Sussetto Massimo, Revol Rebecca, Busset Julien, Guinand Nils
Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, Département des neurosciences cliniques, Hôpitaux universitaires de Genève, 1211 Genève 14.
Swiss Foundation for Innovation and Training in Surgery, Hôpitaux universitaires de Genève, 1211 Genève 14.
Rev Med Suisse. 2022 Oct 5;18(798):1848-1854. doi: 10.53738/REVMED.2022.18.798.1848.
Benign paroxysmal positional vertigo (BPPV) is a very frequent cause of vertigo. BPPV occurs when there is a pathological presence of otolith debris in the semicircular canals. The history of BPPV is often typical, with recurrent episodes of vertigo lasting less than one minute, triggered by head movements, without other neurological signs. The characteristics of the nystagmus observed during the diagnostic maneuvers of Hallpike and Supine Head Roll test allow the identification of the affected semicircular canal and the choice of the appropriate therapeutic maneuver, which in most cases will lead to recovery. This article presents the diagnostic and therapeutic maneuvers.
良性阵发性位置性眩晕（BPPV）是眩晕的常见病因。当半规管内存在耳石碎片的病理状态时，就会发生BPPV。BPPV的病史通常具有典型性，表现为反复出现持续时间少于1分钟的眩晕发作，由头部运动诱发，且无其他神经体征。在Hallpike试验和仰卧头滚试验的诊断操作过程中观察到的眼球震颤特征，有助于确定受影响的半规管，并选择合适的治疗方法，大多数情况下可实现康复。本文介绍了诊断和治疗方法。
