非典型后半规管良性阵发性位置性眩晕的缓解：短臂位置的推测证据。
Resolution of atypical posterior semicircular canal BPPV: evidence for putative short-arm location.
机构信息
Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, USA.
Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, USA
出版信息
BMJ Case Rep. 2023 May 29;16(5):e254579. doi: 10.1136/bcr-2023-254579.
Abstract
This case demonstrates the successful identification and treatment of atypical posterior semicircular canal benign paroxysmal positional vertigo (BPPV) based on a unique presentation of positional nystagmus, the resultant nystagmus from repositioning manoeuvers, and restored function of the affected semicircular canal. This case illustrates the importance of completing a comprehensive clinical examination and the value for incorporating the video head impulse test as well as adjusting treatment based on testing and patient response when managing variant cases of BPPV.
摘要
本病例通过独特的位置性眼球震颤表现、变位试验引发的眼球震颤以及受累半规管功能的恢复，成功确定并治疗了非典型后半规管良性阵发性位置性眩晕（BPPV）。本病例说明了完成全面临床检查的重要性，并强调了在管理 BPPV 变异病例时，结合视频头脉冲测试以及根据测试和患者反应调整治疗的价值。
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本文引用的文献
1
The Role of Video Head Impulse Test (Vhit) in Diagnosing Benign Paroxysmal Positional Vertigo (BPPV).
Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):506-510. doi: 10.1007/s12070-020-02351-5. Epub 2021 Jan 8.
2
"Sitting-up vertigo as an expression of posterior semicircular canal heavy cupula and posterior semicircular canal short arm canalolithiasis".
J Otol. 2022 Apr;17(2):101-106. doi: 10.1016/j.joto.2022.02.001. Epub 2022 Feb 16.
3
Prevalence of and Theoretical Explanation for Type 2 Benign Paroxysmal Positional Vertigo.
J Neurol Phys Ther. 2022 Apr 1;46(2):88-95. doi: 10.1097/NPT.0000000000000383.
4
Case Report: Bow Hunter Syndrome-One Reason to Add Non-gravity Dependent Positional Nystagmus Testing to Your Clinical Neuro-Otologic Exam.
Front Neurol. 2021 Dec 20;12:814998. doi: 10.3389/fneur.2021.814998. eCollection 2021.
5
Less common forms of posterior canal benign paroxysmal positional vertigo.
Acta Otorhinolaryngol Ital. 2021 Jun;41(3):255-262. doi: 10.14639/0392-100X-N1032.
6
The Video Head Impulse Test in the acute stage of posterior canal benign paroxysmal positional vertigo.
Acta Otorhinolaryngol Ital. 2021 Feb;41(1):69-76. doi: 10.14639/0392-100X-N1033.
7
Diagnosis and treatment of the short-arm type posterior semicircular canal BPPV.
Braz J Otorhinolaryngol. 2022 Sep-Oct;88(5):733-739. doi: 10.1016/j.bjorl.2020.10.012. Epub 2020 Nov 23.
8
Fluctuating Posterior Canal Function in Benign Paroxysmal Positional Vertigo Depending on How and Where Otoconia Are Disposed.
Otol Neurotol. 2021 Feb 1;42(2):e193-e198. doi: 10.1097/MAO.0000000000002913.
9
Feasibility of Using the Video-Head Impulse Test to Detect the Involved Canal in Benign Paroxysmal Positional Vertigo Presenting With Positional Downbeat Nystagmus.
Front Neurol. 2020 Oct 15;11:578588. doi: 10.3389/fneur.2020.578588. eCollection 2020.
10
A novel maneuver for diagnosis and treatment of torsional-vertical down beating positioning nystagmus: anterior canal and apogeotropic posterior canal BPPV.
Braz J Otorhinolaryngol. 2022 Sep-Oct;88(5):708-716. doi: 10.1016/j.bjorl.2020.09.009. Epub 2020 Oct 28.
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