良性阵发性位置性眩晕的复发和持续。
Benign paroxysmal positional vertigo recurrence and persistence.
机构信息
Graduate Program in Otorhinolaryngology and Head and Neck Surgery - UNIFESP-EPM, Brazil.
出版信息
Braz J Otorhinolaryngol. 2009 Jul-Aug;75(4):565-72. doi: 10.1016/s1808-8694(15)30497-3.
Abstract
UNLABELLED
Benign paroxysmal positional vertigo (BPPV) is one of the most common vestibular disorders.
AIM
To study the recurrence and persistence of BPPV in patients treated with canalith repositioning maneuvers (CRM) during the period of one year.
STUDY DESIGN
longitudinal contemporary cohort series.
MATERIALS AND METHODS
One hundred patients with BPPV were followed up during 12 months after a treatment with CRM. Patients were classified according to disease evolution. Aquatic physiotherapy for vestibular rehabilitation (APVR) protocol was applied in cases of persistent BPPV.
RESULTS
After CRM, 96% of the patients were free from BPPV's typical nystagmus and dizziness. During the follow up period of 1 year, 26 patients returned with typical BPPV nystagmus and vertigo. Nystagmus and vertigo were persistent in 4% of the patients. Persistent BPPV presented improvement when submitted to APVR.
CONCLUSION
During the period of one year, BPPV was not recurrent in 70% of the patients, recurrent in 26% and persistent in 4%.
摘要
未加标签
良性阵发性位置性眩晕（BPPV）是最常见的前庭障碍之一。
目的
研究采用管石复位手法（CRM）治疗后 1 年内 BPPV 患者的复发和持续情况。
研究设计
纵向同期队列研究。
材料和方法
100 例 BPPV 患者在接受 CRM 治疗后 12 个月内进行随访。根据疾病演变对患者进行分类。对于持续 BPPV，应用水疗前庭康复（APVR）方案。
结果
CRM 后，96%的患者的典型眼震和头晕消失。在 1 年的随访期间，26 例患者出现典型 BPPV 眼震和眩晕。4%的患者持续存在眩晕。持续 BPPV 经 APVR 治疗后有所改善。
结论
在 1 年的时间里，70%的患者 BPPV 未复发，26%的患者复发，4%的患者持续存在。
相似文献
1
Benign paroxysmal positional vertigo recurrence and persistence.良性阵发性位置性眩晕的复发和持续。
Braz J Otorhinolaryngol. 2009 Jul-Aug;75(4):565-72. doi: 10.1016/s1808-8694(15)30497-3.
2
Treatment of objective and subjective benign paroxysmal positional vertigo.客观性和主观性良性阵发性位置性眩晕的治疗
J Am Acad Audiol. 2013 Jul-Aug;24(7):600-6. doi: 10.3766/jaaa.24.7.8.
3
[Clinical value of dynamic posturography in the evaluation and rehabilitation of vestibular function of patients with benign paroxysmal positional vertigo].动态姿势描记术在良性阵发性位置性眩晕患者前庭功能评估及康复中的临床价值
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2010 Sep;45(9):732-6.
4
Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update).临床实践指南：良性阵发性位置性眩晕（更新版）
Otolaryngol Head Neck Surg. 2017 Mar;156(3_suppl):S1-S47. doi: 10.1177/0194599816689667.
5
First-referral presentations of patients with benign paroxysmal positional vertigo who were negative on positional testing and who lacked nystagmus.良性阵发性位置性眩晕患者首次转诊时，位置试验结果为阴性且无眼球震颤。
Eur Arch Otorhinolaryngol. 2015 Nov;272(11):3247-51. doi: 10.1007/s00405-014-3399-2. Epub 2014 Nov 22.
