Guía práctica del vértigo posicional paroxístico

Introduction and objective: Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vertigo, characterized by brief attacks of rotatory vertigo associated with nystagmus, which are elicited by specific changes in head position relative to gravity. The observation of positional nyst...

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Detalles Bibliográficos
Autores: Benito Orejas, José Ignacio, Poncela-Blanco, María, Díez González, Laura, Álvarez Otero, Rafael, Aguilera-aguilera, Gabriel Alejandro, Intraprendente-Martini, Jean Franco, Racines Álava, Erwin, Martínez, Ramón, Marco-carmona, María, Sánchez Gómez, Hortensia, Yáñez González, Raquel, González Aguado, Rocío, Franco Gutiérrez, Virginia, Guerra Jiménez, Gloria, Mazón-Gutierrez, Angel, Gancedo, Silvia, Pérez, Rafael, Santos Gorjón, Pablo, Sánchez Blanco, Carmen, García-Purriños, Francisco José, Gascón-Rubio, María Cristina, Salazar, Fernando, Bauer, Michael, Valda Rodrigo, José, Mena Domínguez, Eduardo Antonio, Trinidad Ruíz, Gabriel, Batuecas Caletrio, Ángel
Tipo de recurso: artículo
Fecha de publicación:2017
País:España
Institución:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:gredos.usal.es:10366/136130
Acceso en línea:http://hdl.handle.net/10366/136130
Access Level:acceso abierto
Palabra clave:Otorrinolaringología
nariz
garganta
oídos
Audiología y otología
sordera
Otorhinolaryngology
ENT
Audiology and otology
deafness
Descripción
Sumario:Introduction and objective: Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vertigo, characterized by brief attacks of rotatory vertigo associated with nystagmus, which are elicited by specific changes in head position relative to gravity. The observation of positional nystagmus is essential for the diagnosis of BPPV. The treatment consists in maneuvers of canalith repositioning procedure to move otoconial debris from the affected semicircular canal to the utricle. These guidelines are intended for all who treat the BPPV in their work, with an intention to assist in the diagnosis and application of an appropriate therapeutic method. Method: The experience and analysis of different national and international consensus on BPPV, has allowed to a large group of ENT specialists of the Communities of Castilla y León, Cantabria and La Rioja (Spain), carry out this guide. Results: The different clinical entities are reviewed. BPPV of the posterior semicircular canal, horizontal canal and anterior canal, BPPV affecting several canals, atypical and central BPPV, subjective BPPV and the characteristics of this process in the elderly. Canalith repositioning procedures have been illustrated with explanatory drawings. Discussion and conclusions: Although the pathophysiology of BPPV is canalolithiasis comprising free-floating otoconial debris within the endolymph of a semicircular canal, or cupulolithiasis comprising otoconial debris adherent to the cupula, there are still many issues to be resolved. We think that the best way to find answers is part of using a common methodology in the diagnosis and treatment of these patients.

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