proc 1991; 66 (6): 596–601.
9. Jeong S, Choi S, Kim J et al. Osteopenia and osteoporosis in idiopathic benign positional vertigo. Neurology 2009; 72: 1069–76.
10. Jeong S, Kim J, Shin J et al. Decreased serum vitamin D in idiopathic benign paroxysmal positional vertigo. J Neurol 2013; 260: 832–8.
11. McClure J. Horizontal canal BPV. J Otolaryngol 1985; 14: 30–5.
12. Nuti D, Zee D. Positional vertigo and benign paroxysmal positional vertigo. In: Bronstein A, ed. Oxford textbook of vertigo and imbalance. Oxford, England: Oxford University Press, 2013; p. 217–30.
13. Kattah J, Talkad A, Wang D et al. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke 2009; 40: 3504–10.
14. Кунельская Н.Л., Лучихин Л.А., Гусева А.Л. и др. Чувствительность, специфичность и прогностическая значимость статокоординаторных и статокинетических тестов в обследовании пациента с головокружением. Омский науч. вестн. 2014; 2 (134): 84–7. / Kunel'skaia N.L., Luchikhin L.A., Guseva A.L. i dr. Chuvstvitel'nost', spetsifichnost' i prognosticheskaia znachimost' statokoordinatornykh i statokineticheskikh testov v obsledovanii patsienta s golovokruzheniem. Omskii nauch. vestn. 2014; 2 (134): 84–7. [in Russian]
15. Dix M, Hallpike C. The pathology symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952; 45: 341–54.
16. Ibekwe T, Rogers C. Clinical evaluation of posterior canal benign paroxysmal positional vertigo. Niger Med J 2012; 53 (2): 94–101.
17. Balatsouras D, Korres S. Subjective benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2012; 146: 98–103.
18. Steddin S, Ing D, Brandt T. Horizontal canal benign paroxysmal positioning vertigo (h-BPPV): transition of canalolithiasis to cupulolithiasis. Ann Neurol 1996; 40: 918–22.
19. Choung Y, Shin Y, Kahng H et al. «Bow and lean test» to determine the affected ear of horizontal canal benign paroxysmal positional vertigo. Laryngoscope 2006; 116 (10): 1776–81.
20. Bertholon P, Bronstein A, Davies R et al. Positional down beating nystagmus in 50 patients: cerebellar disorders and possible anterior semicircular canalithiasis. J Neurol Neurosurg Psychiat 2002; 72: 366–72.
21. Cambi J, Astore S, Mandalà M et al. Natural course of positional down-beating nystagmus of peripheral origin. J Neurol 2013; 260: 1489–96.
22. Imai T, Ito M, Takeda N et al. Natural course of the remission of vertigo in patients with benign paroxysmal positional vertigo. Neurology 2005; 64: 920–1.
23. Helminski J, Zee D, Janssen I, Hain T. Effectiveness of particle repositioning maneuvers in the treatment of benign paroxysmal positional vertigo: a systematic review. Phys Ther 2010; 90: 663–78.
24. Silverstein H. Partial or total eighth nerve section in the treatment of vertigo. Otolaryngol 1978; 86 (1): ORL 47–60.
25. Parnes L, McClure J. Posterior semicircular canal occlusion for intractable benign paroxysmal positional vertigo. Ann Otol Rhinol Laryngol 1990; 99 (5 Pt. 1): 330–4.
26. Epley J. The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1992; 107: 399–404.
27. Gordon C, Gadoth N. Repeated vs. single physical maneuver in benign paroxysmal positional vertigo. Acta Neurol Scand 2004; 110: 166–9.
28. Ruckenstein M, Shepard N. The canalith repositioning procedure with and without mastoid oscillation for the treatment of benign paroxysmal positional vertigo. ORL J Otorhinolaryngol Relat Spec 2007; 69 (5): 295–8.
