Curing a 96-year-old patient afflicted with benign paroxysmal positional vertigo on a motorized turntable

Christopher J Bockisch,1–3 Dominik Straumann,1,4 Konrad P Weber1,2 1Department of Neurology, University Hospital Zurich, 2Department of Ophthalmology, University Hospital Zurich, 3Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, 4Zurich Center for Integ...

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Autores principales:	Bockisch CJ, Straumann D, Weber KP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Vestibulo Ocular Reflex Nystagmus Vertigo. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/4bcfacbb5fe841b3a25a3a6801b99942
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spelling	oai:doaj.org-article:4bcfacbb5fe841b3a25a3a6801b999422021-12-02T00:13:23ZCuring a 96-year-old patient afflicted with benign paroxysmal positional vertigo on a motorized turntable1178-1998https://doaj.org/article/4bcfacbb5fe841b3a25a3a6801b999422014-04-01T00:00:00Zhttps://www.dovepress.com/curing-a-96-year-old-patient-afflicted-with-benign-paroxysmal-position-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Christopher J Bockisch,1–3 Dominik Straumann,1,4 Konrad P Weber1,2 1Department of Neurology, University Hospital Zurich, 2Department of Ophthalmology, University Hospital Zurich, 3Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, 4Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland Background: Dizziness in the elderly is a serious health concern due to the increased morbidity caused by falling. The most common cause of dizziness in the elderly, benign paroxysmal positional vertigo (BPPV), is frequently undiagnosed, and bedside treatment of these patients can be difficult due to neck and back stiffness, which makes repeated and accurate repositioning maneuvers difficult. Case presentation: After a fall, a 96-year-old woman was referred by a resident neurologist for intractable BPPV. The patient was placed on a motorized turntable and repositioned to remove the calcite particles from the affected posterior semicircular canal. Video monitoring of the eyes allowed confirmation of the diagnosis, as well as an immediate evaluation of the effectiveness of the maneuver. Conclusion: Every patient with dizziness or imbalance, even in the absence of typical complaints of BPPV, should be tested with provocation maneuvers, because the clinical picture of BPPV is not always typical. Even if elderly patients with dizziness are very frail, the completion of provocation maneuvers is imperative, since the therapeutic maneuvers are extremely effective. A motorized turntable is very helpful to perform the repositioning accurately and safely. Keywords: vestibulo ocular reflex, nystagmus, vertigoBockisch CJStraumann DWeber KPDove Medical PressarticleVestibulo Ocular ReflexNystagmusVertigo.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 589-591 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Vestibulo Ocular Reflex Nystagmus Vertigo. Geriatrics RC952-954.6
spellingShingle	Vestibulo Ocular Reflex Nystagmus Vertigo. Geriatrics RC952-954.6 Bockisch CJ Straumann D Weber KP Curing a 96-year-old patient afflicted with benign paroxysmal positional vertigo on a motorized turntable
description	Christopher J Bockisch,1–3 Dominik Straumann,1,4 Konrad P Weber1,2 1Department of Neurology, University Hospital Zurich, 2Department of Ophthalmology, University Hospital Zurich, 3Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, 4Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland Background: Dizziness in the elderly is a serious health concern due to the increased morbidity caused by falling. The most common cause of dizziness in the elderly, benign paroxysmal positional vertigo (BPPV), is frequently undiagnosed, and bedside treatment of these patients can be difficult due to neck and back stiffness, which makes repeated and accurate repositioning maneuvers difficult. Case presentation: After a fall, a 96-year-old woman was referred by a resident neurologist for intractable BPPV. The patient was placed on a motorized turntable and repositioned to remove the calcite particles from the affected posterior semicircular canal. Video monitoring of the eyes allowed confirmation of the diagnosis, as well as an immediate evaluation of the effectiveness of the maneuver. Conclusion: Every patient with dizziness or imbalance, even in the absence of typical complaints of BPPV, should be tested with provocation maneuvers, because the clinical picture of BPPV is not always typical. Even if elderly patients with dizziness are very frail, the completion of provocation maneuvers is imperative, since the therapeutic maneuvers are extremely effective. A motorized turntable is very helpful to perform the repositioning accurately and safely. Keywords: vestibulo ocular reflex, nystagmus, vertigo
format	article
author	Bockisch CJ Straumann D Weber KP
author_facet	Bockisch CJ Straumann D Weber KP
author_sort	Bockisch CJ
title	Curing a 96-year-old patient afflicted with benign paroxysmal positional vertigo on a motorized turntable
title_short	Curing a 96-year-old patient afflicted with benign paroxysmal positional vertigo on a motorized turntable
title_full	Curing a 96-year-old patient afflicted with benign paroxysmal positional vertigo on a motorized turntable
title_fullStr	Curing a 96-year-old patient afflicted with benign paroxysmal positional vertigo on a motorized turntable
title_full_unstemmed	Curing a 96-year-old patient afflicted with benign paroxysmal positional vertigo on a motorized turntable
title_sort	curing a 96-year-old patient afflicted with benign paroxysmal positional vertigo on a motorized turntable
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/4bcfacbb5fe841b3a25a3a6801b99942
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Curing a 96-year-old patient afflicted with benign paroxysmal positional vertigo on a motorized turntable

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