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December 1, 1993Neurology

Horizontal semicircular canal variant of benign positional vertigo

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Authors

RBRobert W. BalohUniversity of California, Los AngelesKJKathleen M. JacobsonCalifornia Department of Public HealthVHVicente HonrubiaUniversity of California, Los Angeles

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Overview

Case series reveals direction-changing horizontal positional nystagmus in patients with episodic vertigo, indicating a horizontal semicircular canal variant of benign positional vertigo.

Key Points

  • To characterize the clinical features and quantitative oculographic patterns associated with a suspected horizontal semicircular canal variant of benign positional vertigo.
  • Evaluated clinical histories and neurological examinations in N=13 patients presenting with episodic positional vertigo.
  • Performed quantitative eye-movement recordings to assess direction-changing horizontal positional nystagmus during head turns to the right and left.
  • All patients exhibited nonfatiguing, direction-changing horizontal positional nystagmus that beat toward the right with rightward head turns and toward the left with leftward head turns.
  • Neurological examinations showed no central nervous system deficits, indicating a peripheral vestibular localization.
  • The clinical and oculographic profile is consistent with free-floating debris located within a single horizontal semicircular canal.

Cite This Study

Baloh et al. (1993) studied this question.

synapsesocial.com/papers/6a72c2e875498292b70bb84bhttps://doi.org/10.1212/wnl.43.12.2542
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Atypical posterior canal benign paroxysmal positional vertigo mimicking anterior canal involvement: a case series and review of the literature2026
  2. 2Pathophysiological Variants of Horizontal Semicircular Canal Benign Paroxysmal Positional Vertigo: Toward an Integrative Model Based on Otoconial Location and Cupular Dynamics2026
  3. 3A Case of Positional Vertigo and Nystagmus Caused by Cerebellar Pathology: The Role of Ocular Motor Testing2026
  4. 4Advances in Benign Paroxysmal Positional Vertigo: Updated Insights on Diagnostic Pitfalls and Management2026 · 1 citations
  5. 5Case Report: Keep your eyes open! Nystagmus guides atypical BPPV2024 · 4 citations