Blessing R, Strutz J, Beck C
Laryngol Rhinol Otol (Stuttg). 1986 Aug;65(8):455-8.
Every ninth patient with a previous history of vertigo at the ENT Hospital of the University of Freiburg suffers from BPPV. The incidence, some important pathogenetic factors and the clinical picture of BPPV are discussed. In young men posttraumatic aetiology dominates, whereas idiopathic BPPV prevails in perimenopausal women. The affected ear tends to be hard of hearing in the high frequencies and is sometimes hypoexcitable by caloric stimulation. The diagnosis is best made by personal examination with Frenzel's glasses in darkness. Electronystagmography, brainstem evoked response audiometry, and CT scanning are of no particular value in confirming the diagnosis of BPPV.
弗莱堡大学耳鼻喉医院每九名有眩晕病史的患者中就有一名患有良性阵发性位置性眩晕（BPPV）。本文讨论了BPPV的发病率、一些重要的发病因素及临床表现。在年轻男性中，创伤后病因占主导，而特发性BPPV在围绝经期女性中更为常见。患侧耳朵往往高频听力减退，有时对冷热刺激反应低下。诊断最好在黑暗中使用Frenzel眼镜进行个人检查。眼震电图、脑干诱发反应测听和CT扫描在确诊BPPV方面没有特别价值。
