Guo Xiangdong, Wang Qinglin, Mei Xiangsheng, Zhang Zhicheng, Yang Xiao, He Peiju
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 May;29(10):925-7.
To compare the clinical features and outcomes of benign paroxysmal positional vertigo (BPPV) associated with Meniere's disease and idiopathic BPPV.
Reviewing the clinical records of 372 patients with BPPV, 289 patients with idiopathic BPPV and 36 patients with BPPV accompanied by Meniere's disease and were enrolled in this study. All patients were diagnosed by using the Dix-Hallpike test or roll test and treated with the canalith repositioning procedure. The outcomes were compared between the two groups.
The patients with BPPV associated with Meniere's disease presented the following features, in which they differed from the patients with idiopathic BPPV (P < 0.05): (1) a higher percentage of female patients; (2) a longer duration of symptoms; (3) frequent involvement of the horizontal semicircular canal; (4) a greater incidence of canal paresis; (5) more therapeutic sessions needed for cure and a higher rate of recurrence.
The BPPV associated with Meniere's disease differs from idiopathic BPPV in clinical features, treatment response recurrence tendency.
比较梅尼埃病相关性良性阵发性位置性眩晕（BPPV）与特发性BPPV的临床特征及治疗结果。
回顾372例BPPV患者的临床记录，其中289例为特发性BPPV患者，36例为合并梅尼埃病的BPPV患者纳入本研究。所有患者均通过Dix-Hallpike试验或滚转试验进行诊断，并采用管石复位法进行治疗。比较两组的治疗结果。
梅尼埃病相关性BPPV患者具有以下与特发性BPPV患者不同的特征（P < 0.05）：（1）女性患者比例较高；（2）症状持续时间较长；（3）水平半规管受累频繁；（4）管麻痹发生率较高；（5）治愈所需治疗次数较多且复发率较高。
梅尼埃病相关性BPPV与特发性BPPV在临床特征、治疗反应及复发倾向方面存在差异。
