A cupulolith repositioning maneuver in the treatment of horizontal canal cupulolithiasis

作者：Kim Sung Huhn; Jo Sung Woo; Chung Woon Kyo; Byeon Hyung Kwon; Lee Won Sang^*

来源：Auris Nasus Larynx, 2012, 39(2): 163-168.

DOI：10.1016/j.anl.2011.03.008

• Benign paroxysmal positional vertigo
• Horizontal semicircular canal
• Cupulolithiasis
• Treatment

Objective: We evaluated outcomes and their significance of a new treatment method for horizontal canal cupulolithiasis that could be applied regardless of the side of the cupula where otoliths are attached.
Methods: Consecutive 78 patients who showed persistent apogeotropic horizontal canal positional vertigo (horizontal canal cupulolithiasis) were enrolled, and they were treated with the new cupulolith repositioning maneuver.
Results: Horizontal semicircular canal cupulolithiasis was alleviated in 97.4% of patients, after an average of 2.1 repetitions of the maneuver. Otoliths were suspected to be attached to the canal side of the cupula in 30 cases and the utricular side in 44 cases.
Conclusion: The cupulolith repositioning maneuver is an effective method for treating horizontal canal cupulolithiasis. It may also provide an insight into the side of the cupula where otoliths are attached.

• 出版日期2012-4