一个悖论性的临床巧合:良性发性定位和双侧垂体病变
Nicolás Pérez-Fernández1,2, Sara Saez Coronado3, Cristina Zulueta-Santos1
1Department of Otorhinolaryngology, Marquesado de Santa Marta 1, Clínica Universidad de Navarra, 28047 Madrid, Spain.
Journal of clinical medicine
|May 27, 2023
概括
良性发性位置性 (BPPV) 和双侧带病 (BVL) 的同时发生很少,影响0.4%的患者. 当它们同时发生时,这些前体障碍的治疗结果与个别诊断保持一致.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 静脉管系统疾病 静脉管系统疾病
背景情况:
- 良性发性位置性 (BPPV) 和双边前庭病变 (BVL) 是不同的前庭疾病.
- 这些情况有时可以同时在同一病人身上出现,这给诊断和治疗带来了挑战.
研究的目的:
- 调查患有同时发生的BPPV和BVL的患者的发病率和表现模式.
- 为了评估被诊断患有两种前体障碍的患者的治疗结果.
主要方法:
- 对15年患者数据库的回顾性审查发现了同时出现的BPPV和BVL的病例.
- 一项前性研究在BPPV患者中使用视频头脉冲测试 (vHIT) 来检测潜在的双侧前庭损失.
主要成果:
- 在0.4%的患者 (23/5750) 中发现了BPPV和BVL的巧合.
- 顺序呈现更常见 (10/23),BPPV通常是第一个被诊断出来的.
- 同时呈现发生在9/23名患者中.
- 在BPPV患者的前性vHIT显示,BVL的发病率为1.5% (6/405).
- 患有这两种疾病的患者的治疗结果与患有单一前庭疾病的患者的治疗结果一致.
结论:
- BPPV和BVL的同时发生是不常见的,但有记录.
- 对结合前体疾病的治疗疗效与个体疾病相比较.
- vHIT是识别BPPV患者BVL的一个有价值的工具.
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