良性阵发性位置性眩晕的临床特征。
Clinical features of benign paroxysmal positional vertigo.
机构信息
Universidade Federal de São Paulo, Brazil.
出版信息
Braz J Otorhinolaryngol. 2009 Jul-Aug;75(4):502-6. doi: 10.1016/S1808-8694(15)30487-0.
UNLABELLED
Benign paroxysmal positioning vertigo (BPPV) is considered as the most common vestibular disease.
AIM
to evaluate the age, gender, type and site of the lesion, association with other vestibular diseases, progression, and recurrence in these patients.
MATERIAL AND METHOD
A retrospective series study. Data from medical reports of BPPV patients examined in series during the past six years were analyzed.
RESULTS
prevalences of BPPV were: at age 41-60 years (42.2 %); in females (62.8 %), wit nystagmus and positioning vertigo (81.3%); affecting the posterior canal (87%), unilateral (91.8 %), the right labyrinth (60.2%) - p<0.001). Due to canalithiasis (97.5%), idiopathic (74.8%), association with Menière's disease compared to other affections (55.4%); healing or recovery by means of the particle repositioning maneuver (77.9%); and possible recurrence (21.8% in a one-year follow-up period).
CONCLUSION
BPPV is characterized by its prevalence at age 41 to 60 years, in females, with nystagmus and positioning vertigo, involving mostly the posterior canal of the right labyrinth, associated with canalithiasis or idiopathic, associated with Menière's disease compared to other affections, healing or recovery by means of particle repositioning maneuver, and possible recurrence.
目的：评估这些患者的年龄、性别、病变类型和部位、与其他前庭疾病的关系、疾病进展和复发情况。
材料和方法：回顾性系列研究。分析了过去六年中一系列接受良性阵发性位置性眩晕（BPPV）检查的患者的病历报告中的数据。
结果：BPPV 的患病率为：41-60 岁（42.2%）；女性（62.8%），伴有眼球震颤和位置性眩晕（81.3%）；影响后管（87%），单侧（91.8%），右侧迷路（60.2%）-p<0.001）。由于耳石症（97.5%）、特发性（74.8%），与梅尼埃病相比，与其他疾病的关联（55.4%）；通过颗粒复位手法治愈或恢复（77.9%）；可能复发（在一年随访期间为 21.8%）。
结论：BPPV 的特征是在 41 至 60 岁之间的年龄段、女性、眼球震颤和位置性眩晕、主要涉及右侧迷路的后管、与耳石症或特发性相关、与梅尼埃病相比与其他疾病相关、通过颗粒复位手法治愈或恢复、可能复发。
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