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J Korean Bal Soc > Volume 1(1); 2002 > Article
Journal of the Korean Balance Society 2002;1(1): 113-117.
원지성 측 반고리관형 체위성 어지러움의 새로운 치료전략
, , 한규철, 전형규, 허진명1
가천의과대학 길병원 이비인후-두경부외과학교실, 전정재활연구소1
A New Treatment Strategy of Ageotrophic Horizontal Canal Benign Paroxysmal Positional Vertigo
Gyu Cheol Han, Hyung Gyu Jeon, Jin Myung Huh
1Gachon Medical College, Gil Medical Center, Dept. of Otolaryngology, Incheon Korea. han@ghil.com
2Gachon Medical College, Vestibular Rehabilitation Research Center, Incheon Korea.
ABSTRACT
Background and Objectives : Ageotrophic nystagmus in the horizontal canal BPPV has been explained as a result of cupulolithiasis theory, and has been reported to have the less therapeutic response to conservative rehabilitations than the other type BPPV . Though methods to detach the debris with vibrator have been introduced, the effect has been questioned and it’s not physiologic. Materials and Method : We introduce a new head shaking-forced prolonged position method as a more convenient method, and report typical 2 cases of ageotrophic horizontal canal BPPV managed with it and analyzed results of 25 cases all told. Results and conclusion : The average number of rehabilitation was less than two, and loss of direction changing positional nystagmus could be observed immediately after rehabilitation.
Keywords: Cupulolithiasis; Horizontal canal; BPPV; Rehabilitation
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