6
"Sitting-up vertigo as an expression of posterior semicircular canal heavy cupula and posterior semicircular canal short arm canalolithiasis".坐立位眩晕作为后半规管耳石症和后半规管短臂管结石症的一种表现
J Otol. 2022 Apr;17(2):101-106. doi: 10.1016/j.joto.2022.02.001. Epub 2022 Feb 16.
7
Effect of Self-treatment of Recurrent Benign Paroxysmal Positional Vertigo: A Randomized Clinical Trial.良性阵发性位置性眩晕自复位治疗效果的随机临床试验。
JAMA Neurol. 2023 Mar 1;80(3):244-250. doi: 10.1001/jamaneurol.2022.4944.
8
Outcome of canalith repositioning manoeuvre in benign paroxysmal positional vertigo in children and adolescents: A systematic review.良性阵发性位置性眩晕儿童和青少年管石复位手法治疗的效果：系统评价。
Clin Otolaryngol. 2023 May;48(3):371-380. doi: 10.1111/coa.14038. Epub 2023 Jan 20.
9
Effectiveness of the particle repositioning maneuver in benign paroxysmal positional vertigo with and without additional vestibular pathology.颗粒复位手法在伴有和不伴有其他前庭病变的良性阵发性位置性眩晕中的有效性。
Otol Neurotol. 2002 Jan;23(1):79-83. doi: 10.1097/00129492-200201000-00018.
10
Characteristics of assessment and treatment in Benign Paroxysmal Positional Vertigo (BPPV).良性阵发性位置性眩晕（BPPV）的评估和治疗特点。
J Vestib Res. 2020;30(1):55-62. doi: 10.3233/VES-190687.
引用本文的文献
1
Risk factors and a nomogram model for recurrence of benign paroxysmal positional vertigo: a multicenter cross-sectional study.良性阵发性位置性眩晕复发的危险因素及列线图模型：一项多中心横断面研究
Front Neurol. 2025 Apr 3;16:1542090. doi: 10.3389/fneur.2025.1542090. eCollection 2025.
2
Development and verification of a nomogram for recurrence risk of Benign Paroxysmal Positional Vertigo in middle-aged and older populations.中老年人群良性阵发性位置性眩晕复发风险列线图的构建与验证
Front Neurol. 2024 Dec 13;15:1483233. doi: 10.3389/fneur.2024.1483233. eCollection 2024.
3
Extreme Frequency of Benign Paroxysmal Positional Vertigo Recurrences Unexplained by Any Known Risk Factors: A Case Report.良性阵发性位置性眩晕反复发作的极端频率，无任何已知危险因素可解释：病例报告。
J Int Adv Otol. 2024 Jul 29;20(4):365-367. doi: 10.5152/iao.2024.231468.
4
Comparing Epley Maneuver, Betahistine, and Dimenhydrinate in the Treatment of Benign Paroxysmal Positional Vertigo: A Prospective Study.比较Epley手法、倍他司汀和茶苯海明治疗良性阵发性位置性眩晕的疗效：一项前瞻性研究。
Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):794-803. doi: 10.1007/s12070-023-04282-3. Epub 2023 Nov 13.
5
The relationship between psychological conditions and recurrence of benign paroxysmal positional vertigo: a retrospective cohort study.心理状况与良性阵发性位置性眩晕复发的关系：回顾性队列研究。
BMC Neurol. 2023 Mar 31;23(1):137. doi: 10.1186/s12883-023-03169-8.
6
Presence of Anxiety and Depression Symptoms Affects the First Time Treatment Efficacy and Recurrence of Benign Paroxysmal Positional Vertigo.焦虑和抑郁症状的存在影响首次发作的良性阵发性位置性眩晕的治疗效果及复发情况。
Front Neurol. 2018 Mar 21;9:178. doi: 10.3389/fneur.2018.00178. eCollection 2018.
7
Traumatic brain injury and vestibulo-ocular function: current challenges and future prospects.创伤性脑损伤与前庭眼动功能：当前挑战与未来展望
Eye Brain. 2016 Sep 6;8:153-164. doi: 10.2147/EB.S82670. eCollection 2016.
