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良性阵发性眩晕的发病机制。

The mechanics of benign paroxysmal vertigo.

作者信息

Hall S F, Ruby R R, McClure J A

出版信息

J Otolaryngol. 1979 Apr;8(2):151-8.

PMID:430582
Abstract

Benign paroxysmal vertigo (BPV) is a disorder of the vestibular labyrinth. The clinical features can be explained by an abnormality in the posterior semicircular canal. Under the influence of gravity, a density differential between the endolymph and the cupula will cause displacement of the cupula when changes in head position occur. The presence or absence of fatiguability is a useful test as it helps define etiology, prognosis, and therapy. At the risk of adding yet another classification of nystagmus to the literature, we submit that division of BPV into two types (fatiguable and nonfatiguable) will simplify and rationalize the management of this common complaint.

摘要

良性阵发性眩晕(BPV)是一种前庭迷路疾病。其临床特征可通过后半规管异常来解释。在重力影响下,当头位发生变化时,内淋巴与壶腹嵴之间的密度差异会导致壶腹嵴移位。是否存在疲劳性是一项有用的检查,因为它有助于明确病因、预后和治疗方法。冒着在文献中增加另一种眼球震颤分类的风险,我们认为将BPV分为两种类型(可疲劳型和不可疲劳型)将简化并使这种常见病症的管理更加合理。

相似文献

1
The mechanics of benign paroxysmal vertigo.良性阵发性眩晕的发病机制。
J Otolaryngol. 1979 Apr;8(2):151-8.
2
Benign paroxysmal positional vertigo (BPPV). Clinical features in 34 cases and review of literature.良性阵发性位置性眩晕(BPPV)。34例临床特征及文献复习
Acta Neurol Belg. 1988 Mar-Apr;88(2):65-74.
3
Horizontal canal BPV.水平半规管良性阵发性位置性眩晕
J Otolaryngol. 1985 Feb;14(1):30-5.
4
Benign paroxysmal positional vertigo of the anterior semicircular canal: atypical clinical findings and possible underlying mechanisms.前半规管良性阵发性位置性眩晕:非典型临床表现及可能的潜在机制
Int J Audiol. 2008 May;47(5):276-82. doi: 10.1080/14992020801958843.
5
Current view of the mechanism of benign paroxysmal positioning vertigo: cupulolithiasis or canalolithiasis?良性阵发性位置性眩晕机制的当前观点:嵴顶结石症还是半规管结石症?
J Vestib Res. 1993 Winter;3(4):373-82.
6
Sleep position and laterality of benign paroxysmal positional vertigo.良性阵发性位置性眩晕的睡眠姿势与偏侧性
J Laryngol Otol. 2008 Dec;122(12):1295-8. doi: 10.1017/S0022215108002168. Epub 2008 Apr 3.
7
Horizontal canal benign paroxysmal positioning vertigo (h-BPPV): transition of canalolithiasis to cupulolithiasis.水平半规管良性阵发性位置性眩晕(h-BPPV):管结石症向嵴顶结石症的转变。
Ann Neurol. 1996 Dec;40(6):918-22. doi: 10.1002/ana.410400615.
8
Treatment of horizontal semicircular canal benign paroxysmal positional vertigo.水平半规管良性阵发性位置性眩晕的治疗
J Vestib Res. 1997 Jan-Feb;7(1):1-6.
9
Dynamics of canal response to head-shaking test in benign paroxysmal positional vertigo.良性阵发性位置性眩晕中半规管对摇头试验反应的动力学
Acta Otolaryngol. 2007 Dec;127(12):1246-54. doi: 10.1080/00016480701275253.
10
[Benign paroxysmal postural vertigo: basis and its therapy in clinical practice].
Schweiz Med Wochenschr. 1996 Mar 16;126(11):434-9.

引用本文的文献

1
Association Between Sleep and Vertigo Severity in Benign Paroxysmal Positional Vertigo: Mediating Role of Psychological Factors.良性阵发性位置性眩晕中睡眠与眩晕严重程度的关联:心理因素的中介作用
Nat Sci Sleep. 2025 Jun 23;17:1477-1490. doi: 10.2147/NSS.S529355. eCollection 2025.
2
Epley's Influence on Horizontal Canal BPPV Variants.埃普利法对水平半规管良性阵发性位置性眩晕各亚型的影响
Audiol Res. 2025 Mar 7;15(2):25. doi: 10.3390/audiolres15020025.
3
Atypical PC-BPPV - Cupulolithiasis and Short-Arm Canalithiasis: A Retrospective Observational Study.
非典型后半规管良性阵发性位置性眩晕——壶腹嵴顶结石症和短臂半规管结石症:一项回顾性观察研究
J Neurol Phys Ther. 2025 Jan 1;49(1):51-61. doi: 10.1097/NPT.0000000000000494. Epub 2024 Oct 16.
4
From Injury to Innovation: Margaret Dix's Pioneering Work in Neuro-Otology.从创伤到创新:玛格丽特·迪克斯在神经耳科学领域的开创性工作
Cureus. 2024 Nov 5;16(11):e73094. doi: 10.7759/cureus.73094. eCollection 2024 Nov.
5
New- and early-onset benign paroxysmal positional vertigo after otologic surgery.耳科手术后新发及早发性良性阵发性位置性眩晕
Eur Arch Otorhinolaryngol. 2025 Jan;282(1):175-181. doi: 10.1007/s00405-024-08928-y. Epub 2024 Sep 4.
6
Can Video Head Impulse Testing Be Used to Estimate the Involved Canal in Benign Paroxysmal Positional Vertigo?视频头脉冲试验能否用于估计良性阵发性位置性眩晕的受累半规管?
J Int Adv Otol. 2024 May;20(3):255-260. doi: 10.5152/iao.2024.231369.
7
The spatial orientation of crista ampullaris: implications for BPPV diagnosis and treatment.壶腹嵴的空间取向:对耳石症诊断和治疗的启示
Front Neurol. 2024 Jul 4;15:1401041. doi: 10.3389/fneur.2024.1401041. eCollection 2024.
8
Different clinical course of BPPV according to the medical conditions.根据医疗条件的不同,BPPV 的临床病程也不同。
Sci Rep. 2024 Jun 5;14(1):12941. doi: 10.1038/s41598-024-63882-3.
9
To compare the recovery rates of modified Epley's against Semont's manoeuvres in patients with posterior canal benign paroxysmal positional vertigo: a randomized clinical trial.比较改良 Epley 复位法与 Semont 手法治疗后半规管良性阵发性位置性眩晕患者的复位成功率:一项随机临床试验。
Eur Arch Otorhinolaryngol. 2024 Sep;281(9):4641-4648. doi: 10.1007/s00405-024-08657-2. Epub 2024 Apr 23.
10
Treatment efficacy of repositioning maneuvers in multiple canal benign paroxysmal positional vertigo: a systematic review and meta-analysis.多种半规管良性阵发性位置性眩晕复位手法的治疗效果:一项系统评价和荟萃分析
Front Neurol. 2023 Nov 6;14:1288150. doi: 10.3389/fneur.2023.1288150. eCollection 2023.