Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Republic of Korea.
Brain Inj. 2024 Apr 15;38(5):341-346. doi: 10.1080/02699052.2024.2310790. Epub 2024 Jan 31.
The aim of the present study was to evaluate the characteristics of brain injury and to assess the relationship between them and treatment outcomes in patients with traumatic benign paroxysmal positional vertigo (t-BPPV).
Sixty-three consecutive patients who were diagnosed with BPPV within 2 weeks after head trauma were included.
Cerebral concussion, intracranial hemorrhages (ICH), skull fracture without ICH, and hemorrhagic contusion were observed in 68%, 24%, 5%, and 3% of t-BPPV patients, respectively. BPPV with single canal involvement was observed in 52 (83%) patients and that with multiple canal involvement was observed in 11 (17%) patients. The number of treatment sessions was not significantly different according to the cause of head trauma ( = 0.252), type of brain injury ( = 0.308) or location of head trauma ( = 0.287). The number of recurrences was not significantly different according to the cause of head trauma ( = 0.308), type of brain injury ( = 0.536) or location of head trauma ( = 0.138).
The present study demonstrated that there were no significant differences in treatment sessions until resolution and the mean number of recurrences according to the type of brain injury.
本研究旨在评估脑损伤的特征，并评估其与创伤性良性阵发性位置性眩晕（t-BPPV）患者治疗结果之间的关系。
共纳入 63 例头部外伤后 2 周内确诊为 BPPV 的连续患者。
68%的 t-BPPV 患者出现脑震荡，24%出现颅内出血（ICH），5%出现颅骨骨折无 ICH，3%出现出血性挫伤。52 例（83%）患者为单管受累 BPPV，11 例（17%）患者为多管受累 BPPV。根据头部外伤的原因（=0.252）、脑损伤的类型（=0.308）或头部外伤的部位（=0.287），治疗次数无显著差异。根据头部外伤的原因（=0.308）、脑损伤的类型（=0.536）或头部外伤的部位（=0.138），复发次数无显著差异。
本研究表明，根据脑损伤的类型，直至痊愈的治疗次数和平均复发次数无显著差异。
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