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

Arq Neuropsiquiatr. 2018 Aug;76(8):534-538. doi: 10.1590/0004-282X20180073.

Abstract

Objectives: 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.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Benign Paroxysmal Positional Vertigo / physiopathology*
  • Benign Paroxysmal Positional Vertigo / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Positioning / methods*
  • Physical Therapy Modalities
  • Self Report
  • Semicircular Canals / physiopathology
  • Sensation / physiology
  • Sitting Position
  • Time Factors
  • Treatment Outcome