29. Devaiah A, Andreoli S. Post maneuver restrictions in benign paroxysmal positional vertigo: an individual patient data meta-analysis. Otolaryngol Head Neck Surg 2010; 142: 155–9.
30. Oh H, Kim J, Han B, Lim J. Predicting a successful treatment in posterior canal benign paroxysmal positional vertigo. Neurology 2007; 68: 1219–22.
31. Semont A, Freyss G, Vitte E. Curing the BPPV with a liberatory maneuver. Adv Otorhinolaryngol 1988; 42: 290–3.
32. Faldon M, Bronstein A. Head accelerations during particle repositioning manoeuvres. Audiol Neurotol 2008; 13: 345–56.
33. Radtke A, von Brevern M, Tiel-Wilck K et al. Self-treatment of benign paroxysmal positional vertigo: Semont maneuver vs. Epley procedure. Neurology 2004; 63: 150–2.
34. Brandt T, Daroff R. Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol 1980; 106 (8): 484–5.
35. Herdman S, Tusa R. Complications of the canalith repositioning procedure. Arch Otolaryngol Head Neck Surg 1996; 122: 281–6.
36. Lempert T. Horizontal benign positional vertigo. Neurology 1994; 44: 2213–4.
37. Vannucchi P, Giannoni B, Pagnini P. Treatment of horizontal semicircular canal benign paroxysmal positional vertigo. J Vestib Res 1997; 7: 1–6.
38. Asprella Libonati G. Diagnostic and treatment strategy of lateral semicircular canal canalolithiasis. Acta Otorhinolaryngol Ital 2005; 25 (5): 277–83.
39. Gufoni M, Mastrosimone L, Di Nasso F. Repositioning maneuver in benign paroxysmal vertigo of horizontal semicircular canal. Acta Otorhinolaryngol Ital 1998; 18: 363–7.
40. Nuti D, Mandalà M, Salerni L. Lateral canal paroxysmal positional vertigo revisited. Ann NY Acad Sci 2009; 1164: 316–23.
41. Gufoni M, Mastrosimone L, Di Nasso F. Repositioning maneuver in benign paroxysmal vertigo of horizontal semicircular canal. Acta Otorhinolaryngol Ital 1998; 18 (6): 363–7.
42. Casani A, Vannucci G, Fattori B, Berrettini S. The treatment of horizontal canal positional vertigo: our experience in 66 cases. Laryngoscope 2002; 112 (1): 172–8.
43. Kim Y, Shin J, Chung J. The effect of canalith repositioning for anterior semicircular canal canalithiasis. ORL J Otorhinolaryngol Relat Spec 2005; 67 (1): 56–60.
44. Yacovino D, Hain T, Gualtieri F. New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo. J Neurol 2009; 256 (11): 1851–5.
2. Von Brevern M, Radtke A, Lezius F et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiat 2007; 78: 710–5.
3. Pal'chun V.T., Kunel'skaia N.L., Rotermel' E.V. Diagnostika i lechenie dobrokachestvennogo paroksizmal'nogo pozitsionnogo golovokruzheniia. Vestn. otorinolaringologii. 2007; 1: 4–7. [in Russian]
4. Furman J, Cass S. Benign paroxysmal positional vertigo. N Engl J Med 1999; 341: 1590–6.
5. Mel'nikov O.A., Zamergrad M.V. Dobrokachestvennoe pozitsionnoe golovokruzhenie. Lech. vrach. 2000; 1: 19–21. [in Russian]
6. Nunez R, Cass S, Furman J. Short- and long-term outcomes of canalith repositioning for benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2000; 122: 647–52.
7. Lopez-Escamez J, Gamiz M, Fernandez-Perez A, Gomez-Fiñana M. Longterm outcome and health-related quality of life in benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 2005; 262: 507–11.
