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Upright head roll test: A new contribution for the diagnosis of lateral semicircular canal benign paroxysmal positional vertigo
 
 
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Audiology Research
Volume 10
Issue 1
10.4081/audiores.2020.232
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Audiology Research is published by MDPI from Volume 10 Issue 2 (2020). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Article

Diagnosis of benign paroxysmal positional vertigo in Emergency Department: Our experience

by
Elisabetta Cristiano
1,
Vincenzo Marcelli
1,
Antonio Giannone
1,
Stefania De Luca
1,*,
Flavia Oliva
1,
Roberto Varriale
3,
Giovanni Motta
1,
Fiorella Paladino
1,
Margherita Benincasa
5,
Marco Perrella
1 and
Filippo Ricciardiello
1
1
Ear Nose and Throat Unit, AORN Antonio Cardarelli Hospital, Naples
2
A.S.L. Napoli 1 Centro, Ospedale del Mare, Naples
3
Department of Mental and Physical Health and Preventive Medicine, University of Campania “Luigi Vanvitelli”, Naples
4
Department of Precision Medicine, University of Campania "L. Vanvitelli", Naples
5
Brief Emergency Department Observation, AORN Antonio Cardarelli Hospital, Naples
6
U.O.S.C. TIPO – OTI Anesthetic Activity in Election, AORN Antonio Cardarelli Hospital, Naples
*
Author to whom correspondence should be addressed.
Audiol. Res. 2020, 10(1), 232; https://doi.org/10.4081/audiores.2020.232
Submission received: 2 August 2019 / Revised: 2 August 2019 / Accepted: 13 April 2020 / Published: 10 July 2020

Abstract

The Benign Paroxysmal Positional Vertigo (BPPV) represents the first cause of peripheral vertigo in populations and it is determined by a displacement of otoconial fragments within the semicircular canals. Following the patient’s head movements, these fragments, moving by inertia, incorrectly stimulate the canals generating vertigo. The BPPV is diagnosable by observing the nystagmus that is generated in the patient following the Dix-Hallpike maneuver used for BPPV diagnosis of vertical semi-circular canal, and, following the supine head yaw test used for lateral semi-circular canal. Correctly identifying the origin of this specific peripheral vertigo, would mean to obtain a faster diagnosis and an immediate resolution of the problem for the patient. In this context, this study aims to identify precise training activities, aimed at the application of specific diagnostic maneuverers for algorithm decisions in support of medical personnel. The evaluations reported in this study refer to the data collected in the Emergency Department of the Cardarelli Hospital of Naples. The results obtained, over a six-month observation period, highlighted the advantages of the proposed procedures in terms of costs, time and number of BPPV diagnoses.
Keywords: benign paroxysmal positional vertigo; emergency department; diagnostic algorithm benign paroxysmal positional vertigo; emergency department; diagnostic algorithm

Share and Cite

MDPI and ACS Style

Cristiano, E.; Marcelli, V.; Giannone, A.; De Luca, S.; Oliva, F.; Varriale, R.; Motta, G.; Paladino, F.; Benincasa, M.; Perrella, M.; et al. Diagnosis of benign paroxysmal positional vertigo in Emergency Department: Our experience. Audiol. Res. 2020, 10, 232. https://doi.org/10.4081/audiores.2020.232

AMA Style

Cristiano E, Marcelli V, Giannone A, De Luca S, Oliva F, Varriale R, Motta G, Paladino F, Benincasa M, Perrella M, et al. Diagnosis of benign paroxysmal positional vertigo in Emergency Department: Our experience. Audiology Research. 2020; 10(1):232. https://doi.org/10.4081/audiores.2020.232

Chicago/Turabian Style

Cristiano, Elisabetta, Vincenzo Marcelli, Antonio Giannone, Stefania De Luca, Flavia Oliva, Roberto Varriale, Giovanni Motta, Fiorella Paladino, Margherita Benincasa, Marco Perrella, and et al. 2020. "Diagnosis of benign paroxysmal positional vertigo in Emergency Department: Our experience" Audiology Research 10, no. 1: 232. https://doi.org/10.4081/audiores.2020.232

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