Reversible Canalith Jam of the Horizontal Semicircular Canal Mimicking Cupulolithiasis

OBJECTIVE: To describe a case of benign paroxysmal positional vertigo (BPPV) resulting in reversible horizontal semicircular canalith jam successfully treated with horizontal canal occlusion. A brief literature review of similar cases was performed.

METHODS: Case report and literature review.

RESULTS: A 68-year-old female presented with apogeotropic positional nystagmus, attributed to reversible horizontal canalith jam mimicking cupulolithiasis that was refractory to tailored repositioning maneuvers across months. She was unable to work due to the severity of her symptoms. She underwent surgical occlusion of the affected canal with immediate resolution of her symptoms. A literature review revealed similar cases of canalith jam mimicking cupulolithiasis.

CONCLUSIONS: Reversible canalith jam, in which particles moving with horizontal head position alternate between obstructing the semicircular canal and resting on the cupula, can mimic signs of cupulolithiasis. This variant of BPPV can be effectively managed with surgical canal occlusion should symptoms fail to resolve after tailored repositioning maneuvers.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:130

Enthalten in:

The Annals of otology, rhinology, and laryngology - 130(2021), 11 vom: 24. Nov., Seite 1213-1219

Sprache:

Englisch

Beteiligte Personen:

Kalmanson, Olivia A [VerfasserIn]
Aasen, Davis M [VerfasserIn]
Gubbels, Samuel P [VerfasserIn]
Foster, Carol A [VerfasserIn]

Links:

Volltext

Themen:

Benign paroxysmal positional vertigo
Canalith jam
Case Reports
Cupulolithiasis
Journal Article
Neurotology
Otologic surgical procedures

Anmerkungen:

Date Completed 05.10.2021

Date Revised 26.04.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/00034894211007245

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM323693717