8. Froehling D, Silverstein M, Mohr D et al. Benign positional vertigo: incidence and prognosis in a population-based study in Olmsted County, Minnesota. Mayo Clin Proc 1991; 66 (6): 596–601.
9. Jeong S, Choi S, Kim J et al. Osteopenia and osteoporosis in idiopathic benign positional vertigo. Neurology 2009; 72: 1069–76.
10. Jeong S, Kim J, Shin J et al. Decreased serum vitamin D in idiopathic benign paroxysmal positional vertigo. J Neurol 2013; 260: 832–8.
11. McClure J. Horizontal canal BPV. J Otolaryngol 1985; 14: 30–5.
12. Nuti D, Zee D. Positional vertigo and benign paroxysmal positional vertigo. In: Bronstein A, ed. Oxford textbook of vertigo and imbalance. Oxford, England: Oxford University Press, 2013; p. 217–30.
13. Kattah J, Talkad A, Wang D et al. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke 2009; 40: 3504–10.
14. Kunel'skaia N.L., Luchikhin L.A., Guseva A.L. i dr. Chuvstvitel'nost', spetsifichnost' i prognosticheskaia znachimost' statokoordinatornykh i statokineticheskikh testov v obsledovanii patsienta s golovokruzheniem. Omskii nauch. vestn. 2014; 2 (134): 84–7. [in Russian]
15. Dix M, Hallpike C. The pathology symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952; 45: 341–54.
16. Ibekwe T, Rogers C. Clinical evaluation of posterior canal benign paroxysmal positional vertigo. Niger Med J 2012; 53 (2): 94–101.
17. Balatsouras D, Korres S. Subjective benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2012; 146: 98–103.
18. Steddin S, Ing D, Brandt T. Horizontal canal benign paroxysmal positioning vertigo (h-BPPV): transition of canalolithiasis to cupulolithiasis. Ann Neurol 1996; 40: 918–22.
19. Choung Y, Shin Y, Kahng H et al. «Bow and lean test» to determine the affected ear of horizontal canal benign paroxysmal positional vertigo. Laryngoscope 2006; 116 (10): 1776–81.
20. Bertholon P, Bronstein A, Davies R et al. Positional down beating nystagmus in 50 patients: cerebellar disorders and possible anterior semicircular canalithiasis. J Neurol Neurosurg Psychiat 2002; 72: 366–72.
21. Cambi J, Astore S, Mandalà M et al. Natural course of positional down-beating nystagmus of peripheral origin. J Neurol 2013; 260: 1489–96.
22. Imai T, Ito M, Takeda N et al. Natural course of the remission of vertigo in patients with benign paroxysmal positional vertigo. Neurology 2005; 64: 920–1.
23. Helminski J, Zee D, Janssen I, Hain T. Effectiveness of particle repositioning maneuvers in the treatment of benign paroxysmal positional vertigo: a systematic review. Phys Ther 2010; 90: 663–78.
24. Silverstein H. Partial or total eighth nerve section in the treatment of vertigo. Otolaryngol 1978; 86 (1): ORL 47–60.
25. Parnes L, McClure J. Posterior semicircular canal occlusion for intractable benign paroxysmal positional vertigo. Ann Otol Rhinol Laryngol 1990; 99 (5 Pt. 1): 330–4.
26. Epley J. The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1992; 107: 399–404.
27. Gordon C, Gadoth N. Repeated vs. single physical maneuver in benign paroxysmal positional vertigo. Acta Neurol Scand 2004; 110: 166–9.
28. Ruckenstein M, Shepard N. The canalith repositioning procedure with and without mastoid oscillation for the treatment of benign paroxysmal positional vertigo. ORL J Otorhinolaryngol Relat Spec 2007; 69 (5): 295–8.
29. Devaiah A, Andreoli S. Post maneuver restrictions in benign paroxysmal positional vertigo: an individual patient data meta-analysis. Otolaryngol Head Neck Surg 2010; 142: 155–9.
