Treatment of anterior benign paroxysmal positional vertigo by canal plugging: a case report.
A 75-year-old man with incapacitating anterior canal benign paroxysmal positional vertigo (BPPV) was relieved of symptoms following anterior semicircular canal occlusion using a transmastoid approach. The preoperative symptoms were similar to those of posterior canal BPPV. The preoperative findings on Dix-Hallpike's maneuver were a paroxysmal torsional nystagmus with a down-beating component that increased when the patient's gaze was directed towards the affected ear. The most provoking head movement for the vertigo/nystagmus was Dix-Hallpike's maneuver with the affected ear lowermost.
Brantberg
Krister
K
Department of Audiology, Karolinska Hospital, Stockholm, Sweden. krister.brantberg@ks.se
Bergenius
Johan
J
D000368:Aged; D019416:Head Movements / Q000502:physiology*; D006801:Humans; D008297:Male; D009760:Nystagmus, Physiologic / Q000502:physiology; D011187:Posture / Q000502:physiology; D012665:Semicircular Canals / Q000503:physiopathology; D014717:Vertigo / Q000503:physiopathology / Q000628:therapy*