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Acta Oto-Laryngologica Volume 126, 2006 - Issue 7
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ORIGINAL ARTICLE: OTONEUROLOGY

Persistent geotropic nystagmus—a different kind of cupular pathology and its localizing signs

Johan BergeniusDepartment of Audiology, Karolinska University Hospital, Stockholm, SwedenCorrespondence[email protected]
&
Tatjana TomanovicDepartment of Audiology, Karolinska University Hospital, Stockholm, Sweden
Pages 698-704 | Published online: 27 Feb 2017

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Suzuyo Okazaki, Takao Imai, Kayoko Higashi-Shingai, Kazunori Matsuda, Noriaki Takeda, Tadashi Kitahara, Atsuhiko Uno, Arata Horii, Yumi Ohta, Tetsuo Morihana, Chisako Masumura, Suetaka Nishiike & Hidenori Inohara. (2017) Office-based differential diagnosis of transient and persistent geotropic positional nystagmus in patients with horizontal canal type of benign paroxysmal positional vertigo. Acta Oto-Laryngologica 137:3, pages 265-269.
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Chang-Hee Kim, Jung Eun Shin, Young Soo Yang & Donghyuk Im. (2016) Sudden sensorineural hearing loss with positional vertigo: Initial findings of positional nystagmus and hearing outcomes. International Journal of Audiology 55:10, pages 541-546.
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Toru Seo, Ko Shiraishi, Takaaki Kobayashi, Kitano Mutsukazu & Katsumi Doi. (2016) Clinical course of persistent geotropic direction-changing positional nystagmus with neutral position—Light cupula. Acta Oto-Laryngologica 136:1, pages 34-37.
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Tatjana Tomanovic & Béla Büki. (2016) The diagnostic framework of peripheral positional vertigo and dizziness (PPVD): a new concept based on the observation of alcohol-induced posterior canal light cupula. Acta Oto-Laryngologica Case Reports 1:1, pages 40-48.
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Jung Eun Shin, Kyung-Hwa Jeong, Sung Hwan Ahn & Chang-Hee Kim. (2015) Conversion between geotropic and apogeotropic persistent direction-changing positional nystagmus. Acta Oto-Laryngologica 135:12, pages 1238-1244.
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Tatjana Tomanovic & Johan Bergenius. (2014) Vestibular findings in patients with persistent geotropic positional nystagmus: the ‘light cupula’ phenomenon. Acta Oto-Laryngologica 134:9, pages 904-914.
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Tatjana Tomanovic & Johan Bergenius. (2013) Is the nystagmus pattern in hemi-labyrinthectomized subjects during positional alcohol nystagmus 2 similar to that found in patients with cupulolithiasis in the lateral semicircular canal?. Acta Oto-Laryngologica 133:8, pages 796-803.
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Kayoko Higashi-Shingai, Takao Imai, Tadashi Kitahara, Atsuhiko Uno, Yumi Ohta, Arata Horii, Suetaka Nishiike, Takayuki Kawashima, Taro Hasegawa & Hidenori Inohara. (2011) Diagnosis of the subtype and affected ear of benign paroxysmal positional vertigo using a questionnaire. Acta Oto-Laryngologica 131:12, pages 1264-1269.
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Tatjana Tomanovic & Johan Bergenius. (2011) Can the nystagmus pattern in patients with a ‘light cupula’ be reproduced in hemi-labyrinthectomized subjects during positional alcohol nystagmus 1?. Acta Oto-Laryngologica 131:9, pages 929-936.
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Articles from other publishers (45)

Dong-Han Lee, Tae Hee Kim, Minho Jang & Chang-Hee Kim. (2023) The Light Cupula Phenomenon: A Scoping Review. Brain Sciences 14:1, pages 15.
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Yixiang Bian, Yu Zhang, Junjie Gong & Yani Jiang. (2023) Pathological Study of Light Cupula Syndrome on a Visual Bionic Semicircular Canal. Journal of Biomechanical Engineering 145:12.
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Hao Peng, Liyi Wang, Haitao Song, Bo Gao, Yi Yang & Fan Lyu. (2023) Clinical Characteristics of persistent geotropic horizontal direction-changing positional nystagmus: Experience in 189 participants. Journal of Vestibular Research 33:3, pages 203-211.
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Dong-Han Lee & Chang-Hee Kim. (2023) Light Cupula: Recent Updates. Research in Vestibular Science 22:2, pages 23-33.
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Nimesh V. Nagururu, Armaan Akbar & Bryan K. Ward. (2022) Using magnetic resonance imaging to improve diagnosis of peripheral vestibular disorders. Journal of the Neurological Sciences 439, pages 120300.
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Darío H. Scocco, María A. Barreiro & Iván E. García. (2022) “Sitting-up vertigo as an expression of posterior semicircular canal heavy cupula and posterior semicircular canal short arm canalolithiasis”. Journal of Otology 17:2, pages 101-106.