30. Oh H, Kim J, Han B, Lim J. Predicting a successful treatment in posterior canal benign paroxysmal positional vertigo. Neurology 2007; 68: 1219–22.
31. Semont A, Freyss G, Vitte E. Curing the BPPV with a liberatory maneuver. Adv Otorhinolaryngol 1988; 42: 290–3.
32. Faldon M, Bronstein A. Head accelerations during particle repositioning manoeuvres. Audiol Neurotol 2008; 13: 345–56.
33. Radtke A, von Brevern M, Tiel-Wilck K et al. Self-treatment of benign paroxysmal positional vertigo: Semont maneuver vs. Epley procedure. Neurology 2004; 63: 150–2.
34. Brandt T, Daroff R. Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol 1980; 106 (8): 484–5.
35. Herdman S, Tusa R. Complications of the canalith repositioning procedure. Arch Otolaryngol Head Neck Surg 1996; 122: 281–6.
36. Lempert T. Horizontal benign positional vertigo. Neurology 1994; 44: 2213–4.
37. Vannucchi P, Giannoni B, Pagnini P. Treatment of horizontal semicircular canal benign paroxysmal positional vertigo. J Vestib Res 1997; 7: 1–6.
38. Asprella Libonati G. Diagnostic and treatment strategy of lateral semicircular canal canalolithiasis. Acta Otorhinolaryngol Ital 2005; 25 (5): 277–83.
39. Gufoni M, Mastrosimone L, Di Nasso F. Repositioning maneuver in benign paroxysmal vertigo of horizontal semicircular canal. Acta Otorhinolaryngol Ital 1998; 18: 363–7.
40. Nuti D, Mandalà M, Salerni L. Lateral canal paroxysmal positional vertigo revisited. Ann NY Acad Sci 2009; 1164: 316–23.
41. Gufoni M, Mastrosimone L, Di Nasso F. Repositioning maneuver in benign paroxysmal vertigo of horizontal semicircular canal. Acta Otorhinolaryngol Ital 1998; 18 (6): 363–7.
42. Casani A, Vannucci G, Fattori B, Berrettini S. The treatment of horizontal canal positional vertigo: our experience in 66 cases. Laryngoscope 2002; 112 (1): 172–8.
43. Kim Y, Shin J, Chung J. The effect of canalith repositioning for anterior semicircular canal canalithiasis. ORL J Otorhinolaryngol Relat Spec 2005; 67 (1): 56–60.
44. Yacovino D, Hain T, Gualtieri F. New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo. J Neurol 2009; 256 (11): 1851–5.
2. Von Brevern M, Radtke A, Lezius F et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiat 2007; 78: 710–5.
3. Пальчун В.Т., Кунельская Н.Л., Ротермель Е.В. Диагностика и лечение доброкачественного пароксизмального позиционного головокружения. Вестн. оториноларингологии. 2007; 1: 4–7. / Pal'chun V.T., Kunel'skaia N.L., Rotermel' E.V. Diagnostika i lechenie dobrokachestvennogo paroksizmal'nogo pozitsionnogo golovokruzheniia. Vestn. otorinolaringologii. 2007; 1: 4–7. [in Russian]
4. Furman J, Cass S. Benign paroxysmal positional vertigo. N Engl J Med 1999; 341: 1590–6.
5. Мельников О.А., Замерград М.В. Доброкачественное позиционное головокружение. Леч. врач. 2000; 1: 19–21. / Mel'nikov O.A., Zamergrad M.V. Dobrokachestvennoe pozitsionnoe golovokruzhenie. Lech. vrach. 2000; 1: 19–21. [in Russian]
6. Nunez R, Cass S, Furman J. Short- and long-term outcomes of canalith repositioning for benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2000; 122: 647–52.
7. Lopez-Escamez J, Gamiz M, Fernandez-Perez A, Gomez-Fiñana M. Longterm outcome and health-related quality of life in benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 2005; 262: 507–11.
