良性阵发性位置性眩晕而无眼震：诊断与治疗。
Benign paroxysmal positional vertigo without nystagmus: diagnosis and treatment.
机构信息
Pontifícia Universidade Católica de Goiás.
出版信息
Braz J Otorhinolaryngol. 2011 Nov-Dec;77(6):799-804. doi: 10.1590/S1808-86942011000600018.
UNLABELLED
Nystagmus tests to diagnose BPPV are still relevant in the clinical evaluation of BPPV. However, in everyday practice, there are cases of vertigo caused by head movements, which do not follow this sign in the Dix-Hallpike maneuver and the turn test.
AIM
To characterize BPPV without nystagmus and treatment for it.
MATERIALS AND METHODS
A non-systematic review of diagnosis and treatment of benign paroxysmal positional vertigo (BPPV) without nystagmus in the PubMed, SciELO, Cochrane, BIREME, LILACS and MEDLINE databases in the years between 2001 and 2009.
RESULTS
We found nine papers dealing with BPPV without nystagmus, whose diagnoses were based solely on clinical history and physical examination. The treatment of BPPV without nystagmus was made by Epley maneuvers, Sémont, modified releasing for posterior semicircular canal and Brandt-Daroff exercises.
CONCLUSION
From 50% to 97.1% of the patients with BPPV without nystagmus had symptom remission, while patients with BPPV with nystagmus with symptom remission ranged from 76% to 100%. These differences may not be significant, which points to the need for more studies on BPPV without nystagmus.
未引出眼震的良性阵发性位置性眩晕（BPPV）的诊断和治疗：非系统性综述
摘要：在 BPPV 的临床评估中，用于诊断 BPPV 的眼震测试仍然具有重要意义。然而，在日常实践中，存在由头部运动引起的眩晕病例，这些病例在 Dix-Hallpike 手法和转头试验中并不遵循这一征象。
目的：描述无眼震的 BPPV 并探讨其治疗方法。
材料和方法：对 2001 年至 2009 年间在 PubMed、SciELO、Cochrane、BIREME、LILACS 和 MEDLINE 数据库中进行的关于无眼震良性阵发性位置性眩晕（BPPV）的诊断和治疗的非系统性综述。
结果：我们共找到了 9 篇关于无眼震 BPPV 的文章，这些病例的诊断仅基于临床病史和体格检查。无眼震 BPPV 的治疗方法包括 Epley 手法、Sémont 复位法、后半规管改良复位法和 Brandt-Daroff 运动。
结论：50%至 97.1%的无眼震 BPPV 患者症状缓解，而有眼震 BPPV 患者的症状缓解率为 76%至 100%。这些差异可能没有统计学意义，这表明需要对无眼震 BPPV 进行更多的研究。
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