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Sertac Yetiser & Dilay Ince. (2022) Analysis of persistent geotropic and apogeotropic positional nystagmus of the lateral canal benign paroxysmal positional vertigo. Journal of Otology 17:2, pages 90-94.
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Kohichiro Shigeno, Hideaki Ogita & Kazuo Funabiki. (2022) Variants of benign paroxysmal positional vertigo in relation to head position during sleep. Journal of Vestibular Research 32:1, pages 39-47.
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Go Sato, Kazunori Sekine, Takao Imai, Kazunori Matsuda & Noriaki Takeda. (2022) Pathophysiology of Benign Paroxysmal Positional Vertigo良性発作性頭位めまい症の病態解明. Practica oto-rhino-laryngologica. Suppl. 158:0, pages 29-36.
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Noriko Nagai, Yasuo Ogawa, Koji Otsuka & Taro Inagaki. (2021) A case of persistent direction-changing positional nystagmus仰臥位と腹臥位で眼振方向が変化した一例. Equilibrium Research 80:4, pages 271-276.
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Lihong Si, Bo ShenYuanzhe Li, Xia Ling, Kangzhi LiXu Yang. (2021) Clinical Characteristics of Patients with Persistent Apogeotropic and Persistent Geotropic Direction-Changing Positional Nystagmus. Journal of Clinical Neurology 17:3, pages 443.
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M.A. Kutlubaev. (2021) Clinical and pathogenetic aspects of positional nystagmus. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova 121:12, pages 123.
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Jiyeon Lee, Dong-Han Lee, Jung Eun Shin & Chang-Hee Kim. (2020) Positional Audiometry in Patients with Light Cupula: A Preliminary Study. Research in Vestibular Science 19:3, pages 89-94.
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Anudeep Joshi, Darshan Babu, Akhilesh Hari Prakash & Chandrashekara C V. (2020) Simulation of endolymph flow for response of cupula. Vibroengineering PROCEDIA 31, pages 86-90.
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Sung Kyun Kim, Sung Won Li & Seok Min Hong. (2019) Differences in the Head Roll Test, Bow and Lean Test, and Null Plane between Persistent and Transient Geotropic Direction-Changing Positional Nystagmus. Journal of Clinical Medicine 9:1, pages 73.
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Xiaowu Tang, Qiuhong Huang, Ling Chen, Peng Liu, Tianci Feng, Yongkang Ou & Yiqing Zheng. (2019) Clinical Findings in Patients With Persistent Positional Nystagmus: The Designation of “Heavy and Light Cupula”. Frontiers in Neurology 10.
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Chang-Hee Kim & Ngoc Chien Pham. (2019) Density difference between perilymph and endolymph: A new hypothesis for light cupula phenomenon. Medical Hypotheses 123, pages 55-59.
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Seung Sik Jeon, Sung Won Li, Sung Kyun Kim, Yong Bok Kim, Il-Seok Park & Seok Min Hong. (2018) Outcome of Canalith Repositioning Procedure in Patients with Persistent and Transient Geotropic Direction-Changing Positional Nystagmus: Short-term Follow-up Evaluation. Research in Vestibular Science 17:3, pages 109-115.
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Chang-Hee Kim & Seok Min Hong. (2018) Is the modified cupulolith repositioning maneuver effective for treatment of persistent geotropic direction-changing positional nystagmus?. European Archives of Oto-Rhino-Laryngology 275:7, pages 1731-1736.
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Seongjun Choi, Jung Eun Shin & Chang-Hee Kim. (2018) Positional Vertigo Showing Direction-Changing Positional Nystagmus after Chronic Otitis Media Surgery: Is It Benign Paroxysmal Positional Vertigo?. Research in Vestibular Science 17:1, pages 23-27.
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Min-Beom Kim, Seok Min Hong, Hyerang Choi, Seongjun Choi, Ngoc Chien Pham, Jung Eun Shin & Chang-Hee Kim. (2018) The Light Cupula: An Emerging New Concept for Positional Vertigo. Journal of Audiology and Otology 22:1, pages 1-5.
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Michael C. Schubert, Pamela M. Dunlap & Susan L. Whitney. (2017) A Case Study of High-Velocity, Persistent Geotropic Nystagmus: Is This BPPV?. Journal of Neurologic Physical Therapy 41:3, pages 182-186.
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Chang-Hee Kim, Yong Gyu Kim, Jung Eun Shin, Young Soo Yang & Donghyuk Im. (2016) Lateralization of horizontal semicircular canal canalolithiasis and cupulopathy using bow and lean test and head-roll test. European Archives of Oto-Rhino-Laryngology 273:10, pages 3003-3009.
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Hiroaki Ichijo. (2015) Neutral position of persistent direction-changing positional nystagmus. European Archives of Oto-Rhino-Laryngology 273:2, pages 311-316.
