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Cupulolithiasis and Canalolithiasis Are Two Photos of a Story Called 'The Destiny of the Otoconia'

Cupulolithiasis and Canalolithiasis Are Two Photos of a Story Called 'The Destiny of the Otoconia' Abstract I was preparing my thesis for graduation from a faculty of medicine. The subject I chose was on benign paroxysmal positional vertigo (BPPV). I did a retrospective study of 201 cases. I learned that it was Barany1 in 1921 who described BPPV for the first time. Dix and Hallpike2 brought further precisions and introduced the diagnostic maneuver. Schuknecht3 introduced cupulolithiasis for explaining the syndrome. Hall et al4 proposed canalolithiasis because the first theory did not explain the different characteristics of BPPV. Some authors have compared cupulolithiasis with positional alcohol nystagmus (PAN) and since the former presents differently from PAN, they questioned the validity of cupulolithiasis. It seems that there are some differences between the two phenomena. On one hand, BPPV is a progressive phenomenon, the deposition of particles is limited to a small part of the cupula, and there is no direct central effect in cupulolithiasis. References 1. Barany R. Diagnose von kranheitsercheinungen in bereiche des otolithen apparatus . Acta Otolaryngol (Stockh) . 1921;2:434-437.Crossref 2. Dix MR, Hallpike CS. The pathology, symptomatology, and diagnosis of certain common disorders of the vestibular system . Proc R Soc Med . 1952;45: 341-354. 3. Schuknecht H. Cupulolithiasis . Arch Otolaryngol . 1969;90:765-778.Crossref 4. Hall S, Ruby R, McClure J. The mechanisms of benign paraxysmal vertigo . J Otolaryngol . 1979;8:15-58. 5. Brandt Th, Daroff RB. Physical therapy for benign paroxysmal positional vertigo . Arch Otorhinolaryngol . 1980;106:484-485.Crossref 6. Semont A, Freyss G, Vitte E. Curing the BPPV with a liberatory maneuver . Adv Otorhinolaryngol . 1988;42:290-293. 7. Epley JM. The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo . Otolaryngol Head Neck Surg . 1992;107:399-404. 8. Herdman SJ, Tusa RJ, Zee DS, Proctor LR, Mattox DE. Single treatment approaches to benign paroxysmal positional vertigo . Arch Otolaryngol Head Neck Surg . 1993;119:450-454.Crossref 9. Blakley BW. A randomized, controlled assessment of the canalith repositioning maneuver . Otolaryngol Head Neck Surg . 1994;110:391-396. 10. Moriarty B, Rutka J, Hanke M. The incidence and distribution of cupular deposits in the labyrinth . Laryngoscope . 1992;102:56-58.Crossref 11. Kveton JF, Kashgarian M. Particular matter within the membranous labyrinth: pathologic or normal? Am J Otol . 1994;15:173-176. 12. Lim DJ. Formation and fate of the otoconia: scanning and transmission electron microscopy . Ann Otol Rhinol Laryngol . 1973;82:23-35. 13. Harada Y, Sugimoto Y. Metabolic disorder of otoconia after streptomycin intoxication . Acta Otolaryngol (Stockh) . 1997;84:65-71.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Cupulolithiasis and Canalolithiasis Are Two Photos of a Story Called 'The Destiny of the Otoconia'

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References (16)

Publisher
American Medical Association
Copyright
Copyright © 1996 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1996.01890140090022
Publisher site
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Abstract

Abstract I was preparing my thesis for graduation from a faculty of medicine. The subject I chose was on benign paroxysmal positional vertigo (BPPV). I did a retrospective study of 201 cases. I learned that it was Barany1 in 1921 who described BPPV for the first time. Dix and Hallpike2 brought further precisions and introduced the diagnostic maneuver. Schuknecht3 introduced cupulolithiasis for explaining the syndrome. Hall et al4 proposed canalolithiasis because the first theory did not explain the different characteristics of BPPV. Some authors have compared cupulolithiasis with positional alcohol nystagmus (PAN) and since the former presents differently from PAN, they questioned the validity of cupulolithiasis. It seems that there are some differences between the two phenomena. On one hand, BPPV is a progressive phenomenon, the deposition of particles is limited to a small part of the cupula, and there is no direct central effect in cupulolithiasis. References 1. Barany R. Diagnose von kranheitsercheinungen in bereiche des otolithen apparatus . Acta Otolaryngol (Stockh) . 1921;2:434-437.Crossref 2. Dix MR, Hallpike CS. The pathology, symptomatology, and diagnosis of certain common disorders of the vestibular system . Proc R Soc Med . 1952;45: 341-354. 3. Schuknecht H. Cupulolithiasis . Arch Otolaryngol . 1969;90:765-778.Crossref 4. Hall S, Ruby R, McClure J. The mechanisms of benign paraxysmal vertigo . J Otolaryngol . 1979;8:15-58. 5. Brandt Th, Daroff RB. Physical therapy for benign paroxysmal positional vertigo . Arch Otorhinolaryngol . 1980;106:484-485.Crossref 6. Semont A, Freyss G, Vitte E. Curing the BPPV with a liberatory maneuver . Adv Otorhinolaryngol . 1988;42:290-293. 7. Epley JM. The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo . Otolaryngol Head Neck Surg . 1992;107:399-404. 8. Herdman SJ, Tusa RJ, Zee DS, Proctor LR, Mattox DE. Single treatment approaches to benign paroxysmal positional vertigo . Arch Otolaryngol Head Neck Surg . 1993;119:450-454.Crossref 9. Blakley BW. A randomized, controlled assessment of the canalith repositioning maneuver . Otolaryngol Head Neck Surg . 1994;110:391-396. 10. Moriarty B, Rutka J, Hanke M. The incidence and distribution of cupular deposits in the labyrinth . Laryngoscope . 1992;102:56-58.Crossref 11. Kveton JF, Kashgarian M. Particular matter within the membranous labyrinth: pathologic or normal? Am J Otol . 1994;15:173-176. 12. Lim DJ. Formation and fate of the otoconia: scanning and transmission electron microscopy . Ann Otol Rhinol Laryngol . 1973;82:23-35. 13. Harada Y, Sugimoto Y. Metabolic disorder of otoconia after streptomycin intoxication . Acta Otolaryngol (Stockh) . 1997;84:65-71.Crossref

Journal

Archives of Otolaryngology - Head & Neck Surgery – American Medical Association

Published: Feb 1, 1996

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