梅尼埃病中的短暂性跌倒发作。

Short-lasting drop attacks in Meniere's disease.

作者信息

Kentala E, Havia M, Pyykkö I

机构信息

Department of Otolaryngology, Helsinki University Central Hospital, Finland.

出版信息

Otolaryngol Head Neck Surg. 2001 May;124(5):526-30. doi: 10.1067/mhn.2001.115169.

DOI:10.1067/mhn.2001.115169

PMID:11337657

Abstract

OBJECTIVES

To study the vertigo attacks known as Tumarkin attacks or drop attacks (DA). DA are characterized by sudden loss of balance with or without falls but with preserved consciousness, and they are supposedly triggered by changes in the otolith function of Meniere's disease (MD).

STUDY DESIGN AND SETTING

Data from 243 consecutive MD patients were collected into a database of an otoneurologic expert system.

RESULTS

DA was experienced by 72% (n = 173) of the patients with MD. It correlated with visually provoked vertigo. Gait difficulties, tinnitus, and anxiety were more common in the DA group. Long lasting vertigo attacks were more frequently provoked in the DA subjects by physical strain (58% vs 14%), head movements or changes in head position (71% vs 48%), pressure changes (54% vs 12%), or rapid movements in visual surroundings (65% vs 35%) than in the non-DA subjects.

CONCLUSION

DA are common in MD patients. The abrupt occurrence of DA make them poorly tolerated.

SIGNIFICANCE

DA are more common in advanced MD.

摘要

目的

研究被称为图尔马金发作或跌倒发作（DA）的眩晕发作。DA的特征是突然失去平衡，伴或不伴有跌倒，但意识保持清醒，据推测是由梅尼埃病（MD）的耳石功能变化引发的。

研究设计与背景

将243例连续性MD患者的数据收集到一个耳神经学专家系统的数据库中。

结果

72%（n = 173）的MD患者经历过DA。它与视觉诱发性眩晕相关。DA组步态困难、耳鸣和焦虑更为常见。与非DA受试者相比，身体劳累（58%对14%）、头部运动或头部位置变化（71%对48%）、压力变化（54%对12%）或视觉环境中的快速运动（65%对35%）更常诱发DA受试者出现长时间眩晕发作。