Kumar Vivek, Bhavana Kranti
Department of ENT, AIIMS, Patna, Patna, India.
Patna, India.
Indian J Otolaryngol Head Neck Surg. 2019 Nov;71(Suppl 2):1258-1265. doi: 10.1007/s12070-018-1296-5. Epub 2018 Mar 13.
Nepal and adjoining areas of India suffered a series of massive earthquakes in April-May 2015. This was followed by a remarkable increase in the patient presenting with vague dizziness like features which could not be attributed to any defined variant of vestibular disorder. Extensive search of literature revealed only scarce information about ambiguous post-earthquake vestibular symptoms and their management. We performed a detailed epidemiological analysis of these patients to analyse the presentation, underlying mechanism and optimal management. The results were scrutinised in light of existing international literature. We observed that earthquake precipitated a psychological stress like event that provoked features of disequilibrium and the neuroanatomical basis of the proposition was explored. We renounce the hypothesis of Secondary BPPV precipitated by earthquake leading to symptoms. The results were interpreted from the perspective of Indian scenario and its utility in post-earthquake disaster management in our country has been highlighted.
2015年4月至5月期间，尼泊尔及印度毗邻地区遭受了一系列强烈地震。随后，出现类似模糊头晕症状的患者显著增加，这些症状无法归因于任何明确的前庭疾病变体。广泛查阅文献发现，关于地震后模糊的前庭症状及其治疗的信息非常稀少。我们对这些患者进行了详细的流行病学分析，以分析其表现、潜在机制和最佳治疗方法。并根据现有国际文献对结果进行了审查。我们观察到，地震引发了类似心理压力的事件，诱发了失衡症状，并探讨了这一观点的神经解剖学基础。我们摒弃了地震引发继发性良性阵发性位置性眩晕（BPPV）导致症状的假说。从印度的情况出发对结果进行了解读，并强调了其在我国地震后灾害管理中的作用。
