書誌事項
- タイトル別名
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- The Secondary Phase Nystagmus of Positional Vertigo without Position Changes: A Case Report
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Introduction: In positional vertigo, spontaneous reversal of the initial positional nystagmus (the secondary phase nystagmus) is clinically rare without head position changes. We present herein a case of positional vertigo with the secondary phase nystagmus monitored and video-recorded using an infrared CCD camera.<br> Patient: A 65-year-old woman visited our otorhinolaryngological clinic with rotatory positional vertigo. At the initial visit, upbeat-torsional (counterclockwise) nystagmus induced by the head positional test was observed for>70s, with a latency of 2s; furthermore, the reversal of nystagmus was not observed when the head was moved back to the sitting position. Three days later, downbeat-torsional (clockwise) nystagmus induced by the head positional test was observed for 19s with a latency of 3s, and it was followed by reversal of initial positional nystagmus for 75s without head position changes.<br> Conclusion: The duration of positional nystagmus was>70s, and the reversal of nystagmus was not observed when the head was moved back to the sitting position. Therefore, we speculated that positional vertigo presumably involved canalolithiasis within the short-arm of the posterior canal. Further, we speculated that the secondary phase nystagmus was presumably due to the coexistence of long-arm type anterior canalolithiasis and short-arm type posterior canalolithiasis.
収録刊行物
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- Equilibrium Research
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Equilibrium Research 74 (3), 184-190, 2015
一般社団法人 日本めまい平衡医学会
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詳細情報 詳細情報について
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- CRID
- 1390282679925842176
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- NII論文ID
- 130005090991
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- ISSN
- 1882577X
- 03855716
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可