Nistagmo posicional downbeat: Uma revisão narrativa
DOI:
https://doi.org/10.34631/sporl.896Palavras-chave:
downbeat positional nystagmus, apogeotropic posterior canal, superior canal, paroxysmal positional vertigo, central dysfunctionResumo
Objectives: To review the pathophysiology, differential diagnosis and treatment of central and peripheral positional downbeat nystagmus.
Study design: Narrative review.
Material and Methods: A search on “positional downbeat nystagmus” based on evidence presented in peer-reviewed journals was conducted on Pubmed® and ScienceDirect®databases. Reference lists of retrieved articles were manually searched to identify further relevant literature, including reference books.
Results and Conclusions: Positional downbeat nystagmus is a rare entity attributed either to central pathology, for example posterior cerebellar lesions close to the midline, especially if the flocculus and paraflocculus are involved or the result of APC or AC BPPV. Nystagmus characteristics may be not sufficient to distinguish between the two entities. The conversion into a typical posterior canal BPPV by liberatory manoeuvres is the only criteria to diagnose a definitely peripheral APC or AC BPPV.
Referências
Macdonald NK, Kaski D, Saman Y, Al-Shaikh Sulaiman A. Central positional nystagmus: A systematic literature review. Front Neurol. 2017 Apr 20;8:141. doi: 10.3389/fneur.2017.00141
Kheradmand A, Zee DS. Cerebellum and ocular motor control. Front Neurol. 2011 Sep 1;2:53. doi: 10.3389/fneur.2011.00053.
Brandt T, Dieterich M. Vestibular Lesions of the Central Vestibular Pathways. In: Herdman SJ, Clendaniel RA. Vestibular Rehabilitation. 4th ed. New York: McGraw-Hill; 2014. p. 59-84.
Kaski D. Central Positional Vertigo. In: De Stefano A, Dispenza F, editors. Understanding Benign Paroxysmal Positional Vertigo. New Delhi: Jaypee; 2017. p. 64-71
Helminski JO. Peripheral Downbeat Positional Nystagmus: Apogeotropic Posterior Canal or Anterior Canal BPPV. J Neurol Phys Ther. 2019 Apr;43 Suppl 2:S8-S13. doi: 10.1097/NPT.0000000000000267.
Herdman SJ; Clendaniel R. Vestibular Rehabilitation. 4th ed. Philadelphia: F.A. Davis Company; 2014. 69-70 p.
El-Badry MM, Samy H, Kabel AM, Rafat FM, Sanyelbhaa H. Clinical criteria of positional vertical nystagmus in vestibular migraine. Acta Otolaryngol. 2017 Jul;137(7):720-722. doi: 10.1080/00016489.2017.1318220
Soto-Varela A, Rossi-Izquierdo M, Sánchez-Sellero I, Santos-Pérez S. Revised criteria for suspicion of non-benign positional vertigo. QJM. 2013 Apr;106(4):317-21. doi: 10.1093/qjmed/hct006.
Bertholon P, Bronstein AM, Davies RA, Rudge P. et al. Positional down beating nystagmus in 50 patients. J Neurol Neurosurg Psychiatry. 2002 Mar;72(3):366-72. doi: 10.1136/jnnp.72.3.366.
Strupp M, Thurtell MJ, Shaikh AG, Brandt T. et al. Pharmacotherapy of vestibular and ocular motor disorders, including nystagmus. J Neurol. 2011 Jul;258(7):1207-22. doi: 10.1007/s00415-011-5999-8.
Kremmyda O, Zwergal A, La Fougère C, Brandt T, Jahn K, Strupp M. 4-Aminopyridine suppresses positional nystagmus caused by cerebellar vermis lesion. J Neurol. 2013 Jan;260(1):321-3. doi: 10.1007/s00415-012-6737-6.
von Brevern M, Radtke A, Lezius F, Feldmann M. et al. Epidemiology of benign paroxysmal positional vertigo: A population based study. J Neurol Neurosurg Psychiatry. 2007 Jul;78(7):710-5. doi: 10.1136/jnnp.2006.100420.
Guerra-Jiménez G, Arenas Rodríguez A, Falcón González JC, Pérez Plasencia D. et al. Epidemiology of vest
ibular disorders in the otoneurology unit. Acta Otorrinolaringol Esp. Nov-Dec 2017;68(6):317-322. doi: 10.1016/j.otorri.2017.01.007.
Bruintjes TD, van der Zaag-Loonen HJ, Eggelmeijer F, van Leeuwen RB.The prevalence of benign paroxysmal positional vertigo in patients with osteoporosis. Eur Arch Otorhinolaryngol. 2018 Dec;275(12):3083-3086. doi: 10.1007/s00405-018-5164-4.
von Brevern M, Seelig T, Neuhauser H, Lempert T. Benign paroxysmal positional vertigo predominantly affects the right labyrinth. J Neurol Neurosurg Psychiatry. 2004 Oct;75(10):1487-8. doi: 10.1136/jnnp.2003.031500.
Ahn SK, Jeon SY, Kim JP, Park JJ et al. Clinical characteristics and treatment of benign paroxysmal positional vertigo after traumatic brain injury. J Trauma . 2011 Feb;70(2):442-6. doi: 10.1097/TA.0b013e3181d0c3d9.
