Böhmer A, Briner H R, Schmid R
Klinik für Otorhinolaryngologie, Hals-und Gesichtschirurgie, Universitätsspital Zürich.
Praxis (Bern 1994). 1996 Sep 24;85(39):1206-10.
The most important forms of inner ear disorders manifesting as sudden vertigo may be distinguished by the duration of the vertiginous spells: sudden vertigo, diminishing during days = acute peripheral vestibulopathy, recurrent spells lasting for hours = Ménière's disease, recurrent vertigo lasting for minutes = "vascular', recurrent positioning-induced vertigo lasting for seconds = benign paroxysmal positioning vertigo (BPPV). In the last years, major progress was made in the treatment of BPPV. Based on new ideas on the underlying pathomechanism, this most common form of vestibular vertigo now can be treated definitively in most patients within a few minutes by a simple maneuver (canalith reposition maneuver by Epley/Parnes). This procedure is presented in this paper.
眩晕持续数天且逐渐减轻 = 急性外周前庭病，发作持续数小时且反复发作 = 梅尼埃病，眩晕反复发作持续数分钟 = “血管性”，位置诱发的眩晕反复发作持续数秒 = 良性阵发性位置性眩晕（BPPV）。近年来，BPPV的治疗取得了重大进展。基于对潜在发病机制的新认识，这种最常见的前庭性眩晕现在在大多数患者中通过一种简单的手法（Epley/Parnes半规管结石复位手法）在几分钟内即可得到确切治疗。本文将介绍该 procedure。 （注：这里原文中的“procedure”未明确说明具体是什么，根据前文推测是上述复位手法，但直接翻译为“程序”不太准确，可根据实际情况调整为更合适的表述，比如“手法”等）
