ArticleJournal of neurology, neurosurgery, and psychiatry2011
Sitting-up vertigo and trunk retropulsion in patients with benign positional vertigo but without positional nystagmus.
Article in Journal of neurology, neurosurgery, and psychiatry, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 67 citations in OpenAlex.
- Natural course of positional down-beating nystagmus of peripheral origin.Journal of neurology · 2013Trial
- Less Common Variants of Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo: Diagnostic and Therapeutic Considerations.Journal of clinical medicine · 2025Article
- Conversion into short-arm canalithiasis as a cause of residual dizziness after repositioning maneuvers for BPPV.Journal of neurology · 2025Article
- Atypical Benign Paroxysmal Positional Vertigo: Concomitant Cupulolithiasis and Short-Arm Canalolithiasis Involving the Posterior Canal?Journal of clinical neurology (Seoul, Korea) · 2024Article
- "Sitting-up vertigo as an expression of posterior semicircular canal heavy cupula and posterior semicircular canal short arm canalolithiasis".Journal of otology · 2022Article
- Case report: Atypical patterns of nystagmus suggest posterior canal cupulolithiasis and short-arm canalithiasis.Frontiers in neurology · 2022Article
- Patients' Experiences with Management of Benign Paroxysmal Positional Vertigo: Insights from the Vestibular Disorders Association Registry.Patient related outcome measures · 2022Article
- Less common forms of posterior canal benign paroxysmal positional vertigo.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2021Article
- Rare Disorders of the Vestibular Labyrinth: of Zebras, Chameleons and Wolves in Sheep's Clothing.Laryngo- rhino- otologie · 2021Review
- Case Report: Bow Hunter Syndrome-One Reason to Add Non-gravity Dependent Positional Nystagmus Testing to Your Clinical Neuro-Otologic Exam.Frontiers in neurology · 2021Article
- Article
- Characteristics of assessment and treatment in Benign Paroxysmal Positional Vertigo (BPPV).Journal of vestibular research : equilibrium & orientation · 2020Observational
- Gestational Exposure to the Synthetic Cathinone Methylenedioxypyrovalerone Results in Reduced Maternal Care and Behavioral Alterations in Mouse Pups.Frontiers in neuroscience · 2018Article
- Current diagnostic procedures for diagnosing vertigo and dizziness.GMS current topics in otorhinolaryngology, head and neck surgery · 2017Review
- Menopause and benign paroxysmal positional vertigo.Menopause (New York, N.Y.) · 2014Article
- Article
- Ocular VEMPs indicate repositioning of otoconia to the utricle after successful liberatory maneuvers in benign paroxysmal positioning vertigo.Acta oto-laryngologica · 2013Article
- Vitamin D deficiency and benign paroxysmal positioning vertigo.Medical hypotheses · 2013Article
- Visual dependence and BPPV.Journal of neurology · 2012Article
- Article
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Authors and funding
6 authors at 4 institutions in 4 countries.
Funding
Abstract
backgroundPresently, the unambiguous diagnosis of benign paroxysmal positioning vertigo (BPPV) requires the detection of positioning or positional nystagmus provoked by Dix-Hallpike (for vertical semicircular canals) or supine roll (for horizontal semicircular canals) manoeuvres, which indicates canalo- or cupolithiasis of affected semicircular canals. There are patients, however, in whom--despite typical complaints of BPPV--no positional nystagmus can be documented; this is called 'subjective BPPV' (sBPPV). These patients usually complain of short vertigo spells during and after sitting up, sometimes with abnormal retropulsion of the trunk.
aimIn this study, the authors aimed to ascertain whether these patients in fact demonstrate abnormal sitting-up trunk oscillations when measured by posturography. Of 200 unselected patients with vertigo or dizziness, 43% had sBPPV with vertigo spells while sitting up, and 20% classical BPPV.
methodsPosturographic recordings were performed in 20 patients with sBPPV and sitting-up vertigo. RESULTS AND DISCUSSION: Seven of the 20 patients had trunk oscillations during the act of sitting up and for a short time immediately afterwards. Based on their findings, the authors propose a new type of BPPV, the so-called Type 2 BPPV (typical complaints of BPPV, no nystagmus in Dix-Hallpike positions but short vertigo spell while sitting up), which may be the result of chronic canalolithiasis within the short arm of a posterior canal. Furthermore, the authors suggest that Type 2 BPPV, which could be identical to sBPPV or constitute a major subgroup of it, occurs frequently among patients with vertigo. For therapy, the authors recommend repetitive sit-ups from the Dix-Hallpike positions to liberate the short arm of the posterior canal from canaloliths.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.