在3975名患有良性发性位置的患者中,水平通道变异的患病率:一个横截面研究
Rajneesh Bhandari1, Anita Bhandari1, Yu-Hsiang Hsieh1
1NeuroEquilibrium Diagnostic Systems Pvt Ltd. (RB); Vertigo and Ear Clinic (AB), Jaipur, India; Johns Hopkins School of Medicine (Y-HH, RO), Baltimore, MD; and Harvard Medical School (JE), Boston, MA.
Neurology. Clinical practice
|September 4, 2023
概括
后通道良性性位置性 (pc-BPPV) 比水平通道BPPV (hc-BPPV) 较为罕见. 这项研究强调了在BPPV诊断中需要进行卧式滚动试验的必要性.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 之前的研究表明,后通道良性性位置性 (pc-BPPV) 比水平通道BPPV (hc-BPPV) 更为普遍.
- 这些早期的研究往往具有较小的样本大小,并没有始终执行hc-BPPV诊断的卧底滚动试验.
研究的目的:
- 准确估计诊断为BPPV的患者中hc-BPPV的患病率.
- 挑战BPPV亚型频率的现有理解.
主要方法:
- 在印度各地进行了一项大型的横截面研究,涉及3975名BPPV患者.
- 位置测试期间的视频眼镜 (VOG) 用于诊断,由神经病学家和神经病学家确认.
主要成果:
- 后通道BPPV (pc-BPPV) 占病例的47.8% (1901名患者).
- 在46.3%的病例 (1,842名患者) 中发现了水平通道BPPV (hc-BPPV).
- 前通道BPPV很少见,仅在0.7%的患者 (28例) 中发现.
结论:
- 水平通道BPPV (hc-BPPV) 明显比之前报告的更为常见.
- 在所有疑似BPPV病例中,应该在Dix-Hallpike机动的同时进行卧床滚动测试.
- 加强对诊断BPPV和识别hc-BPPV阴囊的模式的培训至关重要.
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