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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2018; 76(08): 534-538
DOI: 10.1590/0004-282X20180073
Article

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

Fençmeno Tumarkin-like como sinal de sucesso terapêutico na vertigem posicional paroxística benigna
Eliana T. Maranhão
1   Instituto Nacional do Câncer, Hospital do Câncer I, Departamento de Fisioterapia, Rio de Janeiro RJ, Brasil;
,
Susan L. Whitney
2   University of Pittsburgh, Department of Physical Therapy and Otolaryngology, Pittsburgh PA, United States;
,
Péricles Maranhão-Filho
3   Universidade Federal do Rio de Janeiro, Departamento de Neurologia, Rio de Janeiro RJ, Brasil
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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.

RESUMO

Objetivo: Descrever uma reação incomum dos pacientes às manobras utilizadas no tratamento da vertigem posicional paroxística benigna do canal posterior (VPPB-CP), a qual denominamos de fençmeno Tumarkin-like.

Métodos: Em uma clínica privada, 221 pacientes ambulatoriais foram diagnosticados e tratados para VPPB-CP. O tratamento consistiu em realizar as manobras de Epley ou de Semont. Ao término da manobra, ao serem colocados na posição sentado, as reações dos pacientes foram filmadas.

Resultados: Trinta e três pacientes apresentaram o fençmeno de Tumarkin-like, descrito como uma sensação súbita de ser jogado no chão. O acompanhamento mostrou que todos eles permaneceram sem sintomas de VPPB até pelo menos 72 horas após as manobras.

Conclusão: A ocorrência do fençmeno Tumarkin-like no final das manobras de Epley e Semont para VPPB-CP pode estar associado ao sucesso terapêutico.

Keywords:

benign paroxysmal positional vertigo, posterior semicircular canal - canalithiasis - vestibulolithiasis - treatment

Palavras-chave:

vertigem posicional paroxística benigna - canal semicircular posterior - canalitíase - litíase vestibular - tratamento


Publication History

Received: 29 March 2018

Accepted: 09 May 2018

Article published online:
23 August 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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