Obrebowski Andrzej, Wiskirska-Woźnica Bozena, Maciejewska Barbara, Krzyzaniak Andrzej, Gajewska Marta
Katedra i Klinika Foniatrii i Audiologii AM im. K. Marcinkowskiego w Poznaniu.
Otolaryngol Pol. 2006;60(6):839-43.
The complaint of dizziness can be caused by a variety of disorders affecting central or peripheral vestibular system. Benign paroxysmal positional vertigo BPPV is the most common cause of vertigo. It is a syndrom characterized by short-lasted episodes of true vertigo, induced by a rapid head position change and associated with a positional, transient nystagmus. It is classically identified by the Dix-Hallpike test. Vestibular and audiology function tests are usually normal. Patient is succesfully treated with physical maneuvres (Canalith Repositioning Procedure CRP).
This raport presents eight patients (four are described in details) suffered from BPPV-PSC, hospitalized in the Department of Phoniatric and Audiology, Poznan University of Medical Sciences. Methods include laryngologic examination, audiology and vestibular tests, Dix-Hallpike'a maneuver.
All patients presented characteristic history and results of performed diagnostic tests. The efficacy of physical maneuvers were confirmed.
BPPV is usually easy to diagnose and physical maneuvers are very effective.
头晕的主诉可能由多种影响中枢或外周前庭系统的疾病引起。良性阵发性位置性眩晕（BPPV）是眩晕最常见的原因。它是一种以真性眩晕的短暂发作为特征的综合征，由快速的头部位置变化诱发，并伴有位置性、短暂性眼球震颤。经典的诊断方法是Dix-Hallpike试验。前庭和听力学功能测试通常正常。患者通过物理手法（半规管结石复位法，CRP）成功治愈。
本报告介绍了八例（详细描述了四例）在波兹南医科大学耳鼻喉科和听力学系住院的后半规管型BPPV患者。方法包括喉镜检查、听力学和前庭测试、Dix-Hallpike手法。
所有患者均呈现出特征性病史及所进行诊断测试的结果。证实了物理手法的有效性。
BPPV通常易于诊断，物理手法非常有效。
