Early diagnosis of central disorders mimickig hornizontal canal cupulolithiasis

[EN]Abstract: Background: Horizontal Canal Cupulolithiasis (hc-BPPV-cu) can mimic a pathology of central origin, so a careful examination is essential to prevent misdiagnosis. Methods: Retrospective cross-sectional cohort study of 45 patients suffering from suspected hc-BPPV-cu. We recorded whether...

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Detalhes bibliográficos
Autores: Peña Navarro, Paula, Pachecho López, Sofía, Almeida Ayerve, Cristina Nicole, Marcos Alonso, Susana, Serradilla López, José Manuel, Santa Cruz Ruiz, Santiago, Gómez Sánchez, José Carlos, Kaski, Diego, Batuecas Caletrio, Ángel
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Recursos:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:gredos.usal.es:10366/163541
Acesso em linha:http://hdl.handle.net/10366/163541
Access Level:acceso abierto
Palavra-chave:Benign paroxysmal positional vertigo
Horizontal semicircular canal
Central positional nystagmus
Differential diagnosis
Diagnosis, Differential
Vertigo
vértigo
diagnóstico diferencial
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spelling Early diagnosis of central disorders mimickig hornizontal canal cupulolithiasisPeña Navarro, PaulaPachecho López, SofíaAlmeida Ayerve, Cristina NicoleMarcos Alonso, SusanaSerradilla López, José ManuelSanta Cruz Ruiz, SantiagoGómez Sánchez, José CarlosKaski, DiegoBatuecas Caletrio, ÁngelBenign paroxysmal positional vertigoHorizontal semicircular canalCentral positional nystagmusDifferential diagnosisDiagnosis, DifferentialVertigovértigodiagnóstico diferencial[EN]Abstract: Background: Horizontal Canal Cupulolithiasis (hc-BPPV-cu) can mimic a pathology of central origin, so a careful examination is essential to prevent misdiagnosis. Methods: Retrospective cross-sectional cohort study of 45 patients suffering from suspected hc-BPPV-cu. We recorded whether patients first presented through an ENT Emergency Department (ED) or through an Outpatient Otolaryngology Clinic (OC). Results: We found statistically significant differences (p < 0.05) between the OC versus the ED in relation to the time between symptom onset and first assessment (79.7 vs. 3.6 days, respectively), the number of therapeutic maneuvers (one maneuver in 62.5% vs. 75.9%, and more than one in 25.1% vs. 13.7%), and multi-canal BPPV rate (43.8% vs. 3.4%). hc-BPPV-cu did not resolve in 2 patients (12.5%) from the OC and in 3 (10.3%) from de ED, all of which showed central pathology. Discussion: There are no prior studies that analyze the approach to hc-BPPV-cu in the ED. The benefits of early specialist input are early identification of central positional nystagmus, a decrease in symptom duration, reduced number of therapeutic maneuvers required for symptom resolution, and lower rates of iatrogenic multi-canal BPPV. Conclusion: A comprehensive approach to hc-BPPV-cu in the ED allows both more effective treatment and early identification of central disorder mimics.MDPI202520252023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://hdl.handle.net/10366/163541reponame:GREDOS. Repositorio Institucional de la Universidad de Salamancainstname:Universidad de Salamanca (USAL)Inglésinfo:eu-repo/semantics/openAccessoai:gredos.usal.es:10366/1635412026-06-07T06:28:51Z
dc.title.none.fl_str_mv Early diagnosis of central disorders mimickig hornizontal canal cupulolithiasis
title Early diagnosis of central disorders mimickig hornizontal canal cupulolithiasis
spellingShingle Early diagnosis of central disorders mimickig hornizontal canal cupulolithiasis
Peña Navarro, Paula
Benign paroxysmal positional vertigo
Horizontal semicircular canal
Central positional nystagmus
Differential diagnosis
Diagnosis, Differential
Vertigo
vértigo
diagnóstico diferencial
title_short Early diagnosis of central disorders mimickig hornizontal canal cupulolithiasis
title_full Early diagnosis of central disorders mimickig hornizontal canal cupulolithiasis
title_fullStr Early diagnosis of central disorders mimickig hornizontal canal cupulolithiasis
title_full_unstemmed Early diagnosis of central disorders mimickig hornizontal canal cupulolithiasis
title_sort Early diagnosis of central disorders mimickig hornizontal canal cupulolithiasis
dc.creator.none.fl_str_mv Peña Navarro, Paula
Pachecho López, Sofía
Almeida Ayerve, Cristina Nicole
Marcos Alonso, Susana
Serradilla López, José Manuel
Santa Cruz Ruiz, Santiago
Gómez Sánchez, José Carlos
Kaski, Diego
Batuecas Caletrio, Ángel
author Peña Navarro, Paula
author_facet Peña Navarro, Paula
Pachecho López, Sofía
Almeida Ayerve, Cristina Nicole
Marcos Alonso, Susana
Serradilla López, José Manuel
Santa Cruz Ruiz, Santiago
Gómez Sánchez, José Carlos
Kaski, Diego
Batuecas Caletrio, Ángel
author_role author
author2 Pachecho López, Sofía
Almeida Ayerve, Cristina Nicole
Marcos Alonso, Susana
Serradilla López, José Manuel
Santa Cruz Ruiz, Santiago
Gómez Sánchez, José Carlos
Kaski, Diego
Batuecas Caletrio, Ángel
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Benign paroxysmal positional vertigo
Horizontal semicircular canal
Central positional nystagmus
Differential diagnosis
Diagnosis, Differential
Vertigo
vértigo
diagnóstico diferencial
topic Benign paroxysmal positional vertigo
Horizontal semicircular canal
Central positional nystagmus
Differential diagnosis
Diagnosis, Differential
Vertigo
vértigo
diagnóstico diferencial
description [EN]Abstract: Background: Horizontal Canal Cupulolithiasis (hc-BPPV-cu) can mimic a pathology of central origin, so a careful examination is essential to prevent misdiagnosis. Methods: Retrospective cross-sectional cohort study of 45 patients suffering from suspected hc-BPPV-cu. We recorded whether patients first presented through an ENT Emergency Department (ED) or through an Outpatient Otolaryngology Clinic (OC). Results: We found statistically significant differences (p < 0.05) between the OC versus the ED in relation to the time between symptom onset and first assessment (79.7 vs. 3.6 days, respectively), the number of therapeutic maneuvers (one maneuver in 62.5% vs. 75.9%, and more than one in 25.1% vs. 13.7%), and multi-canal BPPV rate (43.8% vs. 3.4%). hc-BPPV-cu did not resolve in 2 patients (12.5%) from the OC and in 3 (10.3%) from de ED, all of which showed central pathology. Discussion: There are no prior studies that analyze the approach to hc-BPPV-cu in the ED. The benefits of early specialist input are early identification of central positional nystagmus, a decrease in symptom duration, reduced number of therapeutic maneuvers required for symptom resolution, and lower rates of iatrogenic multi-canal BPPV. Conclusion: A comprehensive approach to hc-BPPV-cu in the ED allows both more effective treatment and early identification of central disorder mimics.
publishDate 2023
dc.date.none.fl_str_mv 2023
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10366/163541
url http://hdl.handle.net/10366/163541
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:GREDOS. Repositorio Institucional de la Universidad de Salamanca
instname:Universidad de Salamanca (USAL)
instname_str Universidad de Salamanca (USAL)
reponame_str GREDOS. Repositorio Institucional de la Universidad de Salamanca
collection GREDOS. Repositorio Institucional de la Universidad de Salamanca
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812455

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