New Treatment Strategy for Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo

The apogeotropic variant of horizontal semicircular canal benign paroxysmal positional vertigo (HC-BPPV) is attributed to canalithiasis of the anterior arm or cupulolithiasis. Despite some therapeutic maneuvers, I propose a new treatment strategy for apogeotropic HC-BPPV that is designed to detach b...

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Bibliographic Details
Main Author: e Maia, Francisco Zuma
Format: Online
Language:English
Published: PAGEPress Publications, Pavia, Italy 2016
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5134676/
Description
Summary:The apogeotropic variant of horizontal semicircular canal benign paroxysmal positional vertigo (HC-BPPV) is attributed to canalithiasis of the anterior arm or cupulolithiasis. Despite some therapeutic maneuvers, I propose a new treatment strategy for apogeotropic HC-BPPV that is designed to detach both the otoconial debris from the anterior arm of the semicircular canal and the debris that is attached to the utricular side of the cupula using inertia and gravity and based on simulations with a 3D biomechanical model.