8. Froehling D, Silverstein M, Mohr D et al. Benign positional vertigo: incidence and prognosis in a population-based study in Olmsted County, Minnesota. Mayo Clin Proc 1991; 66 (6): 596–601.
9. Jeong S, Choi S, Kim J et al. Osteopenia and osteoporosis in idiopathic benign positional vertigo. Neurology 2009; 72: 1069–76.
10. Jeong S, Kim J, Shin J et al. Decreased serum vitamin D in idiopathic benign paroxysmal positional vertigo. J Neurol 2013; 260: 832–8.
11. McClure J. Horizontal canal BPV. J Otolaryngol 1985; 14: 30–5.
12. Nuti D, Zee D. Positional vertigo and benign paroxysmal positional vertigo. In: Bronstein A, ed. Oxford textbook of vertigo and imbalance. Oxford, England: Oxford University Press, 2013; p. 217–30.
13. Kattah J, Talkad A, Wang D et al. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging. Stroke 2009; 40: 3504–10.
14. Кунельская Н.Л., Лучихин Л.А., Гусева А.Л. и др. Чувствительность, специфичность и прогностическая значимость статокоординаторных и статокинетических тестов в обследовании пациента с головокружением. Омский науч. вестн. 2014; 2 (134): 84–7. / Kunel'skaia N.L., Luchikhin L.A., Guseva A.L. i dr. Chuvstvitel'nost', spetsifichnost' i prognosticheskaia znachimost' statokoordinatornykh i statokineticheskikh testov v obsledovanii patsienta s golovokruzheniem. Omskii nauch. vestn. 2014; 2 (134): 84–7. [in Russian]
15. Dix M, Hallpike C. The pathology symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952; 45: 341–54.
16. Ibekwe T, Rogers C. Clinical evaluation of posterior canal benign paroxysmal positional vertigo. Niger Med J 2012; 53 (2): 94–101.
17. Balatsouras D, Korres S. Subjective benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2012; 146: 98–103.
18. Steddin S, Ing D, Brandt T. Horizontal canal benign paroxysmal positioning vertigo (h-BPPV): transition of canalolithiasis to cupulolithiasis. Ann Neurol 1996; 40: 918–22.
19. Choung Y, Shin Y, Kahng H et al. «Bow and lean test» to determine the affected ear of horizontal canal benign paroxysmal positional vertigo. Laryngoscope 2006; 116 (10): 1776–81.
20. Bertholon P, Bronstein A, Davies R et al. Positional down beating nystagmus in 50 patients: cerebellar disorders and possible anterior semicircular canalithiasis. J Neurol Neurosurg Psychiat 2002; 72: 366–72.
21. Cambi J, Astore S, Mandalà M et al. Natural course of positional down-beating nystagmus of peripheral origin. J Neurol 2013; 260: 1489–96.
22. Imai T, Ito M, Takeda N et al. Natural course of the remission of vertigo in patients with benign paroxysmal positional vertigo. Neurology 2005; 64: 920–1.
23. Helminski J, Zee D, Janssen I, Hain T. Effectiveness of particle repositioning maneuvers in the treatment of benign paroxysmal positional vertigo: a systematic review. Phys Ther 2010; 90: 663–78.
24. Silverstein H. Partial or total eighth nerve section in the treatment of vertigo. Otolaryngol 1978; 86 (1): ORL 47–60.
25. Parnes L, McClure J. Posterior semicircular canal occlusion for intractable benign paroxysmal positional vertigo. Ann Otol Rhinol Laryngol 1990; 99 (5 Pt. 1): 330–4.
26. Epley J. The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1992; 107: 399–404.
27. Gordon C, Gadoth N. Repeated vs. single physical maneuver in benign paroxysmal positional vertigo. Acta Neurol Scand 2004; 110: 166–9.
