Kutlubaev M A, Rakhmatullin A R
Bashkir State Medical University, Ufa, Russia; Kuvatov Republican Clinical Hospital, Ufa, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2019;119(12):139-142. doi: 10.17116/jnevro2019119121139.
Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of systemic vertigo in clinical practice. The results of recent research demonstrated the decrease of bone mineral density, level of vitamin D and estrogen in blood serum in patients with BPPV. In summary these data points at the relationship between osteoporosis/osteopenia and BPPV. This association is most obvious in menopausal women and in those with recurrent BPPV. Patients with recurrent BPPV should undergo investigation for osteoporosis/osteopenia. Treatment of bone-mineral metabolism allows decreasing the frequency of BPPV recurrence, however more research is needed in this area.
良性阵发性位置性眩晕(BPPV)是临床实践中系统性眩晕最常见的病因之一。近期研究结果表明,BPPV患者的骨密度、血清维生素D水平和雌激素水平均有所下降。综上所述,这些数据表明骨质疏松症/骨质减少与BPPV之间存在关联。这种关联在绝经后女性和复发性BPPV患者中最为明显。复发性BPPV患者应接受骨质疏松症/骨质减少的检查。骨矿物质代谢的治疗可降低BPPV复发的频率,然而该领域仍需更多研究。