使用问卷诊断良性阵发性位置性眩晕的亚型和患耳
Diagnosis of the subtype and affected ear of benign paroxysmal positional vertigo using a questionnaire.
作者信息
Higashi-Shingai Kayoko, Imai Takao, Kitahara Tadashi, Uno Atsuhiko, Ohta Yumi, Horii Arata, Nishiike Suetaka, Kawashima Takayuki, Hasegawa Taro, Inohara Hidenori
机构信息
Department of Otorhinolaryngology - Head and Neck Surgery, Osaka University Graduate School of Medicine, Japan.
出版信息
Acta Otolaryngol. 2011 Dec;131(12):1264-9. doi: 10.3109/00016489.2011.611535. Epub 2011 Sep 9.
CONCLUSION
The prediction of subtype and the affected ear of benign paroxysmal positional vertigo (BPPV) derived from the answers to our questionnaire can support the definitive diagnosis of BPPV.
OBJECTIVES
We examined to what extent the diagnosis of subtype and the affected ear of BPPV judged from answers to a questionnaire agreed with the diagnosis decided by the results of the positional nystagmus test.
METHODS
We asked the following questions: 'What kind of head movements induce vertigo?' and 'How long does the vertigo continue?'. As for the affected ear, we asked which ear was lower during stronger vertigo when induced in a supine position or during sleep.
RESULTS
The percentages of correct diagnosis speculated by the combined answers were 69% in posterior canal-type BPPV, 48% in BPPV with geotropic nystagmus, and 39% in BPPV with apogeotropic nystagmus. The percentage of correct diagnoses of the affected ear was more than 80%.
结论
通过我们问卷的回答来预测良性阵发性位置性眩晕（BPPV）的亚型和患耳，能够辅助BPPV的确切诊断。
目的
我们研究了根据问卷回答判断的BPPV亚型和患耳诊断结果与根据位置性眼震试验结果确定的诊断结果相符的程度。
方法
我们提出以下问题：“哪种头部运动诱发眩晕？”以及“眩晕持续多长时间？”。关于患耳，我们询问在仰卧位诱发强烈眩晕时或睡眠期间，哪只耳朵位置更低。
结果
综合回答推测的正确诊断百分比在后半规管型BPPV中为69%，在地向性眼震的BPPV中为48%，在背地性眼震的BPPV中为39%。患耳正确诊断的百分比超过80%。
Zotero 插件