Diagnosis of benign paroxysmal positional vertigo in Emergency Department: Our experience

  • Elisabetta Cristiano Ear Nose and Throat Unit, AORN Antonio Cardarelli Hospital, Naples, Italy.
  • Vincenzo Marcelli A.S.L. Napoli 1 Centro, Ospedale del Mare, Naples, Italy. https://orcid.org/0000-0003-1415-322X
  • Antonio Giannone Ear Nose and Throat Unit, AORN Antonio Cardarelli Hospital, Naples, Italy. https://orcid.org/0000-0002-8048-0950
  • Stefania De Luca | stefaniadeluca02@gmail.com Department of Mental and Physical Health and Preventive Medicine, University of Campania “Luigi Vanvitelli”, Naples, Italy.
  • Flavia Oliva Ear Nose and Throat Unit, AORN Antonio Cardarelli Hospital, Naples, Italy.
  • Roberto Varriale Department of Mental and Physical Health and Preventive Medicine, University of Campania “Luigi Vanvitelli”, Naples, Italy.
  • Giovanni Motta Department of Precision Medicine, University of Campania "L. Vanvitelli", Naples, Italy.
  • Fiorella Paladino Brief Emergency Department Observation, AORN Antonio Cardarelli Hospital, Naples, Italy.
  • Margherita Benincasa Brief Emergency Department Observation, AORN Antonio Cardarelli Hospital, Naples, Italy.
  • Marco Perrella U.O.S.C. TIPO – OTI Anesthetic Activity in Election, AORN Antonio Cardarelli Hospital, Naples, Italy.
  • Filippo Ricciardiello Ear Nose and Throat Unit, AORN Antonio Cardarelli Hospital, Naples, Italy. https://orcid.org/0000-0001-7235-2804

Abstract

The Benign Paroxysmal Positional Vertigo (BPPV) represents the first cause of peripheral vertigo in populations and it is determined by a displacement of otoconial fragments within the semicircular canals. Following the patient’s head movements, these fragments, moving by inertia, incorrectly stimulate the canals generating vertigo. The BPPV is diagnosable by observing the nystagmus that is generated in the patient following the Dix-Hallpike maneuver used for BPPV diagnosis of vertical semi-circular canal, and, following the supine head yaw test used for lateral semi-circular canal. Correctly identifying the origin of this specific peripheral vertigo, would mean to obtain a faster diagnosis and an immediate resolution of the problem for the patient. In this context, this study aims to identify precise training activities, aimed at the application of specific diagnostic maneuverers for algorithm decisions in support of medical personnel. The evaluations reported in this study refer to the data collected in the Emergency Department of the Cardarelli Hospital of Naples. The results obtained, over a six-month observation period, highlighted the advantages of the proposed procedures in terms of costs, time and number of BPPV diagnoses.

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Published
2020-07-10
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Original Articles
Keywords:
benign paroxysmal positional vertigo, emergency department, diagnostic algorithm
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How to Cite
Cristiano, E., Marcelli, V., Giannone, A., De Luca, S., Oliva, F., Varriale, R., Motta, G., Paladino, F., Benincasa, M., Perrella, M., & Ricciardiello, F. (2020). Diagnosis of benign paroxysmal positional vertigo in Emergency Department: Our experience. Audiology Research, 10(1). https://doi.org/10.4081/audiores.2020.232