두부 외상 후 발생한 양성돌발성 두위현훈의 임상 양상

이준희; 송미현; 박진우; 고경민; 심대보

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자료유형: 학술저널

저자정보: 이준희 송미현 박진우 고경민 심대보

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제58권 제12호

발행연도: 2015.1

수록면: 836 - 840 (5page)

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Background and Objectives The purpose of this study was to identify the clinical characteristics of benign paroxysmal positional vertigo (BPPV) occurring after head trauma by comparing them to those of idiopathic BPPV (i-BPPV). Subjects and Method We analyzed retrospectively 820 patients diagnosed with BPPV. Patients were classified into two groups: post-traumatic BPPV (t-BPPV) group and i-BPPV group. We compared the clinical characteristics (age, sex, affected side, duration of vertigo, types of BPPV) and treatment outcomes between the two groups. Results The study included 497 patients with i-BPPV and 56 patients with t-BPPV. There were no differences in age distribution and the affected side. The t-BPPV group had greater male preponderance (48%) than the i-BPPV group (24%) did and longer duration of vertigo compared to i-BPPV group (p=0.028). In addition, the t-BPPV group demonstrated higher horizontal canal BPPV/posterior canal BPPV ratio (t-BPPV vs. i-BPPV=0.54 vs. 0.20, p=0.008). Although the results of a single treatment outcome did not differ between the two groups (p=0.127), there was a greater tendency for the t-BPPV group to receive a higher number of therapeutic maneuvers until resolution than for the i-BPPV group (p=0.056). Recurrence rate also did not differ between the two groups (p=0.125). Conclusion The clinical features did not differ significantly between the two groups, although t-BPPV demonstrated a tendency of low therapeutic efficacy and high recurrence rates compared to i-BPPV. This information may be helpful for clinicians in counseling and managing patients with t-BPPV.

#Benign paroxysmal positional vertigo #Head trauma #Recurrence #Repositioning maneuver

참고문헌 (26)

참고문헌 신청

Ahn SK / 2011 / Clinical characteristics and treatment of benign paroxysmal positional vertigo after traumatic brain injury / J Trauma 70 (2) : 442 ~ 446

Baloh RW / 1987 / Benign positional vertigo: clinical and oculographic features in 240 cases / Neurology 37 (3) : 371 ~ 378

Bhattacharyya N / 2008 / Clinical practice guideline: benign paroxysmal positional vertigo / Otolaryngol Head Neck Surg 139 (5 Suppl 4) : S47 ~ S81

Brandt T / 1980 / The multisensory physiological and pathological vertigo syndromes / Ann Neurol 7 (3) : 195 ~ 203

Chung KW / 2009 / Incidence of horizontal canal benign paroxysmal positional vertigo as a function of the duration of symptoms / Otol Neurotol 30 (2) : 202 ~ 205

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