8
"Positive to Negative" Dix-Hallpike test and Benign Paroxysmal Positional Vertigo recurrence in elderly undergoing Canalith Repositioning Maneuver and Vestibular Rehabilitation.老年患者行半规管结石复位手法及前庭康复治疗时，“阳性转阴性”的Dix-Hallpike试验与良性阵发性位置性眩晕复发情况
Int Arch Otorhinolaryngol. 2016 Oct;20(4):344-352. doi: 10.1055/s-0036-1572528. Epub 2016 Feb 16.
9
Anxiety and depressive disorders in elderly with chronic dizziness of vestibular origin.患有前庭性慢性头晕的老年人的焦虑和抑郁障碍
Braz J Otorhinolaryngol. 2016 Mar-Apr;82(2):209-14. doi: 10.1016/j.bjorl.2015.04.015. Epub 2015 Oct 9.
10
Hyperinsulinemia and hyperglycemia: risk factors for recurrence of benign paroxysmal positional vertigo.高胰岛素血症与高血糖：良性阵发性位置性眩晕复发的危险因素。
Braz J Otorhinolaryngol. 2015 Jul-Aug;81(4):347-51. doi: 10.1016/j.bjorl.2014.09.008. Epub 2015 Jun 9.
本文引用的文献
1
[Brazilian version of the dizziness handicap inventory].[头晕残障量表巴西版]
Pro Fono. 2007 Jan-Apr;19(1):97-104. doi: 10.1590/s0104-56872007000100011.
2
Strategies to prevent recurrence of benign paroxysmal positional vertigo.预防良性阵发性位置性眩晕复发的策略。
Arch Otolaryngol Head Neck Surg. 2005 Apr;131(4):344-8. doi: 10.1001/archotol.131.4.344.
3
The pathology symptomatology and diagnosis of certain common disorders of the vestibular system.前庭系统某些常见病症的病理学症状及诊断
Proc R Soc Med. 1952 Jun;45(6):341-54. doi: 10.1177/003591575204500604.
4
Impact of treatment on health-related quality of life in patients with posterior canal benign paroxysmal positional vertigo.治疗对后半规管良性阵发性位置性眩晕患者健康相关生活质量的影响。
Otol Neurotol. 2003 Jul;24(4):637-41. doi: 10.1097/00129492-200307000-00018.
5
Treating vertigo with vestibular rehabilitation: results in 155 patients.采用前庭康复疗法治疗眩晕：155例患者的治疗结果
Rev Laryngol Otol Rhinol (Bord). 2002;123(1):61-5.
6
High-resolution three-dimensional magnetic resonance imaging of the vestibular labyrinth in patients with atypical and intractable benign positional vertigo.非典型性和顽固性良性阵发性位置性眩晕患者前庭迷路的高分辨率三维磁共振成像
ORL J Otorhinolaryngol Relat Spec. 2001 May-Jun;63(3):165-77. doi: 10.1159/000055734.
7
Dynamic water exercise in individuals with late poliomyelitis.
Arch Phys Med Rehabil. 2001 Jan;82(1):66-72. doi: 10.1053/apmr.2001.9626.
8
Variables affecting treatment in benign paroxysmal positional vertigo.影响良性阵发性位置性眩晕治疗的因素
Laryngoscope. 2000 Nov;110(11):1921-4. doi: 10.1097/00005537-200011000-00029.
9
Romberg's sign: development, adoption, and adaptation in the 19th century.闭目难立征：19世纪的发展、应用与适应
Neurology. 2000 Oct 24;55(8):1201-6. doi: 10.1212/wnl.55.8.1201.
10
Outcome analysis of individualized vestibular rehabilitation protocols.个性化前庭康复方案的疗效分析
Am J Otol. 2000 Jul;21(4):543-51.
Zotero 插件