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The Epley maneuver or repositioning maneuver is a maneuver used by medical professionals to treat one common cause of vertigo, benign paroxysmal positional vertigo (BPPV) [1] [needs update] of the posterior or anterior canals of the ear. [2] The maneuver works by allowing free-floating particles, displaced otoconia, from the affected ...
Benign paroxysmal positional vertigo (BPPV) is a disorder arising from a problem in the inner ear. [3] Symptoms are repeated, brief periods of vertigo with movement, characterized by a spinning sensation upon changes in the position of the head. [1]
The inner ear (internal ear, auris interna) is the innermost part of the vertebrate ear. In vertebrates , the inner ear is mainly responsible for sound detection and balance. [ 1 ] In mammals , it consists of the bony labyrinth , a hollow cavity in the temporal bone of the skull with a system of passages comprising two main functional parts: [ 2 ]
An otolith (Ancient Greek: ὠτο-, ōto-ear + λῐ́θος, líthos, a stone), also called statoconium, otoconium or statolith, is a calcium carbonate structure in the saccule or utricle of the inner ear, specifically in the vestibular system of vertebrates. The saccule and utricle, in turn, together make the otolith organs.
History of difficult ear clearing or forced Valsalva manoeuvre: No history of eustachian tube dysfunction Low-risk dive profile: Depth >15 m, helium mixtures, helium to nitrogen gas switches, repetitive dives Isolated inner ear symptoms, or inner and middle ear on the same sides: Other neurological or dermatological symptoms suggestive of DCS
Perilymph and endolymph have unique ionic compositions suited to their functions in regulating electrochemical impulses of hair cells necessary for hearing. The electric potential of endolymph is ~80-90 mV more positive than perilymph due to a higher concentration of potassium cations (K +) in endolymph and higher sodium (Na +) in perilymph. [4]
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It also contains an inner membranous sleeve that lines the semicircular canals. The canals also contain the crista ampullaris. The receptor cells located in the semicircular ducts are innervated by the eighth cranial nerve, the vestibulocochlear nerve (specifically the vestibular portion).
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