Evidence map›Paper›PMID 32128444›Full record

ArticleLaryngoscope investigative otolaryngology2020

Horizontal semicircular canal jam: Two new cases and possible mechanisms.

Michael C Schubert, Janet Helminski, David S Zee, Elisabetta Cristiano, Antonio Giannone, Giuseppe Tortoriello, Vincenzo Marcelli

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Review
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  5. Review
  6. Partial Treatment During BPPV Diagnostic Maneuvers.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  7. Article
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  10. Article
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  12. The Video Head Impulse Test in the acute stage of posterior canal benign paroxysmal positional vertigo.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2021
    Article
  13. Horizontal semicircular canal jam: Two new cases and possible mechanisms.Laryngoscope investigative otolaryngology · 2020
    Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Michael C SchubertLaboratory of Vestibular NeuroAdaptation, Department of Otolaryngology - Head and Neck Surgery The Johns Hopkins University School of Medicine Baltimore Maryland.ORCID https://orcid.org/0000-0002-5975-374X
Janet HelminskiPhysical Therapy Program Midwestern University Downers Grove Illinois.
David S ZeeLaboratory of Vestibular NeuroAdaptation, Department of Otolaryngology - Head and Neck Surgery The Johns Hopkins University School of Medicine Baltimore Maryland.
Elisabetta CristianoDepartment of Otolaryngology Antonio Cardarelli National Relief Hospital Naples Italy.
Antonio GiannoneDepartment of Otolaryngology Antonio Cardarelli National Relief Hospital Naples Italy.
Giuseppe TortorielloDepartment of Otolaryngology, ASL-NA1 Ospedale del Mare Naples Italy.
Vincenzo MarcelliDepartment of Otolaryngology, ASL-NA1 Ospedale del Mare Naples Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBenign paroxysmal positional vertigo (BPPV) of the horizontal semicircular canal (hSCC) can present with otoconia blocking its lumen (canalith jam), with signs and symptoms that make it difficult to distinguish from central nervous system pathology.

objectiveHere we report two cases of canalith jam affecting the hSCC and offer a theoretical mechanism based on known vestibular neurophysiology.

methodsWe use video-oculography to document the canalith jam and show the moment the otoconia loosen.

resultsCanalith jam is a rare form of BPPV remedied with repositioning maneuvers.

conclusionClinicians should consider canalith jam as a mechanism for BPPV when the nystagmus is (a) Direction fixed with fixation removed and during positional testing; (b) Velocity dependent on supine head position; (c) Converts to geotropic directional changing nystagmus.

Identifiers

PMID32128444
PMCPMC7042637

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.