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D. Nuti, M. Masini & M. Mandalà. 2016. Neuro-Otology. Neuro-Otology 241 256 .
Jung Eun Shin & Chang-Hee Kim. (2015) Light cupula of the horizontal semicircular canal occurring alternately on both sides: a case report. BMC Ear, Nose and Throat Disorders 15:1.
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Yong Won Kim, Jung Eun Shin, Yong-Sik Lee & Chang-Hee Kim. (2015) Persistent Positional Vertigo in a Patient with Sudden Sensorineural Hearing Loss: A Case Report. Journal of Audiology and Otology 19:2, pages 104-107.
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Chang‐Hee Kim, Jung Eun Shin & Yong Won Kim. (2015) A new method for evaluating lateral semicircular canal cupulopathy. The Laryngoscope 125:8, pages 1921-1925.
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T. Imai, K. Matsuda, N. Takeda, A. Uno, T. Kitahara, A. Horii, S. Nishiike & H. Inohara. (2015) Light cupula: the pathophysiological basis of persistent geotropic positional nystagmus. BMJ Open 5:1, pages e006607-e006607.
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Kohichiro Shigeno. (2015) Characteristics of recurrent BPPV. Equilibrium Research 74:1, pages 34-40.
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Kohichiro Shigeno. (2015) Direction-changing positional nystagmus and lateral semicircular canal benign paroxysmal positional vertigo. Equilibrium Research 74:3, pages 228-237.
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Takao Imai. (2015) Duration of positional nystagmus in patients with horizontal canal type of benign paroxysmal positional vertigo. Equilibrium Research 74:3, pages 223-227.
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Toru Seo, Kazuya Saito & Katsumi Doi. (2015) Intractable Persistent Direction-Changing Geotropic Nystagmus Improved by Lateral Semicircular Canal Plugging. Case Reports in Otolaryngology 2015, pages 1-3.
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Chang-Hee Kim, Jung Eun Shin, Dong Hyuk Shin, Yong Won Kim & Jae Ho Ban. (2014) “Light cupula” involving all three semicircular canals: A frequently misdiagnosed disorder. Medical Hypotheses 83:5, pages 541-544.
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Corinna Lechner, Rachael L. Taylor, Chris Todd, Hamish MacDougall, Robbie Yavor, G. Michael Halmagyi & Miriam S. Welgampola. (2014) Causes and characteristics of horizontal positional nystagmus. Journal of Neurology 261:5, pages 1009-1017.
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Sun K. Lee, Su J. Kim, Moon S. Park & Jae Y. Byun. (2013) Otolith organ function according to subtype of benign paroxysmal positional vertigo. The Laryngoscope 124:4, pages 984-988.
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Hiroaki Ichijo. (2014) A 7-Year-Old Boy with Light Cupula of the Horizontal Semicircular Canal. International Journal of Otolaryngology and Head & Neck Surgery 03:02, pages 89-94.
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Kayoko Higashi-Shingai, Takao Imai, Yasumitsu Takimoto, Tadashi Kitahara, Arata Horii, Atsuhiko Uno, Suetaka Nishiike & Hidenori Inohara. (2014) Practical assessment of an interview sheet to diagnose benign paroxysmal positional vertigo. Equilibrium Research 73:1, pages 37-43.
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Daniele Nuti, Marco Mandalà & Lorenzo Salerni. 2014. Vestibular Migraine and Related Syndromes. Vestibular Migraine and Related Syndromes 143 157 .
Takao Imai. (2013) How to deal with the refractory horizontal canal type of benign paroxysmal positional vertigo. Equilibrium Research 72:6, pages 451-458.
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Kiyoshi Hiruma. (2013) A case of an acoustic neuroma showing persistent geotropic positional nystagmus. Equilibrium Research 72:1, pages 17-21.
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Takao Imai, Noriaki Takeda, Atsuhiko Uno, Arata Horii, Tadashi Kitahara, Suetaka Nishiike, Kayoko Higashi-Shingai & Hidenori Inohara. (2012) Benign paroxysmal positional vertigo showing sequential translations of four types of nystagmus. Auris Nasus Larynx 39:5, pages 544-548.
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Giacinto Asprella Libonati. (2012) Benign Paroxysmal Positional Vertigo and Positional Vertigo Variants. An International Journal of Otorhinolaryngology Clinics 4:1, pages 25-40.
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Paolo Vannucchi, Rudi Pecci & Beatrice Giannoni. (2012) Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo Presenting with Torsional Downbeating Nystagmus: An Apogeotropic Variant. International Journal of Otolaryngology 2012, pages 1-9.
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Seung-Han LeeJi Soo Kim. (2010) Benign Paroxysmal Positional Vertigo. Journal of Clinical Neurology 6:2, pages 51.
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