Maslovara Sinisa, Kosec Andro, Pajic Matic Ivana, Sestak Anamarija
Department of Otorhinolaryngology, National Memorial Hospital Vukovar, Vukovar, Croatia.
Department of Otorhinolaryngology Neurosurgery and Radiology, Faculty of Dental Medicine and Health, "Josip Juraj Strossmayer University" of Osijek, Osijek, Croatia.
Case Rep Otolaryngol. 2021 Sep 6;2021:8636676. doi: 10.1155/2021/8636676. eCollection 2021.
A rare case of a 38-year-old female patient who developed benign paroxysmal positional vertigo (BPPV) three weeks after head trauma is presented. The disease manifested bilaterally, which is not uncommon posttraumatically, but in this case, it manifested itself as canalithiasis of the posterior canal on both sides and cupulolithiasis of the right lateral canal, which to our knowledge is a unique and, until now, unpublished case. The aim of this review is to point out the fact that, in such a complex multicanal and bilateral clinical presentation of BPPV, it is not sufficient to perform only positioning but also additional laboratory tests. With a good knowledge of the etiopathogenesis, pathophysiology and clinical forms of BPPV, we can, in most cases, make an accurate and precise diagnosis of the disease and carry out appropriate treatment.
本文报告了一例罕见病例,一名38岁女性患者在头部外伤三周后出现良性阵发性位置性眩晕(BPPV)。该疾病双侧发病,外伤后出现这种情况并不罕见,但在本病例中,表现为双侧后半规管管石症和右侧水平半规管壶腹嵴顶结石症,据我们所知,这是一个独特的、迄今为止尚未发表的病例。本综述的目的是指出,在BPPV这种复杂的多管和双侧临床表现中,仅进行定位检查是不够的,还需要进行额外的实验室检查。通过充分了解BPPV的病因、病理生理和临床类型,我们在大多数情况下能够对该疾病做出准确而精确的诊断并进行适当的治疗。