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Chapter-08 Residual Dizziness after Successful Canalith Repositioning Procedures for Benign Paroxysmal Positional Vertigo

BOOK TITLE: Understanding Benign Paroxysmal Positional Vertigo

Author
1. Uneri Alev
2. Uneri Ayse
ISBN
9789385999055
DOI
10.5005/jp/books/12982_9
Edition
1/e
Publishing Year
2017
Pages
10
Author Affiliations
1. Balance Center, Acibadem Kozyatagi Oncology and Neurology Hospital, Istanbul, Turkey
2. Balance Center; Acibadem Kozyatagi Oncology and Neurology Hospital, Istanbul, Turkey
Chapter keywords
Residual dizziness, RD, canalith repositioning procedure, CRP, benign paroxysmal positional vertigo, BPPV, videonystagmography, bone mineral density, vestibular neuronitis

Abstract

Residual dizziness (RD) after canalith repositioning procedures (CRP) is a residual nonspecific dizziness such as the sensation of floating or light-headedness, after resolving the benign paroxysmal positional vertigo (BPPV) by CRP. To define dizziness as RD after successful CRP, typical nystagmus and vertigo of BPPV must have been resolved. In the analysis of symptom characteristics, the most common residual symptoms are continuous or intermittent light-headedness, floating sense, vertigo without positional and/or rotational components and unsteadiness. The diagnostic procedure must consist of a detailed clinical history, a neuro-otologic examination, and more importantly videonystagmography (VNG). A detailed description on diagnostic evaluation, theories of pathogenesis and management of RD after CRP have been presented in this chapter.

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