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Clinical effect of canal plugging on paroxysmal positional vertigo

Published online by Cambridge University Press:  08 March 2006

Mamoru Suzuki
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Tokyo, Japan
Akihide Ichimura
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Tokyo, Japan
Koh Ueda
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Tokyo, Japan
Nobuhiro Suzuki
Affiliation:
Department of Otolaryngology, Tokyo Medical University, Tokyo, Japan

Abstract

A 63-year-old woman had disabling positional vertigo for four months. She showed intense direction-changing apogeotropic nystagmus. Conservative treatment failed to resolve her vertigo. From the findings of the nystagmus, cupulolithiasis of the right lateral canal was suspected. Plugging of this canal successfully eliminated the nystagmus and positional vertigo. Positional vertigo can sometimes be disabling and unresponsive to conservative therapy. Careful analysis of the nystagmus may allow selection of the most appropriate treatment.

Type
Research Article
Copyright
Royal Society of Medicine Press Limited 2000

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