28. Ruckenstein M, Shepard N. The canalith repositioning procedure with and without mastoid oscillation for the treatment of benign paroxysmal positional vertigo. ORL J Otorhinolaryngol Relat Spec 2007; 69 (5): 295–8.
29. Devaiah A, Andreoli S. Post maneuver restrictions in benign paroxysmal positional vertigo: an individual patient data meta-analysis. Otolaryngol Head Neck Surg 2010; 142: 155–9.
30. Oh H, Kim J, Han B, Lim J. Predicting a successful treatment in posterior canal benign paroxysmal positional vertigo. Neurology 2007; 68: 1219–22.
31. Semont A, Freyss G, Vitte E. Curing the BPPV with a liberatory maneuver. Adv Otorhinolaryngol 1988; 42: 290–3.
32. Faldon M, Bronstein A. Head accelerations during particle repositioning manoeuvres. Audiol Neurotol 2008; 13: 345–56.
33. Radtke A, von Brevern M, Tiel-Wilck K et al. Self-treatment of benign paroxysmal positional vertigo: Semont maneuver vs. Epley procedure. Neurology 2004; 63: 150–2.
34. Brandt T, Daroff R. Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol 1980; 106 (8): 484–5.
35. Herdman S, Tusa R. Complications of the canalith repositioning procedure. Arch Otolaryngol Head Neck Surg 1996; 122: 281–6.
36. Lempert T. Horizontal benign positional vertigo. Neurology 1994; 44: 2213–4.
37. Vannucchi P, Giannoni B, Pagnini P. Treatment of horizontal semicircular canal benign paroxysmal positional vertigo. J Vestib Res 1997; 7: 1–6.
38. Asprella Libonati G. Diagnostic and treatment strategy of lateral semicircular canal canalolithiasis. Acta Otorhinolaryngol Ital 2005; 25 (5): 277–83.
39. Gufoni M, Mastrosimone L, Di Nasso F. Repositioning maneuver in benign paroxysmal vertigo of horizontal semicircular canal. Acta Otorhinolaryngol Ital 1998; 18: 363–7.
40. Nuti D, Mandalà M, Salerni L. Lateral canal paroxysmal positional vertigo revisited. Ann NY Acad Sci 2009; 1164: 316–23.
41. Gufoni M, Mastrosimone L, Di Nasso F. Repositioning maneuver in benign paroxysmal vertigo of horizontal semicircular canal. Acta Otorhinolaryngol Ital 1998; 18 (6): 363–7.
42. Casani A, Vannucci G, Fattori B, Berrettini S. The treatment of horizontal canal positional vertigo: our experience in 66 cases. Laryngoscope 2002; 112 (1): 172–8.
43. Kim Y, Shin J, Chung J. The effect of canalith repositioning for anterior semicircular canal canalithiasis. ORL J Otorhinolaryngol Relat Spec 2005; 67 (1): 56–60.
44. Yacovino D, Hain T, Gualtieri F. New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo. J Neurol 2009; 256 (11): 1851–5.
________________________________________________
2. Von Brevern M, Radtke A, Lezius F et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiat 2007; 78: 710–5.
3. Pal'chun V.T., Kunel'skaia N.L., Rotermel' E.V. Diagnostika i lechenie dobrokachestvennogo paroksizmal'nogo pozitsionnogo golovokruzheniia. Vestn. otorinolaringologii. 2007; 1: 4–7. [in Russian]
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Авторы
В.Т.Пальчун*, А.Л.Гусева, С.Д.Чистов
ГБОУ ВПО Российский национальный исследовательский медицинский университет им. Н.И.Пирогова Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1
*lorrsmu@mail.ru
N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation.117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1
*lorrsmu@mail.ru
ГБОУ ВПО Российский национальный исследовательский медицинский университет им. Н.И.Пирогова Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1
*lorrsmu@mail.ru
________________________________________________
N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation.117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1
*lorrsmu@mail.ru
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