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KMID : 1235520130120030079
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Research in Vestibular Science
2013 Volume.12 No. 3 p.79 ~ p.92
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Multicenter Study on the Clinician’s Diagnostic and Therapeutic Approaches for Benign Paroxysmal Positional Vertigo in Korea
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Jeon Eun-Ju
Chung Won-Ho
Choi Jeong-Hwan
Nam Eui-Cheol
Park Hong-Ju
Lee Jong-Dae
Lee Wong-Sang
Kim Kyu-Sung
Goh Eui-Kyung
Koo Ja-Won
Kim Min-Bum
Kim Min-Beom
Kim Se-Hyung
Kim Young-Jin
Kim Chang-Hee
Nam Sung-Il
Mun Seog-Kyun
Park Ga-Young
Park Sang-Yoo
Park Shi-Nae
Son Eun-Jin
Bae Chang-Hoon
Boo Suung-Hyun
Suh Myung-Whan
Seo Jae-Hyun
Song Jae-Jun
Song Jae-Jin
Shin Joong-Wook
Shim Dae-Bo
Ahn Seong-Ki
Youm Hye-Youn
Yoo Shin-Young
Lee Dong-Hee
Lee Seung-Hwan
Lee Chang-Ho
Lee Hyun-Seok
Lee Hwan-Ho
Lee Hyo-Jeong
Choung Yun-Hoon
Choi Seung-Hyo
Choi Jee-Sun
Hong Seok-Min
Hong Sung-Kwang
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Abstract
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Background and Objectives: It is necessary to establish the most efficient diagnostic and therapeutic method for benign paroxysmal positional vertigo (BPPV), which is appropriate for Korean healthcare system. We aimed to evaluate current state of Korean clinician’s diagnostic and therapeutic approaches for BPPV.
Materials and Methods: A 16-item survey was emailed to the members of dizziness department of Otology Research Interest Group in the Korean Otologic Society (n=68). 43 were returned and analyzed.
Results: All respondents (100%) used Dix-Hallpike test as a diagnostic tool for vertical canal-BPPV. Supine roll test was used for diagnosing lateral canal BPPV in nearly all the respondents (97.7%). Epley maneuver was chosen as otolith repositioning maneuver (ORM) for posterior canal BPPV in all respondents and barbecue rotation (BBQ) was used for treating lateral canal BPPV with geotropic nystagmus in 95.3% of respondents. Extreme variation was noted for therapeutic approach of lateral canal BPPV with ageotropic nystagmus BBQ, with 4 kinds of ORM and adjunctive measures to liberate otolith from cupula, while BBQ was again the most commonly used ORM (76.7%).
Conclusion: The development of practical and efficient ORM for lateral canal BPPV with ageotropic nystagmus is necessary.
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KEYWORD
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Vertigo, Benign paroxysmal positional, Diagnosis, Treatment
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