Tumarkin-like phenomenon as a sign of therapeutic success in benign paroxysmal positional vertigo

ABSTRACT Objective: To describe an unusual patient reaction to maneuvers used in the treatment of posterior canal benign paroxysmal positional vertigo (PC-BPPV) that we termed the “Tumarkin-like phenomenon”. Methods: At a private practice, 221 outpatients were diagnosed and treated for PC-BPPV. Th...

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Main Authors: Eliana T. Maranhão, Susan L. Whitney, Péricles Maranhão-Filho
Format: Article
Language:English
Published: Thieme Revinter Publicações
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000800534&lng=en&tlng=en
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author Eliana T. Maranhão
Susan L. Whitney
Péricles Maranhão-Filho
author_facet Eliana T. Maranhão
Susan L. Whitney
Péricles Maranhão-Filho
author_sort Eliana T. Maranhão
collection DOAJ
description ABSTRACT Objective: To describe an unusual patient reaction to maneuvers used in the treatment of posterior canal benign paroxysmal positional vertigo (PC-BPPV) that we termed the “Tumarkin-like phenomenon”. Methods: At a private practice, 221 outpatients were diagnosed and treated for PC-BPPV. The treatment consisted of performing the Epley or Semont maneuvers. At the end of these maneuvers, when assuming the sitting position, the patients’ reactions were recorded. Results: Thirty-three patients showed a Tumarkin-like phenomenon described by a self-reported sensation of suddenly being thrown to the ground. In the follow-up, this group of patients remained without PC-BPPV symptoms up to at least 72 hours after the maneuvers. Conclusion: The occurrence of a Tumarkin-like phenomenon at the end of Epley and Semont maneuvers for PC-BPPV may be linked with treatment success.
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issn 1678-4227
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publisher Thieme Revinter Publicações
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series Arquivos de Neuro-Psiquiatria
spelling doaj-art-94171f0e35294887a325deda66bcc25a2025-08-20T01:58:31ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-422776853453810.1590/0004-282x20180073S0004-282X2018000800534Tumarkin-like phenomenon as a sign of therapeutic success in benign paroxysmal positional vertigoEliana T. MaranhãoSusan L. WhitneyPéricles Maranhão-FilhoABSTRACT Objective: To describe an unusual patient reaction to maneuvers used in the treatment of posterior canal benign paroxysmal positional vertigo (PC-BPPV) that we termed the “Tumarkin-like phenomenon”. Methods: At a private practice, 221 outpatients were diagnosed and treated for PC-BPPV. The treatment consisted of performing the Epley or Semont maneuvers. At the end of these maneuvers, when assuming the sitting position, the patients’ reactions were recorded. Results: Thirty-three patients showed a Tumarkin-like phenomenon described by a self-reported sensation of suddenly being thrown to the ground. In the follow-up, this group of patients remained without PC-BPPV symptoms up to at least 72 hours after the maneuvers. Conclusion: The occurrence of a Tumarkin-like phenomenon at the end of Epley and Semont maneuvers for PC-BPPV may be linked with treatment success.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000800534&lng=en&tlng=enbenign paroxysmal positional vertigo, posterior semicircular canalcanalithiasisvestibulolithiasistreatment
spellingShingle Eliana T. Maranhão
Susan L. Whitney
Péricles Maranhão-Filho
Tumarkin-like phenomenon as a sign of therapeutic success in benign paroxysmal positional vertigo
Arquivos de Neuro-Psiquiatria
benign paroxysmal positional vertigo, posterior semicircular canal
canalithiasis
vestibulolithiasis
treatment
title Tumarkin-like phenomenon as a sign of therapeutic success in benign paroxysmal positional vertigo
title_full Tumarkin-like phenomenon as a sign of therapeutic success in benign paroxysmal positional vertigo
title_fullStr Tumarkin-like phenomenon as a sign of therapeutic success in benign paroxysmal positional vertigo
title_full_unstemmed Tumarkin-like phenomenon as a sign of therapeutic success in benign paroxysmal positional vertigo
title_short Tumarkin-like phenomenon as a sign of therapeutic success in benign paroxysmal positional vertigo
title_sort tumarkin like phenomenon as a sign of therapeutic success in benign paroxysmal positional vertigo
topic benign paroxysmal positional vertigo, posterior semicircular canal
canalithiasis
vestibulolithiasis
treatment
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000800534&lng=en&tlng=en
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AT susanlwhitney tumarkinlikephenomenonasasignoftherapeuticsuccessinbenignparoxysmalpositionalvertigo
AT periclesmaranhaofilho tumarkinlikephenomenonasasignoftherapeuticsuccessinbenignparoxysmalpositionalvertigo