Prokopakis EP, Chimona T, Tsagournisakis M, Christodoulou P. et al. Benign paroxysmal positional vertigo: 10-Year experience in treating 592 patients with canalith repositioning procedure. Laryngoscope. 2005 Sep;115(9):1667-71. doi: 10.1097/01.mlg.0000175062.36144.b9.
Califano L, Salafia F, Mazzone S, Melillo MG, Califano M. Anterior canal BPPV and apogeotropic posterior canal BPPV: two rare forms of vertical canalolithiasis. Acta Otorhinolaryngol Ital. 2014 Jun;34(3):189-97. Available from: https://www.actaitalica.it/issues/2014/3-2014/06-califano.pdf
Büki B, Mandalà M, Nuti D. Typical and atypical benign paroxysmal positional vertigo: Literature review and new theoretical considerations. J Vestib Res. 2014;24(5-6):415-23. doi: 10.3233/VES-140535.
Dispenza F, De Stefano A. Complex forms of Understanding Benign Paroxysmal Positional Vertigo. In: De Stefano A, Dispenza F, editors. Understanding Benign Paroxysmal Positional Vertigo. New Delhi: Jaypee; 2017. p. 146-192.
Zapala DA. Down-beating nystagmus in anterior canal benign paroxysmal positional vertigo. J Am Acad Audiol. 2008 Mar;19(3):257-66. doi: 10.3766/jaaa.19.3.10.
Vannucchi P, Pecci R, Giannoni B, Di Giustino F, Santimone R, Mengucci A. Apogeotropic posterior semicircular canal benign paroxysmal positional vertigo: Some clinical and therapeutic considerations. Audiol Res. 2015 Mar 31;5(1):130. doi: 10.4081/audiores.2015.130.
Castellucci A, Malara P, Delmonte S, Ghidini A. A Possible Role of Video-Head Impulse Test in Detecting Canal Involvement in Benign Paroxysmal Positional Vertigo Presenting with Positional Downbeat Nystagmus. Otol Neurotol. 2020 Mar;41(3):386-391. doi: 10.1097/MAO.0000000000002500.
Perez-Fernandez N, Martinez-Lopez M, Manrique-Huarte R. Vestibulo-ocular reflex in patients with superior semicircular canal benign paroxysmal positional vertigo (BPPV). Acta Otolaryngol. 2014 May;134(5):485-90. doi: 10.3109/00016489.2013.871750.
Xu H, Liang FY, Chen L, Song XC. et al. Evaluation of the utricular and saccular function using oVEMPs and cVEMPs in BPPV patients. J Otolaryngol Head Neck Surg. 2016 Feb 9;45:12. doi: 10.1186/s40463-016-0125-7.
von Brevern M, Bertholon P, Brandt T, Fife T, Imai T, Nuti D. et al. Benign paroxysmal positional vertigo: Diagnostic criteria. J Vestib Res. 2015;25(3-4):105-17. doi: 10.3233/VES-150553.
Honrubia V, Baloh RW, Harris MR, Jacobson KM. Paroxysmal positional vertigo syndrome. Am J Otol. 1999 Jul;20(4):465-70.
Califano L, Capparuccia PG, Di Maria D, Melillo MG, Villari D. Treatment of benign paroxysmal positional vertigo of posterior semicircular canal by “Quick Liberatory Rotation Manoeuvre”. Acta Otorhinolaryngol Ital. 2003 Jun;23(3):161-7.
Rahko T. The test and treatment methods of benign paroxysmal positional vertigo and an addition to the management of vertigo due to the superior vestibular canal (BPPV-SC). Clin Otolaryngol Allied Sci. 2002 Oct;27(5):392-5. doi: 10.1046/j.1365-2273.2002.00602.x.
Crevits L. Treatment of anterior canal benign paroxysmal positional vertigo by a prolonged forced position procedure. J Neurol Neurosurg Psychiatry. 2004 May;75(5):779-81. doi: 10.1136/jnnp.2003.025478.
Kim YK, Shin JE, Chung JW. The effect of canalith repositioning for anterior semicircular canal canalithiasis. ORL J Otorhinolaryngol Relat Spec. 2005;67(1):56-60. doi: 10.1159/000084336.
Yacovino DA, Hain TC, Gualtieri F. New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo. J Neurol. 2009 Nov;256(11):1851-5. doi: 10.1007/s00415-009-5208-1.
Anagnostou E, Kouzi I, Spengos K. Diagnosis and Treatment of Anterior-Canal Benign. J Clin Neurol. 2015 Jul;11(3):262-7. doi: 10.3988/jcn.2015.11.3.262.
Ling X, Li KZ, Shen B, Si LH, Hong Y, Yang X. Diagnosis and treatment of anterior canal benign paroxysmal positional vertigo. Int J Audiol. 2018 Sep;57(9):673-680. doi: 10.1080/14992027.2018.1472397.
Bronstein AM, Miller DH, Rudge P, Kendall BE. Down beating nystagmus: Magnetic resonance imaging and neuro-otological findings. J J Neurol Sci. 1987 Nov;81(2-3):173-84. doi: 10.1016/0022-510x(87)90094-3.
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Direitos de Autor (c) 2021 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
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